Dahlberg Anton, Baric Vedrana Bolic, Sampaio Filipa, Fängström Karin
Child Health and Parenting (CHAP), Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Akademiska Children's Hospital, Uppsala University Hospital, Uppsala, Sweden.
BMC Psychol. 2025 Mar 27;13(1):309. doi: 10.1186/s40359-025-02618-y.
Young children with subclinical neurodevelopmental disorders (NDDs) and concurrent emotional and behavioral problems (EBP) are at significant risk of negative short- and long-term outcomes. Although early parenting support interventions are recommended and requested, there is a lack of interventions specifically designed for this group and adapted to the Swedish context. Based on this gap, a parenting support intervention for parents with children aged 2-6 years with subclinical NDDs and EBP has been co-created with clinicians and parents. The project described in this study protocol aims to evaluate the effectiveness and cost-effectiveness of this new group-based parenting intervention.
The project uses a multiple-baseline single-case experimental design (SCED) with pre-post measures and a 3-month follow-up. The intervention is provided to families with children who are referred to child health psychologists at the child pediatric outpatient clinic in Uppsala Region, Sweden. Outcomes will include child EBP and parent self-efficacy, stress, well-being, and quality of life, as well as costs for the intervention, health care use, and QALYs.
The project could lead to improved mental health in both children and parents through participation in the group-based parenting intervention. The study design, with longitudinal data from both children and/or their parents, will provide valuable insights into the trajectories of mental health and well-being within this group. In addition, the inclusion of young children as informants will provide important information about their experiences. Furthermore, the use of pre-, post- and follow-up questionnaires will allow reliable and clinically significant changes to be assessed and our findings to be compared with randomized trials in similar populations. The results of this project will be relevant to children with subclinical NDDs and their parents, as well as to health care organizations and the scientific community. The intervention is well adapted to the end users and the clinical context, as it has been co-created with clinicians and parents.
ISRCTN10835479 https://doi.org/10.1186/ISRCTN10835479 , date of registration 2024-10-08.
患有亚临床神经发育障碍（NDDs）且同时存在情绪和行为问题（EBP）的幼儿面临着短期和长期负面结果的重大风险。尽管推荐并需要早期育儿支持干预措施，但缺乏专门为该群体设计并适应瑞典国情的干预措施。基于这一差距，与临床医生和家长共同创建了一项针对有2至6岁患有亚临床NDDs和EBP儿童的家长的育儿支持干预措施。本研究方案中描述的项目旨在评估这种新的基于小组的育儿干预措施的有效性和成本效益。
该项目采用多基线单病例实验设计（SCED），进行前后测量以及为期3个月的随访。干预措施提供给在瑞典乌普萨拉地区儿童门诊诊所被转介给儿童健康心理学家的有孩子的家庭。结果将包括儿童的EBP以及家长的自我效能感、压力、幸福感和生活质量，以及干预措施的成本、医疗保健使用情况和质量调整生命年（QALYs）。
该项目通过参与基于小组的育儿干预措施，可能会改善儿童和家长的心理健康。该研究设计通过收集儿童和/或其家长的纵向数据，将为该群体中心理健康和幸福感的轨迹提供有价值的见解。此外，将幼儿纳入作为信息提供者将提供有关他们经历的重要信息。此外，使用前后问卷和随访问卷将能够评估可靠且具有临床意义的变化，并将我们的研究结果与类似人群的随机试验进行比较。该项目的结果将与患有亚临床NDDs的儿童及其家长以及医疗保健组织和科学界相关。由于该干预措施是与临床医生和家长共同创建的，因此它很好地适应了最终用户和临床环境。
ISRCTN10835479 https://doi.org/10.1186/ISRCTN10835479 ，注册日期2024年10月8日。
