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Silfverdal, Sven-ArneORCID iD iconorcid.org/0000-0002-3606-3797
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Publications (10 of 107) Show all publications
Mohanty, S., Johansson Kostenniemi, U., Silfverdal, S.-A., Salomonsson, S., Iovino, F., Sarpong, E. M., . . . Bruze, G. (2024). Increased risk of long-term disabilities following childhood bacterial meningitis in Sweden. JAMA Network Open, 7(1), Article ID e2352402.
Open this publication in new window or tab >>Increased risk of long-term disabilities following childhood bacterial meningitis in Sweden
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2024 (English)In: JAMA Network Open, E-ISSN 2574-3805, Vol. 7, no 1, article id e2352402Article in journal (Refereed) Published
Abstract [en]

IMPORTANCE: Few studies have examined the incidence of long-term disabilities due to bacterial meningitis in childhood with extended follow-up time and a nationwide cohort.

OBJECTIVE: To describe the long-term risks of disabilities following a childhood diagnosis of bacterial meningitis in Sweden.

DESIGN, SETTING, AND PARTICIPANTS: This nationwide retrospective registry-based cohort study included individuals diagnosed with bacterial meningitis (younger than 18 years) and general population controls matched (1:9) by age, sex, and place of residence. Data were retrieved from the Swedish National Patient Register from January 1, 1987, to December 31, 2021. Data were analyzed from July 13, 2022, to November 30, 2023.

EXPOSURE: A diagnosis of bacterial meningitis in childhood recorded in the National Patient Register between 1987 and 2021.

MAIN OUTCOMES AND MEASURES: Cumulative incidence of 7 disabilities (cognitive disabilities, seizures, hearing loss, motor function disorders, visual disturbances, behavioral and emotional disorders, and intracranial structural injuries) after bacterial meningitis in childhood.

RESULTS: The cohort included 3623 individuals diagnosed with bacterial meningitis during childhood and 32 607 controls from the general population (median age at diagnosis, 1.5 [IQR, 0.4-6.2] years; 44.2% female and 55.8% male, median follow-up time, 23.7 [IQR, 12.2-30.4] years). Individuals diagnosed with bacterial meningitis had higher cumulative incidence of all 7 disabilities, and 1052 (29.0%) had at least 1 disability. The highest absolute risk of disabilities was found for behavioral and emotional disorders, hearing loss, and visual disturbances. The estimated adjusted hazard ratios (HRs) showed a significant increased relative risk for cases compared with controls for all 7 disabilities, with the largest adjusted HRs for intracranial structural injuries (26.04 [95% CI, 15.50-43.74]), hearing loss (7.90 [95% CI, 6.68-9.33]), and motor function disorders (4.65 [95% CI, 3.72-5.80]). The adjusted HRs for cognitive disabilities, seizures, hearing loss, and motor function disorders were significantly higher for Streptococcus pneumoniae infection (eg, 7.89 [95% CI, 5.18-12.02] for seizure) compared with Haemophilus influenzae infection (2.46 [95% CI, 1.63-3.70]) or Neisseria meningitidis infection (1.38 [95% CI, 0.65-2.93]). The adjusted HRs for cognitive disabilities, seizures, behavioral and emotional disorders, and intracranial structural injuries were significantly higher for children diagnosed with bacterial meningitis at an age below the median.

CONCLUSIONS AND RELEVANCE: The findings of this cohort study of individuals diagnosed with bacterial meningitis during childhood suggest that exposed individuals may have had an increased risk for long-term disabilities (particularly when diagnosed with pneumococcal meningitis or when diagnosed at a young age), highlighting the need to detect disabilities among surviving children.

Place, publisher, year, edition, pages
American Medical Association (AMA), 2024
National Category
Infectious Medicine Pediatrics
Research subject
Infectious Diseases
Identifiers
urn:nbn:se:umu:diva-219872 (URN)10.1001/jamanetworkopen.2023.52402 (DOI)001145726200005 ()38241045 (PubMedID)2-s2.0-85182833206 (Scopus ID)
Available from: 2024-01-23 Created: 2024-01-23 Last updated: 2024-04-10Bibliographically approved
Videholm, S., Silfverdal, S.-A. & Gustafsson, P. E. (2024). Intersectional inequalities in paediatric infectious diseases: a national cohort study in Sweden. Journal of Epidemiology and Community Health
Open this publication in new window or tab >>Intersectional inequalities in paediatric infectious diseases: a national cohort study in Sweden
2024 (English)In: Journal of Epidemiology and Community Health, ISSN 0143-005X, E-ISSN 1470-2738Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background: It is well known that socially deprived children are more likely to be hospitalised for infections. Less is known about how different social disadvantages interact. Therefore, we examine intersectional inequalities in overall, upper respiratory, lower respiratory, enteric and genitourinary infections in the first 5 years of life.

