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Structured parenting programme improves emotion regulation strategies in Swedish parents of toddlers

Structured parenting programme improves emotion regulation strategies in Swedish parents of toddlers
Photo by Frank Ching / Unsplash
Key Takeaway
Consider the potential of a structured parenting programme to improve supportive emotion regulation strategies in parents of toddlers.

This randomized controlled superiority trial enrolled 832 Swedish-speaking parents with children aged 1 to 2 years in Sweden. Participants were randomized to receive either a structured 4-session universal parenting programme called Little All Children in Focus or an active control consisting of four digital lectures on child development and parenthood. The primary outcomes included parenting self-efficacy, stress, coparenting quality, and emotion regulation for parents and emotion regulation strategies for their children. Secondary outcomes assessed child socioemotional development and parental engagement and retention in groups.

Main results indicated that the intervention group showed greater improvements in supportive emotion regulation strategies compared to the active control. The effect size was reported as beta equal to 3.0, with a confidence interval ranging from 0.9 to 5.0. No notable group differences emerged across the remaining outcome measures, which included parenting self-efficacy, stress, coparenting quality, and other emotion regulation metrics. Safety data regarding adverse events, serious adverse events, discontinuations, and tolerability were not reported.

Key limitations note that further evaluations must be conducted to provide a deeper understanding of the long-term impact. The study does not overstate the long-term impact of the intervention. Practice relevance demonstrates potential in promoting supportive parenting emotion regulation strategies, though the absence of reported safety data and the lack of differences in other measures warrant cautious interpretation.

Study Details

Study typeRct
EvidenceLevel 2
Follow-up24.0 mo
PublishedMay 2026
View Original Abstract ↓
INTRODUCTION: The first two years of life affect health over the life course. Universal parenting support programmes may promote child health during these years but there is a lack of such evidence-based programmes. Our aim was to study the direct effects of a structured 4 sessions universal parenting programme for parents with children 1-2 years old, Little All Children in Focus, in Sweden. METHODS: A two-arm parallel randomised controlled superiority trial with 832 Swedish-speaking parents was conducted to evaluate the effectiveness of the Little All Children In Focus programme in comparison with an active control receiving four digital lectures on child development and parenthood. The participants completed questionnaires at baseline and post intervention measuring the primary outcomes: parenting self-efficacy and stress, coparenting quality, emotion regulation for parents and emotion regulation strategies for their children, and secondary outcome: child socioemotional development. A third research question concerned whether the intervention could engage and retain parents in groups. An intention-to-treat approach was applied using linear mixed models for analysing the effectiveness of the programme. RESULTS: Parents who participated in the programme demonstrated greater improvements in supportive emotion regulation strategies compared to the active control (β = 3.0, CI = 0.9 - 5.0), while no notable group differences emerged across the remaining outcome measures. The program demonstrated high levels of parental engagement and retention in group settings. CONCLUSIONS: Little All Children in Focus demonstrates potential in promoting supportive parenting emotion regulation strategies among Swedish speaking parents to 1-2-year-olds. The intervention also seems to have potential to engage parents. However, further evaluations must be conducted to provide a deeper understanding of the long-term impact of this universal parenting support programme. TRIAL REGISTRATION: The study protocol https://rdcu.be/eAxn2 was published at www. CLINICALTRIALS: gov with registration number: NCT05445141 (registered on July 06, 2022).
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