title: A Support Program for Somali-born Parents on Children's Behavioral Problems.
abstract: OBJECTIVE
  The objectives of this study were to evaluate a culturally tailored parenting support program (Ladnaan) for Somali-born parents and to determine its effectiveness on children's emotional and behavioral problems.
  
  
  METHODS
  This randomized controlled trial included 120 Somali-born parents with children aged 11 to 16 years. The parents reported self-perceived stress in relation to parenting practices. The intervention consisted of culturally tailored societal information combined with the parenting program Connect. Parents received 12 weeks of intervention, 1 to 2 hours each week, in groups of 12 to 17 parents. Nine group leaders with a Somali background who received a standardized training program delivered the intervention. The primary outcome was a decrease in emotional and behavioral problems based on a Child Behavior Checklist. Parents were randomly allocated either to an intervention group or a wait-list control group. Covariance analyses were conducted according to intention-to-treat principles.
  
  
  RESULTS
  The results showed significant improvement in the children in the intervention group for behavioral problems after a 2-month follow-up. The largest effect sizes according to Cohen'sdwere in aggressive behavior (95% confidence interval [CI], 1.06 to 3.07), social problems (95% CI, 0.64 to 1.70), and externalizing problems (95% CI, 0.96 to 3.53).
  
  
  CONCLUSIONS
  The large effect sizes in this study show that this 12-week culturally tailored parenting support program was associated with short-term improvements in children's behavior. The study adds to the field of parenting interventions by demonstrating how to culturally tailor, engage, and retain parenting programs for immigrant parents.
authors.affiliation: Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden; and fos@du.se.|School of Education, Health and Social Studies, Dalarna University, Falun, Sweden.
authors.forename: Fatumo
authors.initials: F
authors.lastname: Osman
authors.affiliation: School of Education, Health and Social Studies, Dalarna University, Falun, Sweden.
authors.forename: Renée
authors.initials: R
authors.lastname: Flacking
authors.affiliation: School of Education, Health and Social Studies, Dalarna University, Falun, Sweden.
authors.forename: Ulla-Karin
authors.initials: UK
authors.lastname: Schön
authors.affiliation: Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden; and.|School of Education, Health and Social Studies, Dalarna University, Falun, Sweden.
authors.forename: Marie
authors.initials: M
authors.lastname: Klingberg-Allvin
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002653:Child Behavior Disorders / Q000628:therapy*; D054242:Emigrants and Immigrants; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016487:Parenting; D010290:Parents / Q000193:education*; D012998:Somalia / Q000208:ethnology; D013548:Sweden