Initial överförbarhet av Project Support från USA till Sverige : Genomförbarhet och kliniska aspekter utifrån behandlare och föräldrars perspektiv

Project Support (PS) is a parenting programme developed and studied in the US for parents and children exposed to intimate partner violence (IPV) and for these children with subsequent behavioural problems. By examining feasibility aspects and using qualitative and quantitative methods, the study aimed to explore the transferability of PS to a new naturalistic context, i.e., Swedish social services. In the qualitative Study I, IPV-exposed mothers and counsellors who received/conducted PS were interviewed about their experiences. Study II explored whether the effects of PS in the US, i.e., reduced children’s psychological symptoms and improved parenting capacity among parents and children exposed to IPV, could be replicated in Sweden. Study III explored group and individual impacts of PS on parents regarding aspects of IPV, global psychiatric symptoms, and post-traumatic stress symptoms. Study IV is a qualitative follow-up study where counsellors were interviewed about how the PS work was or was not continued. The results indicate cultural differences between the US and Sweden in practising parenting skills though role-playing and in how to address and understand child misbehaviour, necessitating adaptation to Swedish values and norms. Results further indicate that PS is a promising intervention for Swedish IPV-exposed parents and their children with behavioural problems, leading to improved parental capacity and decreased child behavioural problems, supporting prior research in an American context. PS generally seems to improve parents’ psychiatric symptoms, but examining each individual revealed that most parents still had dysfunctional levels of symptoms post treatment. Maintenance and use of PS was inconsistent, due to lack of organisational support. The study indicates that PS can be further implemented and evaluated in Sweden, and stresses the importance of conducting feasibility studies when an intervention is to be transferred to a new context.There is a need for new interventions for families exposed to intimate partner violence (IPV) in Sweden. Project Support (PS) has been chosen as one such intervention based on previous positive research conducted in the US addressing child behavioural problems and maternal needs. When transferring an intervention to a new context, its feasibility must first be evaluated. Building on aspects of feasibility, this dissertation examines the transferability of PS to social services and to families exposed to IPV in Sweden. The PS intervention was found to be promising for Swedish IPV-exposed families. In line with previous research, PS resulted in improved parenting capacity and reduced child behavioural problems. However, from a clinical perspective many parents had additional needs regarding psychiatric symptoms in the aftermath of IPV. Results indicate that PS needed cultural adaptations when being implemented in Sweden and that managerial support was important during this implementation. Taken together, the present results indicate that PS should be further implemented and evaluated in Sweden, highlighting the importance of conducting feasibility studies