About this trial
The goal of this randomized clinical pilot study is to evaluate the feasibility and experience of the internet-based parental support program "Parenting - a journey together". This program is intended to be delivered via the national Support and Treatment Platform and used within primary care to enhance traditional parental support within child health care when needed. The main questions it aims to answer are:
1. Is the digital parental support intervention feasible and helpful within primary care? 2. How do parents perceive the program "Parenting - a journey together"? 3. Does the program increase the sense of parental ability and security in parenting by reflecting on attitudes and approaches in interaction with the child?
Participants in this study will be parents of children aged 2-5 years who have expressed interest in participating in the study and in the parental support program. Participants will be randomized into either the intervention group or the control group. Participants will be asked to complete validated questionnaires measuring the parent-child relationship, perceived parental ability, stress, and well-being before and after the parental support program, and again after 3 months. These results will then be compared with those of the control group.The knowledge gained from the pilot study can contribute to the development of digital parental support interventions within primary care. If the pilot study proves that the interactive digital parenting program is feasible for use in child health centers and is perceived as helpful by parents, a larger randomized controlled (RCT) study, (not included in this application) will be conducted to evaluate its effectiveness.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adult parents (or another adult who is a primary caregiver) to children within pediatric healthcare services with children aged 2-5 years old.
The parents are not participating in other parental support programs or interventions from Child Health Care psychologists, as this would complicate the evaluation of the effects of each intervention.
Parents who speak Swedish, due to the fact that "Parenting - a journey together" has not yet been translated into other languages.
Parents who respond affirmatively to the inclusion questions, indicating that they perceive a need for additional parental support and are motivated to participate in the program.
Disqualifiers
Parents of children outside the 2-5 years age range. The program is specifically designed for parents within child health care with children in this age group. Once children reach the age of 6, they transition to school health care.
The parents who are already participating in other parental support programs or receiving interventions from Child Health Care psychologists are not eligible, as this would complicate the evaluation of the effects of each intervention.
Parents who do not speak Swedish, as the program 'Parenting - a Journey Together' has not yet been translated into other languages.
Parents who have indicated no perceived need for additional parental support.
Trial design
Parallel
Treatments tested in this trial
Parenthood - a journey together. Digital tool to increase security in parenthood, a way to promote public health..
BehavioralThe project involved the development of an internet-based parental support program to be delivered via the national Support and Treatment (Sob) platform and used in primary care to enhance traditional parental support within child healthcare, as needed. The innovation has been developed in collaboration with the Innovation Fund in Västra Götaland. The aim is to increase the experience of parental competence and a sense of security in parenting by reflecting on attitudes and approaches in interaction with the child through an interactive, digital parental support program. The four themes in the parental support program, "Parenthood a journey together", are named: Being a good enough parent, understanding one's child, interacting with one's child, and meeting daily challenges as a parent regarding food, sleep, play, screen time, and physical activity. The four modules will include explanatory and psychoeducational texts, written exercises, videos, and homework.
Treatment groups
Trial outcomes
Primary outcomes
The Swedish Parenthood Stress Questionnaire - SPSQ
The Swedish Parenthood Stress Questionnaire (SPSQ) is designed to measure the perceived stress/strain that parents can directly relate to their parenthood. The questionnaire is influenced by, and primarily originates from parts of R. Abidin's Parenting Stress Index (PSI; Abidin, 1990). In early publications (Östberg, Hagekull, \& Wettergren, 1997), SPSQ was referred to as a Swedish PSI (S-PSI) to facilitate comparisons with the American scale. In accordance with an agreement with the American publisher that holds the copyright to the PSI scale, the name has been changed to The Swedish Parenthood Stress Questionnaire (SPSQ). SPSQ is based on 35 selected questions from PSI, with clear and high/acceptable factor loadings (Abidin, 1990). The questions have been selected from the subscales Depression, Restrictions of Role, Sense of Competence, Social Isolation, Relationship with Spouse and Parent Health.
The parental reflective functioning questionnaire- PRFQ
The Parental Reflective Functioning Questionnaire (PRFQ) has been developed to provide a brief, multidimensional assessment of parental reflective functioning that is easy to administer to parents with a wide range of socioeconomic and educational backgrounds. Because of the current interest in the role of PRF in the intergenerational transmission of attachment in early childhood, the PRFQ was primarily designed for parents of children 0-5 years of age. The questionnaire consists of 18 items.
The Parenting Sense of Competence scale -PSOC
The Parenting Sense of Competence scale (PSOC) is a self-report measure that aims to assesses one's perceived efficacy and satisfaction with parenting. One of the most used scales to measure this construct is Johnston and Mash's version of the Parenting Sense of Competence (PSOC) questionnaire. This scale consists of 16 items and evaluates the caregiver's perceived parenting competence through its two dimensions: efficacy, i.e., the degree to which the parent feels competent in their parenting role and satisfaction, i.e., the extent to which the caregiver feels satisfied with their role as a parent.
Short Warwick Edinburgh Mental Wellbeing Scale -SWEMWBS
The Short Warwick Edinburgh Mental Wellbeing scale (SWEMWBS) is a short version of the Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS). The WEMWBS was developed to enable the monitoring of mental wellbeing in the general population and the evaluation of projects, programmes and policies which aim to improve mental wellbeing. The SWEMWBS uses seven of the WEMWBS's 14 statements about thoughts and feelings, which relate more to functioning than feelings and so offer a slightly different perspective on mental wellbeing.
Locations
Sponsors and contacts
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Vastra Gotaland Region
Lead sponsor
Göteborg University
Collaborator
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