{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T10:46:24Z","timestamp":1765881984706,"version":"3.48.0"},"reference-count":11,"publisher":"BMJ","issue":"7","funder":[{"name":"Research Committee of Oulu University Hospital catcment area, Government of Finland"},{"name":"Member municipalities of the Council of Oulu Region"},{"DOI":"10.13039\/501100008530","name":"European Regional Development Fund","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008530","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2017,6,7]]},"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Making change towards child and family-based and coordinated services is critical to improve quality, outcomes and value. The Let\u2019s Talk about Children (LTC) approach, which consists of brief psychoeducational discussions with parents of kindergarten-aged and school-aged children, has been launched as a municipality-specific programme in the Council of Oulu Region. The aim of this paper is to present a protocol of an ecological study evaluating the group-specific effects of an intervention about LTC activities in a geographically defined population. The programme is designed to promote children\u2019s socioemotional well-being.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis<\/jats:title>\n                    <jats:p>A quasi-experimental ecological study protocol is implemented to evaluate whether systematic LTC practices improve children\u2019s well-being. A multi-informant setting covers 30 municipalities in northern Finland and involves all the municipal teachers, social and healthcare workers. In each municipality, a Local Management Team is responsible for implementing the LTC programme and collecting the annual data of LTC discussions and network meetings. The outcome data are retrieved from child welfare statistics and hospital registers. The population data, child welfare statistics and referrals to hospitals was retrieved at baseline (2014), and will be retrieved annually. Furthermore, the annual data of LTC discussions and network meetings will be collected of the years 2015\u20132018.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>The study design has been approved by the management of the Oulu University Hospital in accordance with the guidelines given by The Regional Ethics Committee of the Northern Ostrobothnia Hospital District in Oulu, Finland. All data are treated and implemented according to national data security laws. Study findings will be disseminated to provincial and municipal partners, collaborative community groups and the research and development community. The Let\u2019s Talk about Children Evaluation study databases will guide future regional development action and policies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2017-015985","type":"journal-article","created":{"date-parts":[[2017,7,14]],"date-time":"2017-07-14T20:10:17Z","timestamp":1500063017000},"page":"e015985","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Let\u2019s Talk about Children Evaluation (LTCE) study in northern Finland: a multiple group ecological study of children\u2019s health promotion activities with a municipal and time-trend design"],"prefix":"10.1136","volume":"7","author":[{"given":"Veikko","family":"Kujala","sequence":"first","affiliation":[{"name":"Primary Health Care Unit, Oulu University Hospital, Oulu, Finland"},{"name":"Center for Life Course Epidemiology and Systems Medicine, University of Oulu, Oulu, Finland"},{"name":"Transforming Occupational Health Services, Finnish Institute of Occupational Health, Oulu, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaana","family":"Jokinen","sequence":"additional","affiliation":[{"name":"Primary Health Care Unit, Oulu University Hospital, Oulu, Finland"},{"name":"Faculty of Social Sciences, University of Lapland, Rovaniemi, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hanna","family":"Ebeling","sequence":"additional","affiliation":[{"name":"Center for Life Course Epidemiology and Systems Medicine, University of Oulu, Oulu, Finland"},{"name":"Department of Child Psychiatry, Oulu University Hospital, Oulu, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anneli","family":"Pohjola","sequence":"additional","affiliation":[{"name":"Faculty of Social Sciences, University of Lapland, Rovaniemi, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,7,13]]},"reference":[{"key":"2025121602442568000_7.7.e015985.1","doi-asserted-by":"publisher","DOI":"10.1038\/475027a"},{"key":"2025121602442568000_7.7.e015985.2","doi-asserted-by":"publisher","DOI":"10.1038\/4551057a"},{"key":"2025121602442568000_7.7.e015985.3","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1016\/j.pcl.2015.08.005","article-title":"Integrating Children's Mental Health into Primary Care","volume":"63","author":"Wissow","year":"2016","journal-title":"Pediatr Clin North Am"},{"key":"2025121602442568000_7.7.e015985.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)61047-8"},{"key":"2025121602442568000_7.7.e015985.5","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1080\/14623730.2006.9721744","article-title":"The Effective Family Programme: Preventative Services for the Children of Mentally Ill Parents in Finland","volume":"8","author":"Solantaus","year":"2006","journal-title":"Int J Ment Health Promot"},{"key":"2025121602442568000_7.7.e015985.6","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-010-0135-3"},{"key":"2025121602442568000_7.7.e015985.7","doi-asserted-by":"crossref","first-page":"683","DOI":"10.1037\/a0033466","article-title":"Effectiveness of preventive family intervention in improving cognitive attributions among children of depressed parents: a randomized study","volume":"27","author":"Punam\u00e4ki","year":"2013","journal-title":"J Fam Psychol"},{"key":"2025121602442568000_7.7.e015985.8","unstructured":"National Institution for Health and Welfare. School Health Promotion study. 2016 https:\/\/www.thl.fi\/fi\/web\/thlfi-en\/research-and-expertwork\/population-studies\/school-health-promotion-study (accessed 27 Sep 2016)."},{"key":"2025121602442568000_7.7.e015985.9","unstructured":"The Finnish Association for Mental Health. Let\u2019s talk about children manuals (in finnish). 2016 http:\/\/www.mielenterveysseura.fi\/fi\/kirjat\/lapset-puheeksi-lokikirjat (accessed 27 Sep 2016)."},{"key":"2025121602442568000_7.7.e015985.10","first-page":"3889","article-title":"Vanhemman mielenterveydenhairio ja lapset (in Finnish)","volume":"60","author":"Vaisanen","year":"2005","journal-title":"Suom Laakaril"},{"key":"2025121602442568000_7.7.e015985.11","unstructured":"Malinen P , Kytola L , Keranen H , et al . Suomen maaseututyypit 2006 (summary in english). Vammalan Kirjapaino: Publications of Ministry of Agriculture and Forestry, 2006:67."}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2017-015985","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T10:44:32Z","timestamp":1765881872000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2017-015985"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,7]]},"references-count":11,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2017,7,13]]},"published-print":{"date-parts":[[2017,7]]}},"alternative-id":["10.1136\/bmjopen-2017-015985"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2017-015985","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"type":"print","value":"2044-6055"},{"type":"electronic","value":"2044-6055"}],"subject":[],"published":{"date-parts":[[2017,7]]}}}