Methods: We conducted a population-based retrospective cohort study of Swedish children born between 1998 and 2015. Inequalities were examined using analysis of individual heterogeneity and discriminatory accuracy as the analytical framework. A variable with 60 intersectional strata was created by combining information on maternal education, household income, sex/gender and maternal migration status. We estimated the incidence rates of infectious disease hospitalisation for each intersectional strata and the associations between intersectional strata and infectious disease hospitalisations using logistic regression models. We furthermore quantified the discriminatory ability of the intersectional strata with respect to infectious disease hospitalisation.

Results: The study included 1785 588 children and 318 080 hospital admissions. The highest overall incidence of hospitalisations for infections was found in boys born to low-educated mothers who lived in families with the lowest household income. The overall incidence of infections was unrelated to household income in children born to highly educated mothers. The ability of the intersectional strata to discriminate between children with and without infections was poor.

Conclusion: We found that inequalities in paediatric infectious diseases were shaped by the intersections of different social disadvantages. These inequalities should be addressed by public health policies that reach all children.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2024
National Category
Public Health, Global Health, Social Medicine and Epidemiology Pediatrics Infectious Medicine
Identifiers
urn:nbn:se:umu:diva-223202 (URN)10.1136/jech-2023-220593 (DOI)2-s2.0-85190140973 (Scopus ID)
Funder
Region Västerbotten, RV-933162Umeå University
Available from: 2024-04-11 Created: 2024-04-11 Last updated: 2024-04-22
Österlund, J., Granåsen, G., Bodén, S., Silfverdal, S.-A., Domellöf, M., Winberg, A. & West, C. E. (2024). Revised Swedish infant feeding guidelines are associated with earlier introduction of allergenic foods. Journal of Allergy and Clinical Immunology, 153(2), 461-470
Open this publication in new window or tab >>Revised Swedish infant feeding guidelines are associated with earlier introduction of allergenic foods
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2024 (English)In: Journal of Allergy and Clinical Immunology, ISSN 0091-6749, E-ISSN 1097-6825, Vol. 153, no 2, p. 461-470Article in journal (Refereed) Published
Abstract [en]

Background: Randomized controlled trials have demonstrated that early introduction of allergenic foods, such as peanut and egg, can reduce food allergy in high-risk children. Many international guidelines recommend introduction of allergenic foods in the first year of life, and accordingly, the Swedish National Food agency released updated guidelines in June 2019.

Objective: Our aim was to examine whether the age at introduction and consumption frequency of allergenic foods have changed since release of the revised national guidelines on the introduction of solid foods in Sweden.

Methods: Children born between June 2016 and December 2018 (n = 1925) were compared with children born between June 2019 and April 2021 (n = 1761) by using data from the NorthPop Birth Cohort study. Data on food introduction, eczema, and food allergy were prospectively collected until age 18 months by using web-based questionnaires. IgE sensitization was assessed at 18 age months.

Results: The proportion of participants who had been introduced to egg, legume, soy products, peanut, almond, and cashew nut during the first year of life increased after implementation of the revised national guidelines. The most significant changes were seen for legume (from 55.2% to 69.8% [adjusted odds ratio = 1.90 (95% CI = 1.62-2.24)] and peanut (from 29.2% to 43.2% adjusted odds ratio = 1.87 (95% CI = 1.55-2.24)]); consumption frequency had also increased. No differences in the prevalence of eczema, food allergy, or sensitization to the foods of interest were found.

Conclusion: Since release of the revised guidelines, infants in the general population are introduced to and consume a variety of allergenic foods earlier and more frequently; however, early manifestations of allergic disease have remained unchanged.

