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Parents’ views of the acceptability and efficacy of the Safe Environment for Every Kid model in the Swedish child health services
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Disciplinary Domain of Medicine and Pharmacy, research centers etc., Center for Clinical Research Dalarna.ORCID iD: 0000-0002-8216-0344
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Paediatric Inflammation, Metabolism and Child Health Research.ORCID iD: 0000-0003-3551-0046
Department of Health, Blekinge Institute of Technology, Karlskrona, Sweden.
Child Health Services, and Futurum – Academy for Health and Care, Region Jönköping County, CHILD Research Group, School of Health and Welfare, Jönköping University, Jönköping, Sweden.
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2025 (English)In: Child Protection and Practice, E-ISSN 2950-1938, Vol. 6, article id 100213Article in journal (Refereed) Published
Abstract [en]

Background: Safe Environment for Every Kid (SEEK) is one of few evidence-based approaches to identify psychosocial problems and facilitate support to families within pediatric primary care. The Swedish version of SEEK, called BarnSäkert (“Child Safe”), is being evaluated as a complex intervention in the Swedish child health services (CHS) for children aged 0–6 years.

Objective: Assessment of parents’ views of the acceptability and efficacy of the BarnSäkert SEEK model within the CHS in Sweden.

Participants and setting: Mothers and fathers (n = 353) whose children were enrolled in the CHS.

Methods: An anonymous web-based survey posed questions regarding how parents perceived BarnSäkert/SEEK and whether services had been offered, accessed or planned as a result. Efficacy was measured as parents’ reports of an improved life situation or having been helped by the model.

Results: Among parents who discussed their situation with the nurse, 80 % reported that it had helped, 24 % had received help that they otherwise would not have and 20 % that their situation had improved. Appropriateness of the model was scored at 91/100 by mothers and 86/100 by fathers. Logistic regression showed significantly higher odds ratios for efficacy measures and service uptake for parents who were younger, born outside of Sweden or had lower levels of education.

Conclusions: Parents reported that the model was highly acceptable and efficacious in meeting their psychosocial needs. The findings lend support for application of the BarnSäkert/SEEK model in the Swedish CHS as an equitable approach to address psychosocial problems in families with young children.

Place, publisher, year, edition, pages
Elsevier, 2025. Vol. 6, article id 100213
Keywords [en]
Child health services, Health promotion, Primary prevention, Psychosocial risk factors, Parental support, Acceptability, Efficacy
National Category
Public Health, Global Health and Social Medicine
Identifiers
URN: urn:nbn:se:uu:diva-565022DOI: 10.1016/j.chipro.2025.100213OAI: oai:DiVA.org:uu-565022DiVA, id: diva2:1989046
Available from: 2025-08-14 Created: 2025-08-14 Last updated: 2026-02-10Bibliographically approved

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Joffer, JuniaEngström, MariaRandell, EvaLucas, Steven

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