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Johansson N, Sarkadi A, Feldman I, Price AMH, Goldfeld S, Salonen T, Wijk K, Isaksson D, Kolic E, Stenquist S, Elg M, Lönn E, Wennelin J, Lindström L, Medina M, Åberg S, Viklund J, Warner G. Ameliorating Child poverty through Connecting Economic Services with child health Services (ACCESS): study protocol for a randomised controlled trial of the healthier wealthier families model in Sweden. BMC Public Health 2022; 22:2181. [PMID: 36434580 PMCID: PMC9701015 DOI: 10.1186/s12889-022-14424-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2022] [Accepted: 10/23/2022] [Indexed: 11/27/2022] Open
Abstract
BACKGROUND Sweden is often held up as an example of a country with low child deprivation; yet, rates of relative deprivation are rising. Every municipality in Sweden is required to provide free, timely and accessible budget and debt counselling under the Social Services Act. The services have been encouraged to perform preventative practice with families; however, this has not been realised. The Healthier Wealthier Families (HWF) model embeds universal screening for economic hardship into child health services and creates a referral pathway to economic support services. Given the universal child health system in Sweden, which is freely available and has excellent coverage of the child population, implementation of the HWF model has potential to support families to access the freely available municipal budget and debt counselling and ultimately improve rates of child deprivation in Sweden. METHODS/DESIGN We will conduct a two-arm randomised waitlist-control superiority trial to examine the effectiveness and cost-effectiveness of the HWF model in the Sweden. A longitudinal follow-up with the cohort will explore whether any effects are maintained in the longer-term. DISCUSSION HWF is a collaborative and sustainable model that could maximise the effectiveness of current services to address child deprivation in Sweden. The study outlined in this protocol is the first effectiveness evaluation of the HWF model in Sweden and is a crucial step before HWF can be recommended for national implementation within the child health services. TRIAL REGISTRATION Clinicaltrials.gov; NCT05511961. Prospectively registered on 23 August 2022. https://clinicaltrials.gov/ct2/show/NCT05511961.
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Affiliation(s)
- Nina Johansson
- grid.8993.b0000 0004 1936 9457Child Health and Parenting (CHAP), Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
| | - Anna Sarkadi
- grid.8993.b0000 0004 1936 9457Child Health and Parenting (CHAP), Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
| | - Inna Feldman
- grid.8993.b0000 0004 1936 9457Child Health and Parenting (CHAP), Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
| | - Anna M. H. Price
- grid.416107.50000 0004 0614 0346Centre for Community Child Health, Murdoch Children’s Research Institute, Royal Children’s Hospital, Melbourne, VIC Australia
| | - Sharon Goldfeld
- grid.416107.50000 0004 0614 0346Centre for Community Child Health, Murdoch Children’s Research Institute, Royal Children’s Hospital, Melbourne, VIC Australia
| | - Tapio Salonen
- grid.32995.340000 0000 9961 9487Department of Social Work, Malmö University, Malmö, Sweden
| | - Katarina Wijk
- grid.8993.b0000 0004 1936 9457Child Health and Parenting (CHAP), Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden ,grid.8993.b0000 0004 1936 9457Centre for Research and Development, Uppsala University, Gävle, Region Gävleborg Sweden ,grid.69292.360000 0001 1017 0589Faculty of Health and Occupational Studies, Department of Occupational Health Sciences and Psychology, University of Gavle, Gävle, Sweden
| | - David Isaksson
- grid.8993.b0000 0004 1936 9457Department of Public Health and Caring Sciences, Health Services Research, Uppsala University, Uppsala, Sweden
| | - Emir Kolic
- Konsument Gästrikland Budget and Debt Counselling Service, Gävle, Sweden
| | - Sara Stenquist
- Konsument Gästrikland Budget and Debt Counselling Service, Gävle, Sweden
| | - Maria Elg
- Sandviken Municipality, Sandviken, Sweden
| | - Ewa Lönn
- Sandviken Municipality, Sandviken, Sweden
| | | | | | | | | | | | - Georgina Warner
- grid.8993.b0000 0004 1936 9457Child Health and Parenting (CHAP), Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
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Viklund J, Bersztel A, Karkamanis A, Jonason T, Henriksen E, Trollvad L, Karacagil S, Hellberg A. ABI IS AN EFFECTIVE PREDICTOR FOR CAROTID AND RENAL ARTERY STENOSIS. ATHEROSCLEROSIS SUPP 2008. [DOI: 10.1016/s1567-5688(08)70600-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Hammar C, Viklund J, Leppert J, Henriksen E, Hellberg A, Lönnberg I, Hedberg P. LEFT VENTRICULAR MYOCARDIAL SYSTOLIC VELOCITY, BUT NOT EJECTION FRACTION, IS REDUCED IN PATIENTS WITH PERIPHERAL ARTERY DISEASE. ATHEROSCLEROSIS SUPP 2008. [DOI: 10.1016/s1567-5688(08)70923-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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