A Randomized Clinical Trial of Online Social Intelligence Training With Custodial Grandmothers.
A Randomized Clinical Trial of Online Social Intelligence Training With Custodial Grandmothers.
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一项针对监护祖母的在线社交智力训练的随机临床试验。
DOI：
10.1093/geront/gnad079
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发表时间：
2024
期刊：
影响因子：
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通讯作者：
Hancock,GregoryR
中科院分区：
文献类型：
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作者：
Smith,GregoryC;Infurna,FrankJ;Dolbin-MacNab,Megan;Webster,Britney;Castro,Saul;Crowley,DanielM;Musil,Carol;Hu,Luxin;Hancock,GregoryR
背景和目的在这项研究中，我们调查了一项旨在提高美国全国监护祖母心理和关系幸福感的自我管理的在线社会智力培训(SIT)计划的有效性。研究设计和方法进行了一项双臂随机临床试验(RCT)，其中349名抚养11-18岁孙子孙女的祖母被分配到SIT或注意力控制条件(ACC)。参与者在基线和干预后立即完成在线调查，并在干预后3个月、6个月和9个月进行随访。使用一阶潜伏期差异得分模型，在所有测量时间内，根据心理和关系幸福感的关键指标，在意向治疗的基础上比较SIT和ACC。结果尽管SIT在产生积极结果方面明显优于ACC，但它似乎减弱了ACC参与者之间发生的纵向下降。SIT对关系结果的影响也比心理结果更大，其中与孙辈的感知关系受到的积极影响最大。讨论和影响鉴于这次RCT的历史时间与2019年冠状病毒大流行不可预测地一致，我们怀疑SIT帮助抵消了广泛记录的因大流行而导致的心理和关系幸福感的下降。我们的总体积极发现支持未来在正常环境条件下使用廉价且易于交付的SIT计划，以及脆弱和地理上分散的监护祖母人口。临床试验注册编号NCT03239977
Background and ObjectivesIn this study, we investigated the efficacy of a self-administered, online Social Intelligence Training (SIT) program aimed at enhancing psychological and relational well-being among a nationwide U.S. sample of custodial grandmothers.Research Design and MethodsA two-arm randomized clinical trial (RCT) was conducted, where 349 grandmothers raising grandchildren aged 11–18 years were assigned to either SIT or an attention control condition (ACC). Participants self-completed online surveys at baseline and immediately postintervention, in addition to follow-ups at 3-, 6-, and 9-month postintervention. First-order latent difference score models were used to compare SIT to ACC, across all times of measurement, along key indicators of psychological and relational well-being on an intent-to-treat basis.ResultsAlthough SIT was largely superior to ACC at yielding positive results, it appears that it attenuated longitudinal declines that occurred among ACC participants. SIT also exerted stronger effects on relational than psychological outcomes, with perceived relations with grandchildren being the most positively affected.Discussion and ImplicationsGiven that the historical time of this RCT unpredictably corresponded with the coronavirus disease 2019 pandemic, we suspect that SIT helped offset declines in psychological and relational well-being that are widely documented to have resulted from the pandemic. Our overall positive findings support future use of the inexpensive and easily delivered SIT program under normal environmental conditions, with the vulnerable and geographically disperse population of custodial grandmothers.Clinical Trials Registration NumberNCT03239977