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Evaluation of the Parental Support Intervention For Our Children's Sake in Prisons in Sweden

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ClinicalTrials.gov Identifier: NCT04101799
Recruitment Status : Recruiting
First Posted : September 24, 2019
Last Update Posted : December 4, 2019
Sponsor:
Collaborator:
The Solstickan Foundation, The Sven Jerring Foundation
Information provided by (Responsible Party):
Åsa Norman, Karolinska Institutet

Brief Summary:
Evaluation of the effects of the parental support intervention "For our children's sake" on positive parenting outcomes when conducted with incarcerated parents in prisons in Sweden.

Condition or disease Intervention/treatment Phase
Parenting Parent-Child Relations Behavioral: For Our Children's Sake Other: Active control Not Applicable

Detailed Description:
Children of incarcerated parents comprise a greatly disadvantaged group in society with elevated risk of ill-health, behavioural problems, and own delinquency and unemployment later in life. Positive parenting comprise an important factor for children's positive and healthy development. Incarcerated parents may have difficulties to engage in positive parenting due to disadvantaged situations affecting parenting negatively such as drug addiction, poverty, or lack of experience of positive parenting in their own childhood. Previous research has suggested that interventions to prevent the intergenerational effect of criminality should be targeting family factors where positive parenting has been emphasised. Internationally developed parenting interventions for incarcerated parents suggest an impact on parenting outcomes such as positive parent-child interaction, parenting knowledge, empathy, parent stress, increased child contact and active parenting, However, the majority of the programmes evaluated to date have been conducted in the US, with a prison and probation context with limited generalisability to the Swedish system. In Sweden, the parenting programme for incarcerated parents, "For our children's' sake" (FOCS) was developed in 2012-2014 with the aim to support positive parenting for the child's healthy development and is currently delivered in Swedish prisons. The aim of this project is to evaluate the effects of the FOCS parenting programme on parenting outcomes through a controlled trial with a parallel implementation process evaluation.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 76 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: Controlled trial
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Children of Incarcerated Parents - Evaluation of Parental Support Programme in Prison to Promote Positive Parenting and Prevent Children's Ill-health and Delinquency Later in Life
Actual Study Start Date : September 21, 2019
Estimated Primary Completion Date : April 30, 2020
Estimated Study Completion Date : April 30, 2020

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Parenting

Arm Intervention/treatment
Experimental: Intervention
Participating in the For our children's sake intervention, 10 group sessions, 2 hours each
Behavioral: For Our Children's Sake
Parental support with the aim to support positive parenting and promote healthy child development. Conducted in group-format with weekly 2.hour sessions conducted by trained group leaders according to a programme manual.

Active Comparator: Control
Participating in everyday activities that may include parenting activities in the control prisons
Other: Active control
Participating in everyday activities that may include parenting activities in the control prisons




Primary Outcome Measures :
  1. 7-items sub-scale Closeness in the Child Parent Relationship Scale [ Time Frame: Positive change in mean score of all 7 items between baseline (pre-intervention) and end of intervention, after 10 weeks. Measurements will also be conducted at mid-intervention to investigate mediated effects, and a 3-month post intervention follow-up. ]
    Parent-reported quality in relationship between parent and child on a 5-point scale ('complete agree' to 'completely disagree')


Secondary Outcome Measures :
  1. Contact frequency and type between parent and child [ Time Frame: Change in mean score of items between baseline (pre-intervention) and end of intervention, after 10 weeks. Measurements will also be conducted at a 3-month post intervention follow-up. ]
    Parent-reported frequency (weekly, monthly, less, no contact) and type (letter, telephone, visit/permission, other

  2. Eight items chosen from the sub-scale antisocial intent in the Measures of Criminal Attitudes and Associates scale [ Time Frame: Change in mean score of items between baseline (pre-intervention) and end of intervention, after 10 weeks. Measurements will also be conducted at a 3-month post intervention follow-up. ]
    Parental attitude to criminality self-reported on a 5-point scale ('complete agree' to 'completely disagree')

  3. Parent interest in other treatment programmes in prison [ Time Frame: Change in item score between baseline (pre-intervention) and end of intervention, after 10 weeks. Measurements will also be conducted at a 3-month post intervention follow-up. ]
    One item self-reported on an 11-point scale (0 no interest, 10 very high interest)


Other Outcome Measures:
  1. 14 item parenting attitude from the The Adult-Adolescent Parenting Inventory (AAPI-2) [ Time Frame: Change in mean score of items between baseline (pre-intervention) and end of intervention, after 10 weeks. Measurements will also be conducted at mid-intervention to investigate mediated effects, and a 3-month post intervention follow-up. ]
    Intermediate outcome/mediator self-reported on a 5-point scale ('complete agree' to 'completely disagree')

  2. 6 items parental self-efficacy scale [ Time Frame: Change in mean score of items between baseline (pre-intervention) and end of intervention, after 10 weeks. Measurements will also be conducted at mid-intervention to investigate mediated effects, and a 3-month post intervention follow-up. ]
    Intermediate outcome/mediator self-reported on a 5-point scale ('complete agree' to 'completely disagree')



Information from the National Library of Medicine

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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Serving a sentence at any of the included prisons
  • Having at least one child in the ages between 0-18 years. Parents of children aged 0-2 and 13-18 years will not be included in the primary outcome measure, as the measure is not developed for these age groups. These parents will be included in the mediator measurements.
  • Are in contact with their child/children in any form. If not, these parents are included in the mediator measurements, as the primary outcome: relationship quality, is not applicable.
  • Having the legal right to contact the child
  • Not committed either a crime against the child or any violent crime against the other parent

Exclusion Criteria:

  • Not fulfilling inclusion criteria

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04101799


Contacts
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Contact: Åsa Norman, PhD +46-524 800 74 asa.norman@ki.se
Contact: Pia Enebrink, Ass Prof pia.enebrink@ki.se

Locations
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Sweden
Karolinska Institutet Recruiting
Stockholm, Sweden
Contact: Åsa Norman         
Sponsors and Collaborators
Karolinska Institutet
The Solstickan Foundation, The Sven Jerring Foundation
Investigators
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Principal Investigator: Åsa Norman, PhD Karolinska Institutet

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Responsible Party: Åsa Norman, Principal Investigator, Karolinska Institutet
ClinicalTrials.gov Identifier: NCT04101799    
Other Study ID Numbers: 2019-04227
First Posted: September 24, 2019    Key Record Dates
Last Update Posted: December 4, 2019
Last Verified: December 2019

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Åsa Norman, Karolinska Institutet:
Prison
Criminality
Child