Place, publisher, year, edition, pages
Elsevier, 2024
Keywords
complementary feeding, food allergy, Food introduction, guidelines, infants, NorthPop, solid foods, weaning
National Category
Respiratory Medicine and Allergy Immunology in the medical area
Identifiers
urn:nbn:se:umu:diva-216206 (URN)10.1016/j.jaci.2023.08.037 (DOI)37813287 (PubMedID)2-s2.0-85175313844 (Scopus ID)
Funder
Swedish Research Council, 2018-02642Swedish Heart Lung Foundation, 20180641Ekhaga Foundation, 2018-40Region Västerbotten, RV 832 441Region Västerbotten, RV 840 681Umeå University
Available from: 2023-11-06 Created: 2023-11-06 Last updated: 2024-05-07Bibliographically approved
Thorén, A., Filipsson, T., Englund, E., Sandström, O., Janson, A. & Silfverdal, S.-A. (2024). Significant effects of childhood obesity treatment with a web-based component in a randomised controlled study (Web-COP). Acta Paediatrica, 113(2), 276-285
Open this publication in new window or tab >>Significant effects of childhood obesity treatment with a web-based component in a randomised controlled study (Web-COP)
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2024 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 113, no 2, p. 276-285Article in journal (Refereed) Published
Abstract [en]

Aim: We evaluated the effect on body mass index standard deviation score (BMI-SDS) of a combined treatment (Web-COP) for children with obesity, including a web-based component targeting their parents.

Methods: This randomised controlled trial recruited children 5–12 years of age with obesity (International Obesity Task Force BMI [IOTF-BMI] ≥30 kg/m2) from school health care and outpatient paediatric clinics in in Northern Sweden from 1 June 2019 to 21 June 2020. The children were randomised to Web-COP, an intervention with group sessions and a 12-week web-based component, or standard care. The primary outcome was the change in IOTF BMI-SDS after 6 months.

Results: In total, 75 children (33 girls), mean age 9.5 years, were randomised, and 65/75 (87%) children and their parents completed the study, 35/39 (90%) in the Web-COP intervention and 30/36 (83%) in the standard care group. BMI-SDS at 6 months was changed from 3.08 to 2.81 in the intervention group compared to an increase from 3.07 to 3.16 in the standard care group, representing a significant difference between groups (p < 0.001). In the intervention group, 14/30 (47%) reduced their BMI-SDS ≥0.25, compared to none in the standard care group.

Conclusion: The parent-focused intervention significantly improved BMI-SDS in children with obesity as compared to children in standard care.

Place, publisher, year, edition, pages
John Wiley & Sons, 2024
Keywords
childhood obesity, intervention, parents, randomised controlled trial, web-based treatment
National Category
Pediatrics
Identifiers
urn:nbn:se:umu:diva-215757 (URN)10.1111/apa.17000 (DOI)001084859500001 ()37837210 (PubMedID)2-s2.0-85174200026 (Scopus ID)
Available from: 2023-11-01 Created: 2023-11-01 Last updated: 2024-05-08Bibliographically approved
Videholm, S., Silfverdal, S.-A. & Gustafsson, P. E. (2024). Socioeconomic circumstances, health-related behaviours and paediatric infections: a mediation analysis. Archives of Disease in Childhood, 109(3), 195-200
Open this publication in new window or tab >>Socioeconomic circumstances, health-related behaviours and paediatric infections: a mediation analysis
2024 (English)In: Archives of Disease in Childhood, ISSN 0003-9888, E-ISSN 1468-2044, Vol. 109, no 3, p. 195-200Article in journal (Refereed) Published
Abstract [en]

Objective: To examine how the effect of disadvantaged socioeconomic circumstances on the risk of paediatric infections is mediated by pregnancy smoking, excess weight during pregnancy and breast feeding in children under 5 years of age.

Design: A population-level, retrospective cohort study. The Swedish Medical Birth Register was combined with the National Patient Register, the longitudinal integration database for health insurance and labour market studies, the Cause of Death Register and a local register held by the Child Health Care Unit in Uppsala Region.

Setting: Uppsala Region, Sweden.

Patients: 63 216 term and post-term singletons born to women who resided in Uppsala Region, Sweden between 1997 and 2015.

Main outcome measures: Number of hospital admissions for infectious diseases. Secondary outcomes were the number of hospitalisations for respiratory and enteric infections, respectively.

