Impact of a culturally tailored parenting programme on the mental health of Somali parents and children living in Sweden: a longitudinal cohort study

Objectives This study aimed to evaluate the long-term impact (3-year follow-up) of a culturally tailored parenting support programme (Ladnaan) on the mental health of Somali-born parents and their children living in Sweden.Methods In this longitudinal cohort study, Somali-born parents with children...

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Main Authors: Marie Klingberg-Allvin, Raziye Salari, Fatumo Osman, Ulla-Karin Schön, Renée Flacking, Linda Vixner
Format: Article
Language:English
Published: BMJ Publishing Group 2021-08-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/11/8/e045067.full
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author Marie Klingberg-Allvin
Raziye Salari
Fatumo Osman
Ulla-Karin Schön
Renée Flacking
Linda Vixner
author_facet Marie Klingberg-Allvin
Raziye Salari
Fatumo Osman
Ulla-Karin Schön
Renée Flacking
Linda Vixner
author_sort Marie Klingberg-Allvin
collection DOAJ
description Objectives This study aimed to evaluate the long-term impact (3-year follow-up) of a culturally tailored parenting support programme (Ladnaan) on the mental health of Somali-born parents and their children living in Sweden.Methods In this longitudinal cohort study, Somali-born parents with children aged 11–16 were followed up 3 years after they had participated in the Ladnaan intervention. The Ladnaan intervention comprises two main components: societal information and the Connect parenting programme delivered using a culturally sensitive approach. It consists of 12 weekly group-based sessions each lasting 1–2 hours. The primary outcome was improved mental health in children, as measured by the Child Behaviour Checklist (CBCL). The secondary outcome was improved mental health in parents, as measured by the General Health Questionnaire-12. Data were collected from the parent’s perspective.Results Of the 60 parents who were originally offered the intervention, 51 were included in this long-term follow-up. The one-way repeated measures (baseline to the 3-year follow-up) analysis of variance for the CBCL confirmed maintenance of all the treatment gains for children: total problem scores (95% CI 11.49 to 18.00, d=1.57), and externalising problems (95% CI 2.48 to 5.83, d=0.86). Similar results were observed for the parents’ mental health (95% CI 0.40 to 3.11, d=0.46).Conclusion Positive changes in the mental health of Somali-born parents and their children were maintained 3 years after they had participated in a parenting support programme that was culturally tailored and specifically designed to address their needs. Our findings highlight the long-term potential benefits of these programmes in tackling mental health issues in immigrant families.Trial registration number NCT02114593.
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spelling doaj-art-0ad44d66105d4bdbaf065ed83d13ce062025-08-20T02:30:35ZengBMJ Publishing GroupBMJ Open2044-60552021-08-0111810.1136/bmjopen-2020-045067Impact of a culturally tailored parenting programme on the mental health of Somali parents and children living in Sweden: a longitudinal cohort studyMarie Klingberg-Allvin0Raziye Salari1Fatumo Osman2Ulla-Karin Schön3Renée Flacking4Linda Vixner51 Department of Women’s and Children’s Health, Karolinska Institutet, WHO-Centre, QB:84, Karolinska University Hospital Solna, Stockholm, SwedenDepartment of Public Health and Caring Sciences, Uppsala University, Uppsala, SwedenChild Health and Parenting, Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden4 Department of Social Work, Stockholm University, Stockholm, SwedenSchool of Education, Health and Social Studies, Hogskolan Dalarna, Falun, SwedenSchool of Health and Welfare, Dalarna University, Falun, SwedenObjectives This study aimed to evaluate the long-term impact (3-year follow-up) of a culturally tailored parenting support programme (Ladnaan) on the mental health of Somali-born parents and their children living in Sweden.Methods In this longitudinal cohort study, Somali-born parents with children aged 11–16 were followed up 3 years after they had participated in the Ladnaan intervention. The Ladnaan intervention comprises two main components: societal information and the Connect parenting programme delivered using a culturally sensitive approach. It consists of 12 weekly group-based sessions each lasting 1–2 hours. The primary outcome was improved mental health in children, as measured by the Child Behaviour Checklist (CBCL). The secondary outcome was improved mental health in parents, as measured by the General Health Questionnaire-12. Data were collected from the parent’s perspective.Results Of the 60 parents who were originally offered the intervention, 51 were included in this long-term follow-up. The one-way repeated measures (baseline to the 3-year follow-up) analysis of variance for the CBCL confirmed maintenance of all the treatment gains for children: total problem scores (95% CI 11.49 to 18.00, d=1.57), and externalising problems (95% CI 2.48 to 5.83, d=0.86). Similar results were observed for the parents’ mental health (95% CI 0.40 to 3.11, d=0.46).Conclusion Positive changes in the mental health of Somali-born parents and their children were maintained 3 years after they had participated in a parenting support programme that was culturally tailored and specifically designed to address their needs. Our findings highlight the long-term potential benefits of these programmes in tackling mental health issues in immigrant families.Trial registration number NCT02114593.https://bmjopen.bmj.com/content/11/8/e045067.full
spellingShingle Marie Klingberg-Allvin
Raziye Salari
Fatumo Osman
Ulla-Karin Schön
Renée Flacking
Linda Vixner
Impact of a culturally tailored parenting programme on the mental health of Somali parents and children living in Sweden: a longitudinal cohort study
BMJ Open
title Impact of a culturally tailored parenting programme on the mental health of Somali parents and children living in Sweden: a longitudinal cohort study
title_full Impact of a culturally tailored parenting programme on the mental health of Somali parents and children living in Sweden: a longitudinal cohort study
title_fullStr Impact of a culturally tailored parenting programme on the mental health of Somali parents and children living in Sweden: a longitudinal cohort study
title_full_unstemmed Impact of a culturally tailored parenting programme on the mental health of Somali parents and children living in Sweden: a longitudinal cohort study
title_short Impact of a culturally tailored parenting programme on the mental health of Somali parents and children living in Sweden: a longitudinal cohort study
title_sort impact of a culturally tailored parenting programme on the mental health of somali parents and children living in sweden a longitudinal cohort study
url https://bmjopen.bmj.com/content/11/8/e045067.full
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