Prevention of poor psychosocial health in children with incarcerated parents and their non-incarcerated carers Other
Conditions
Interventions
The intervention for the child-carer-dyad consists of 3 individual and separate sessions for children and carers. Sessions include psychoeducation and brief strategies for managing emotions and situat
Sponsors
Karolinska Institutet
Eligibility
Sex/Gender
All
Age
6 Years to 13 Years
Inclusion criteria
Inclusion criteria: Child: 1. Age 6-13 years old. 2. Have one or both parents (biological parent, non-biological parent/carer) in prison or jail in Sweden. 3. Have sufficient proficiency in Swedish to be able to understand the intervention material. Carer: 1. Age 18 years or older. 2. Be the carer of (e.g. parent, foster parent, or other form of close carer on a regular basis for the child) at least one child aged 6-13 years with an incarcerated parent in prison or jail in Sweden. 3. Have sufficient proficiency in Swedish to be able to understand the intervention material. Deliverer: 1. Work in one of the units included in the study. 2. If randomised to intervention group: have participated in the intervention training.
Exclusion criteria
Exclusion criteria: Child: 1. Be the victim of a serious crime committed by the parent, such as sexual abuse. The exclusion criterion will be closely monitored by deliverers in communication with researchers including licenced psychologists, and evaluated on an individual child basis. We have seen in interviews with children (yet unpublished) that children may be the victim of crime committed by the parent, such as witnessing violence committed towards the carer, but still be in need of support for handling the parent’s incarceration. Therefore, this exclusion criterion will be closely monitored by researchers jointly with deliverers. All participating units have routines for these circumstances that we be taken into action and ensure that children will be provided additional support related to their vicitimasation. 2. Lack sufficient proficiency in Swedish to be able to understand the intervention material. 3. Have a parent in prison or jail in in another country than Sweden. Carer: 1. Be the victim of a serious crime committed by the parent (see above child criteria, the same applies here). 2. Lack sufficient proficiency in Swedish to be able to understand the intervention material. Deliverer: 1. Not work in one of the units included in the study. 2. If randomised to intervention group: Not having participated in the intervention training.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Child: Self/adult-reported KIDSCREEN-27 to measure children’s well-being related to physical, psychological, and social, school, and parental/autonomy areas measured before the start of the intervention for each family, i.e. baseline (T0), at the end of the intervention (T1), at three-months follow up (T2), and one year after the intervention (T3). Carer: Self-reported SF-36 Health Survey to measure carer wellbeing through eight dimensions related to general health perceptions, physical-, and social functioning, vitality, bodily pain, role limitations due to physical-, and emotional problems, mental health measured before the start of the intervention for each family, i.e. baseline (T0), at the end of the intervention (T1), at three-months follow up (T2), and one year after the intervention (T3). | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes and mediators measured with children and carers before the start of the intervention for each family, i.e. baseline (T0), at the end of the intervention (T1), at three-months follow up (T2), and one year after the intervention (T3). 1. Child self-esteem is measured using the Rosenberg Self-Esteem Scale at T0, T1, T2, and T3 2. Child perceived stress is measured using the Perceived Stress Scale for Kids (PeSSKi) at T0, T1, T2, and T3 3. Child emotion regulation is measured using the Emotion Regulation Questionnaire for Children and Adolescents (ERQ-CA) at T0, T1, T2, and T3 4. Information on what the child has been told about the incarceration is measured using specific items reported by the carer at T0, T1, T2, and T3 5. Quality of the carer-child relationship is measured using the Child Parent Relationship Scale (CPRS) at T0, T1, T2, and T3 6. Carer parenting behaviour related to discipline is measured using the Parenting Scale at T0, T1, T2, and T3 7. Carer parenting stress and perceived social isolation are measured using the Parenting Stress Index (PSI) at T0, T1, T2, and T3 8. Carer perceived stress due to overwhelming or uncontrollable events is measured using the Perceived Stress Scale (PSS-10) at T0, T1, T2, and T3 9. Child health outcomes including medical and psychiatric disorders, care, and medication are measured using national registries at five years post-intervention 10. Child academic achievement is measured using national registries at five years post-intervention 11. Carer health outcomes including medical and psychiatric disorders, care, and medication are measured using national registries at five years post-intervention 12. Carer socioeconomic indicators including income, employment, and education are measured using national registries at five years post-intervention 13. Acceptability of the intervention is measured using the Acceptability of Intervention Measure (AIM) at T1 for children and carers and at study end f | — |
Countries
Sweden
Contacts
Public ContactÅsa;Åsa Norman;Norman
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Outcome results
None listed