Results: The effect of disadvantaged socioeconomic circumstances, that is, low maternal education on the overall risk of paediatric infections was mediated to a considerable (33%-64%) proportion by pregnancy smoking, excess weight during pregnancy and breast feeding.

Conclusions: Pregnancy smoking, excess weight during pregnancy and breast feeding mediate a considerable proportion of the association between deprived socioeconomic circumstances and paediatric infectious diseases. Therefore, inequalities in paediatric infectious diseases may be reduced by public health policies addressing these health-related behaviours.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2024
Keywords
infectious diseases, epidemiology, child health, healthcare disparities
National Category
Public Health, Global Health, Social Medicine and Epidemiology Pediatrics
Identifiers
urn:nbn:se:umu:diva-217289 (URN)10.1136/archdischild-2023-325850 (DOI)001104685500001 ()37979965 (PubMedID)2-s2.0-85178181235 (Scopus ID)
Funder
Region Västerbotten, RV-933162Umeå University
Available from: 2023-11-28 Created: 2023-11-28 Last updated: 2024-05-08Bibliographically approved
Vogt, T., Lindkvist, M., Ivarsson, A., Silfverdal, S.-A. & Vaezghasemi, M. (2024). Temporal trends and educational inequalities in obesity, overweight and underweight in pre-pregnant women and their male partners: a decade (2010–2019) with no progress in Sweden. European Journal of Public Health, Article ID ckae052.
Open this publication in new window or tab >>Temporal trends and educational inequalities in obesity, overweight and underweight in pre-pregnant women and their male partners: a decade (2010–2019) with no progress in Sweden
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2024 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, article id ckae052Article in journal (Refereed) Published
Abstract [en]

Background: Trends in overweight and obesity among expectant parents can provide useful information about the family environment in which children will grow up and about possible social inequalities that may be passed on to them. Therefore, we aimed to assess whether the prevalence of underweight, overweight and obesity changed over time in pre-pregnant women and their male partners in northern Sweden, and if there were any educational inequalities.

Methods: This study is based on cross-sectional data from a repeated survey of the population in Västerbotten, Sweden. The study population included 18,568 pregnant women and 18,110 male partners during the period 2010–2019. Multinomial logistic regression models were fitted separately for pregnant women and male partners to assess whether the prevalence of age-adjusted underweight, normal weight, overweight and obesity had evolved between 2010 and 2019, and whether trends differed by educational level.

Results: Among women, obesity prevalence increased from 9.4% in 2010 to 11.7% in 2019. Among men, it went from 8.9 to 12.8%. Educational inequalities were sustained across the study period. In 2019, the prevalence of obesity was 7.8 percentage points (pp) (CI = 4.4–11.3) higher among women with low compared to high education. The corresponding figure for men was 6.4 pp (CI = 3.3–9.6).

Conclusions: It is not obvious that the prevalence of obesity among parents-to-be will decrease under current dispositions. Public health policies and practice should therefore be strengthened.

Place, publisher, year, edition, pages
Oxford University Press, 2024
Keywords
obesity, pregnancy, body mass index procedure, educational status, parent, knowledge acquisitionunder, weight, overweight
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-223140 (URN)10.1093/eurpub/ckae052 (DOI)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2022-00493
Available from: 2024-04-10 Created: 2024-04-10 Last updated: 2024-04-10
Lwin, M. W., Timby, E., Ivarsson, A., Eurenius, E., Vaezghasemi, M., Silfverdal, S.-A. & Lindkvist, M. (2023). Abnormal birth weights for gestational age in relation to maternal characteristics in Sweden: a five year cross-sectional study. BMC Public Health, 23(1), Article ID 976.
Open this publication in new window or tab >>Abnormal birth weights for gestational age in relation to maternal characteristics in Sweden: a five year cross-sectional study
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2023 (English)In: BMC Public Health, E-ISSN 1471-2458, Vol. 23, no 1, article id 976Article in journal (Refereed) Published
Abstract [en]

Background: Abnormal birth weight - small for gestational age (SGA) and large for gestational age (LGA) - are important indicators for newborn health. Due to changes in lifestyle in recent decades, it is essential to keep up-to-date with the latest information on maternal factors linked to abnormal birth weight. The aim of this study is to investigate SGA and LGA in relation to maternal individual, lifestyle and socioeconomic characteristics.

