Åsa Norman

Åsa Norman

Affiliated to Research | Docent
Telephone: +46852480074
Visiting address: Nobels väg 9, 17165 Stockholm
Postal address: K8 Klinisk neurovetenskap, K8 Psykologi Thorell, 171 77 Stockholm

About me

  • PhD and Associate Professor with a background in behavioural science and
    anthropology specialising in prevention of child ill-health through
    interventions targeting parenting.

Research

  • I lead the research team “Practice-based Precision Prevention” where we have an overall focus on preventing ill-health among individuals in disadvantaged situations, through developing, assessing and implementing interventions targeting both physical and psychological outcomes. We have a specific interest in preentive work that target chidlren. I currently lead projects to promote positive family factors among families affected by prison incarceration with a specific focus on promoting healthy development for children with an incarcerated parent. Within this research focus I am the project leader and PI for:

    • the development and evaluation of an intervention to promote psychosocial health for children with incarcerated parents and their non-incarcerated caregiver
    • systematic reviews to explore internationally evaluated interventions for children of incarcerated parents and their non-incarcerated caregivers on psychosocial outcomes. The systematic reviews, (funded by the Strategic Research Area Health Care Science (SFO-V), Karolinska Institutet/Umeå University) and are registered in PROSPOERO (child and caregiver)
    • the evaluation of a parental support intervention conducted in prisons in Sweden with the aim to prevent children's poor psychosocial health and future criminality and marginalisation through increased positive parenting
      Read more about the above projects here
    • I am also the PI for an evaluation of a support strucutre for chidlren as young a´carers (ages 3-6 years) “BRA-samtal”, funded by Allmänna Barnhuset. 


    I collaborate on reserach projects that focus on:

    • evaluting the effects and feasibility of treatment for sexual offending (STOPPA) at Karolinska Institutet (PI Niklas Långström)
    • investigating how social emotional competencies and well-being change across development (PATHS) at Stockholm University (PI Laura Ferrer Wreder)
    • developpeing and evaluating support through a randomized controlled study of stepwise care for aggressive, oppositional behaviors among youth: New technology for improved scalability and efficacy of treatments (PI Pia Enebrink)
    • implmenting and promoting of physical activity in secondary school contexts at The Swedish School of Sport and Health Sciences, GIH (PI Håkan Larsson)
    • supporting physical activity in prediabetes and type 2 diabetes (Sophia Step Study) at Sophiahemmet University (PI Maria Hagströmmer, Unn-Britt Johansson)
    • Implementing the parental support intervention "A Healty School Start" in the project “IMplementation and evaluation of the school-based family support PRogram a Healthy School Start to promote child health and prevent OVErweight and obesity (IMPROVE)” at Karolinska Institutet (PI Liselotte Schäfer Elinder)


    Previous projects include three waves of evaluation of a school-based parental support intervention aimed to promote children’s healthy dietary and physical activity behaviours and to prevent child obesity in disadvantaged areas, the Healthy School Start intervention. The implementation of the Healthy School Start Intervention is currently being evaluated in an implementation trial: “IMplementation and evaluation of the school-based family support PRogram a Healthy School Start to promote child health and prevent OVErweight and obesity (IMPROVE)”. These trials intervention is carried out by the research group Community Nutrition and Physical Activity at the Department of Global Public Health. I mainly work with disadvantaged families and use both quantitative and qualitative methods

    My research interests also involve behaviour change, motivational interviewing, and development of theory related to prevention and cultural
    adaptation of evidenced-based practices. I am also interested in methodological advancements and I am currently devoted to applying and developeing advanced mixed methods appraches in internvetion and implementation reserach.

Teaching

  • I teach on various levels and in various programs and courses at KI and supervise on master's and PhD level. I am the course leader of an introductory course in scientific methods (in Swedish) and give seminars on PhD-level in mixed-methods. Additional teaching focuses mainly on research methods (Mixed-methods, and qualitative methods), developmental psychology, behaviour change and motivational interviewing, and intervention and implementation research.
    I have also been the course leader for an introductory course in developemntal psychology and on intervention and implementation research in community based work at Stockholm University.

