Evaluation of an intervention to promote the psychosocial health of children of incarcerated parents and their non-incarcerated carers

Approved 29/10/2025, Swedish Ethical Review Authority (Box 2110, Uppsala, 750 02, Sweden; +46 (0)10-475 08 00; registrator@etikprovning.se), ref: 2025-05014-01

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 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 for deliverers
14. Appropriateness of the intervention is measured using the Intervention Appropriateness Measure (IAM) at T1 for children and carers and at study end for deliverers
15. Feasibility of the intervention is measured using the Feasibility of Intervention Measure (FIM) at T1 for children and carers and at study end for deliverers
16. Child usage experience is measured using a customized version of the Children’s Usage Rating Profile (CURP) at T1
17. Implementation aspects are measured using a study-specific questionnaire for deliverers at study start and study end and an adapted version for carers after intervention
18. Fidelity is measured using structured logs completed by deliverers after each session throughout the intervention period
19. Dose is measured by recording the number of sessions attended by each participant throughout the intervention period
20. Cost-effectiveness is measured using the TiC-P Mini completed by carers at T0 and T3