Methods: This is a register-based cross-sectional study. Self-reported data from Sweden's Salut Programme maternal questionnaires (2010-2014) were linked with records in the Swedish Medical Birth Register (MBR). The analytical sample comprised 5089 singleton live births. A Swedish standard method using ultrasound-based sex-specific reference curves defines the abnormality of birth weight in MBR. Univariable and multivariable logistic regressions were used to examine crude and adjusted associations between abnormal birth weights and maternal individual, lifestyle and socioeconomic characteristics. A sensitivity analysis, using alternative definitions of SGA and LGA under the percentile method, was undertaken.

Results: In multivariable logistic regression, maternal age and parity were associated with LGA (aOR = 1.05, CI = 1.00, 1.09) and (aOR = 1.31, CI = 1.09, 1.58). Maternal overweight and obesity were strongly associated with LGA (aOR = 2.28, CI = 1.47, 3.54) and (aOR = 4.55, CI = 2.85, 7.26), respectively. As parity increased, the odds of delivering SGA babies decreased (aOR = 0.59, CI = 0.42, 0.81) and preterm deliveries were associated with SGA (aOR = 9.46, CI = 5.67, 15.79). The well-known maternal determinants of abnormal birthweight, such as unhealthy lifestyles and poor socioeconomic factors, were not statistically significant in this Swedish setting.

Conclusions: The main findings suggest that multiparity, maternal pre-pregnancy overweight and obesity are strong determinants for LGA babies. Public health interventions should address modifiable risk factors, especially maternal overweight and obesity. These findings suggest that overweight and obesity is an emerging public health threat for newborn health. This might also result in the intergenerational transfer of overweight and obesity. These are important messages for public health policy and decision making.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023
Keywords
Birth weight, Body mass index, Cross-sectional, Large for gestational age, Lifestyle, Maternal obesity, Small for gestational age
National Category
Public Health, Global Health, Social Medicine and Epidemiology Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:umu:diva-209152 (URN)10.1186/s12889-023-15829-y (DOI)000995510200006 ()37237290 (PubMedID)2-s2.0-85160376071 (Scopus ID)
Funder
Region Västerbotten
Available from: 2023-06-26 Created: 2023-06-26 Last updated: 2023-08-28Bibliographically approved
Silfverdal, S.-A. (2023). Breast is best also in high-income countries. Acta Paediatrica, 112(1), 11-13
Open this publication in new window or tab >>Breast is best also in high-income countries
2023 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 112, no 1, p. 11-13Article in journal, Editorial material (Other academic) Published
Place, publisher, year, edition, pages
John Wiley & Sons, 2023
National Category
Pediatrics
Identifiers
urn:nbn:se:umu:diva-201082 (URN)10.1111/apa.16579 (DOI)000877026900001 ()36317733 (PubMedID)2-s2.0-85141220695 (Scopus ID)
Available from: 2022-11-18 Created: 2022-11-18 Last updated: 2023-03-24Bibliographically approved
Zarabi, N., Aldvén, M., Sjölander, S., Fues Wahl, H., Bencina, G., Johnson, K. D. & Silfverdal, S.-A. (2023). Clinical and economic burden of pneumococcal disease among adults in Sweden: a population-based register study. PLOS ONE, 18(7), Article ID e0287581.
Open this publication in new window or tab >>Clinical and economic burden of pneumococcal disease among adults in Sweden: a population-based register study
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2023 (English)In: PLOS ONE, E-ISSN 1932-6203, Vol. 18, no 7, article id e0287581Article in journal (Refereed) Published
Abstract [en]