Articles

Grants

  • Swedish Research Council for Health Working Life and Welfare
    1 November 2022 - 30 September 2026
    Research problem and specific questionsA stepped-care approach can lead to more effective care, reduced costs and work burden for mental health professionals. However, few models have been evaluated for children with externalizing behaviors (Oppositional Defiant Disorder, Conduct Disorder). These youth are at higher risk for continuous aggressive behaviors, academic failures, and mental health problems. Treatments mainly provide low to moderate treatment effects and the knowledge of change mechanisms is not satisfying, pointing towards a need for improved treatments. In this project, we aim to evaluate the effects, costs, scalability and acceptability of a stepped care model for families with a child with externalizing behaviors.Data and methodThis study uses a mixed-methods-design, with evaluations directly after treatment and after 6 months. The first step in the stepped care model is a digital parent intervention at selective-indicated preventive level (families with children 8-16 years at risk for/with oppositional, aggressive behavior
    N=750) where an AB multiple baseline informs about changes over time. The second step is individual youth/parental treatment based on Cognitive Behavior Therapy (CBT) and virtual reality (VR) where families whose children still show signs of externalizing behaviors after the parent intervention are randomized to youth or parent CBT with/without VR. The evaluation will provide information on changes in children’s externalizing behaviors, well-being and parental strategies, as well as weekly measurements of change mechanisms will add to the understanding of factors contributing to change. We will also collect information on treatment costs and other societal resource use, and conduct interviews with children, parents and stakeholders for information about scalability and acceptability.Plan for project realisation Treatments are shaped in collaborations between researchers, families and clinicians. Parents will be recruited from child and adolescent psychiatry, primary care and through advertisements. Treatments will be managed by clinicians. Costs are necessary for a large treatment study. Relevance The study is expected to lead to new knowledge about effects and cost effectiveness of low- and highly intensive interventions for parents and youth, scalability of a digital parenting program, experiences and usefulness of VR in CBT, factors related to treatment effectiveness and societal use of a stepwise model.
  • Swedish Research Council for Health Working Life and Welfare
    1 April 2022 - 31 March 2026
    Children of incarcerated parents comprise a greatly disadvantaged group with high needs that are largelyoverlooked by society. These children run a greater risk for a number of health-related outcomes, and owndelinquency. Research suggests that these children need support that focus on their resilience. The non-incarceratedcaregiver is key here, but the caregiver may also be negatively affected by a partner’sincarceration and in need of support for the own well-being and to be able to support the child.Internationally, few support interventions for these children and caregivers have been evaluated scientifically. InSweden, current support is uncoordinated, largely unavailable, and provided by non-profit organisations. In fact,the responsible stakeholder, the Social Services, largely lacks knowledge about the children’s needs.Interventions to support child resilience in general focus on promotive factors of the child and context, whereparenting is emphasised.This project aims to develop and assess an evidence-based intervention that can be integratedinto existing Social Services to simultaneously support psychosocial health for the children ofincarcerated parents and their non-incarcerated caregivers.The project includes. 1. Development phase: Co-creation of intervention with stakeholders and users on importantfeatures of an intervention (study 1) and implementation in the Social services (study 2) are explored. Studies 1-2 together with results from systematic reviews which the applicant (ÅN) has been granted funding to conductduring 2021, will identify a suitable intervention. 2. Evaluation phase: feasibility and intervention effects onpsychosocial outcomes are teste in a randomised controlled trial (study 3) and mediated effects are explored(study 4).This project will provide the Social Services with an evidens-based method to decrease these chidlren´s suffering and prevent future ill health, delinquency and marginalisation of the children and their caregivers.
  • Swedish Research Council for Health Working Life and Welfare
    1 December 2019 - 30 November 2022

Employments

  • Affiliated to Research, Department of Clinical Neuroscience, Karolinska Institutet, 2025-2028
  • Senior Research Specialist, Department of Clinical Neuroscience, Karolinska Institutet, 2022-2025

Degrees and Education

  • Docent, Karolinska Institutet, 2022
  • Degree Of Doctor Of Philosophy, Department of Global Public Health, Karolinska Institutet, 2017

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