Pneumococcal disease is a major cause of clinical and economic burden worldwide. This study investigated the burden of pneumococcal disease in Swedish adults. A retrospective population-based study was conducted using Swedish national registers, including all adults aged ≥18 years with a diagnosis of pneumococcal disease (defined as pneumococcal pneumonia, meningitis, or septicemia) in inpatient or outpatient specialist care between 2015-2019. Incidence and 30-day case fatality rates, healthcare resource utilization, and costs were estimated. Results were stratified by age (18-64, 65-74, and ≥75 years) and the presence of medical risk factors. A total of 10,391 infections among 9,619 adults were identified. Medical factors associated with higher risk for pneumococcal disease were present in 53% of patients. These factors were associated with increased pneumococcal disease incidence in the youngest cohort. In the cohort aged 65-74 years, having a very high risk for pneumococcal disease was not associated with an increased incidence. Pneumococcal disease incidence was estimated at 12.3 (18-64), 52.1 (64-74), and 85.3 (≥75) per 100,000 population. The 30-day case fatality rate increased with age (18-64: 2.2%, 65-74: 5.4%, ≥75: 11.7%), and was highest among septicemia patients aged ≥75 (21.4%). The 30-day average number of hospitalizations was 1.13 (18-64), 1.24 (64-74) and 1.31 (≥75). The average 30-day cost/infection was estimated at €4,467 (18-64), €5,278 (65-74), and €5,898 (≥75). The 30-day total direct cost of pneumococcal disease between 2015-2019 was €54.2 million, with 95% of costs from hospitalizations. The clinical and economic burden of pneumococcal disease in adults was found to increase with age, with nearly all costs associated with pneumococcal disease from hospitalizations. The 30-day case fatality rate was highest in the oldest age group, though not negligible in the younger age groups. The findings of this study can inform the prioritization of pneumococcal disease prevention in adult and elderly populations.

Place, publisher, year, edition, pages
Public Library of Science (PLoS), 2023
National Category
Respiratory Medicine and Allergy
Identifiers
urn:nbn:se:umu:diva-212262 (URN)10.1371/journal.pone.0287581 (DOI)37418396 (PubMedID)2-s2.0-85164265371 (Scopus ID)
Available from: 2023-07-20 Created: 2023-07-20 Last updated: 2023-07-20Bibliographically approved
Blom, L., Edenius, A., Enebrink, P., Hjern, A., Silfverdal, S.-A., Åhlén, J., . . . Lindberg, L. (2023). Little All Children in Focus (Little ACF), evaluation of a parental support program for parents of children aged 1–2 years: study protocol for a randomized controlled trial. Trials, 24(1), Article ID 184.
Open this publication in new window or tab >>Little All Children in Focus (Little ACF), evaluation of a parental support program for parents of children aged 1–2 years: study protocol for a randomized controlled trial
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2023 (English)In: Trials, E-ISSN 1745-6215, Vol. 24, no 1, article id 184Article in journal (Refereed) Published
Abstract [en]

Background: Child health and development can be promoted by strengthening and supporting parents. Research on parental support programs based on positive psychology and a health-promoting approach aimed at all parents, and in particular parents of infants is limited. All Children in Focus (ACF) is a parental support program that has been evaluated in a randomized trial in parents of children 3–12 years. The ACF is based on health promotion aiming to increase parents’ confidence and child’s well-being. In the current study, we will study the effects of a revised version of the ACF called Little ACF adapted to parents with children aged 1–2 years.

Methods: The study includes a randomized controlled trial (RCT) taking place at several Child Health Centers (CHCs) in Sweden. The RCT will evaluate the efficacy of Little ACF (intervention) in comparison with four digital lectures about child development and parenting (active control). Parents are recruited at the 10-, 12-, or 18-month visits to CHC by CHC-nurses. Data to assess changes in parental competencies and child socio-emotional development are collected through online questionnaires completed by parents at five time points: baseline, post-intervention, after 6 and 12 months, and when the child is 3 years old.

Discussion: The paper describes a study protocol of a randomized controlled trial evaluating the effects of a parental support program during infancy. Several issues related to the methodology and implementation are discussed.

Trial registration: ClinicalTrials.gov NCT05445141. Registered on 6 July 2022.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023
Keywords
Child health care, Emotional regulation, Health promotion, Infants, Parent group, Parent program, Parent support, Parental self-efficacy, Positive psychology, Universal
National Category
Pediatrics Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:umu:diva-206005 (URN)10.1186/s13063-023-07212-4 (DOI)000948579200002 ()36907876 (PubMedID)2-s2.0-85150170068 (Scopus ID)
Funder
Swedish Research CouncilRegion Stockholm
Available from: 2023-03-28 Created: 2023-03-28 Last updated: 2024-04-10Bibliographically approved
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Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-3606-3797

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