Couple Relationship Education and Skills Training

夫妻关系教育与技能培训

• 批准号: 8522600
• 负责人: AMELIA J BIRNEY
• 金额: $ 22.28万
• 依托单位: OREGON CENTER FOR APPLIED SCIENCE, INC.
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-15 至 2015-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8522600
• 关键词: Absenteeism; Adult; Affective; Age; Anxiety; Attitude; Behavioral; Behavioral Model; Businesses; Child; Cognitive; Communication; Conflict (Psychology); Counseling; Couples; Couples Therapy; Decision Making; Development; Disease; Distress; Divorce; Domestic Violence; Early Intervention; Education; Educational Curriculum; Educational process of instructing; Employee; Employee Assistance Program (Health Care); Evaluation; Family; Family Relationship; Goals; Health Care Costs; Healthcare; Individual; Industry; Internet; Interview; Knowledge; Learning; Libraries; Life; Marital Relationships; Mental Health; Meta-Analysis; Outcome; Parenting behavior; Phase; Prevention; Preventive; Preventive Intervention; Process; Productivity; Professional counselor; Research; Resources; Risk; Risk Factors; Series; Stepfamilies; Stress; Substance abuse problem; Technology; Testing; Text; Time; Training; Training Programs; Translating; Work; base; cost; depressive symptoms; design; experience; functional disability; help-seeking behavior; improved; innovation; member; physical conditioning; population based; prevent; programs; prototype; public health relevance; randomized trial; skills; skills training; usability

DESCRIPTION (provided by applicant): Marital discord is a significant risk factor for a range of negative mental and physical health outcomes.1, 2 Individuals in unhappy relationships experience increases in stress, anxiety, functional impairment, and depressive symptoms3 and are at significant risk for substance abuse disorders.4-7 Furthermore, work loss associated with marital problems translates into a deficit of approximately $6.8 billion per year for U.S. businesses and industry due to absenteeism, reduction in productivity, and increased healthcare costs.8 Couple Relationship Education and Skills Training (CREST) is an effective approach for preventing and reducing marital discord and its associated problems.9, 10 Unlike couple therapy, which focuses on resolving marital conflict and involves regular sessions with a trained therapist,10 CREST provides proactive education and skills training as a preventive and early intervention approach to improving relationship quality and stability.11 CREST curricula provide skills training targeting specific cognitive (knowledge, attitudes), affective, and behavioral constructs shown to be efficacious in promoting stable relationships.9, 10, 12 The proposed project will develop a comprehensive online CREST resource based on the extant research evidence (e.g., meta-analyses of CREST programs)9, 10, 13 for the prevention and reduction of couple conflict and its associated problems. The innovation of this online CREST program is in the technology, which moves beyond simply presenting text and online forms to incorporating current best practices in technology and adult e-Learning (web and mobile delivery; Behavioral Modeling Training using scenario- based instructional design with interactive skill-building activities; action planning; behavioral tracking). In the proposed Phase2 development, CREST will be integrated with the ORCAS parenting skills programs (R44 DA15563, R44 DA12082 and R43 DA016830).14 The product will be designed for use in Employee Assistance Programs (EAPs) as (a) a preventive standalone program to promote relationship quality and stability among couples proactively seeking to do so, and (b) a skills-building program used by EAP counselors as an adjunct to couple therapy. In Phase 2, the full-scope CREST program will be developed and evaluated in a large-scale randomized trial.

描述(由申请人提供)：婚姻不和是一系列负面心理和身体健康结果的重要风险因素。1，2处于不愉快关系中的个人经历压力增加、焦虑、功能障碍和抑郁症状3，并面临药物滥用障碍的极大风险。4-7此外，与婚姻问题相关的工作损失每年为美国企业和行业带来约68亿美元的赤字，原因是旷工、生产力下降和医疗成本增加。8夫妻关系教育和技能培训(CREST)是预防和减少婚姻不和及其相关问题的有效方法。9、10与夫妇治疗不同，11 CREST课程提供针对特定认知(知识、态度)、情感和行为结构的技能培训，这些认知(知识、态度)、情感和行为结构被证明在促进稳定关系方面是有效的。9、10、12拟议项目将根据现有研究证据(例如，对CREST计划的元分析)9、10、13开发一个全面的在线CREST资源，以预防和减少夫妻冲突及其相关问题。这一在线CREST项目的创新之处在于技术，它超越了简单地展示文本和在线表格，而是将当前技术和成人电子学习的最佳实践(网络和移动交付；使用基于场景的教学设计与交互式技能培养活动进行的行为建模培训；行动规划；行为跟踪)相结合。在拟议的第二阶段开发中，CREST将与虎鲸育儿技能计划(R44 DA15563、R44 DA12082和R43 DA016830)整合。14该产品将被设计用于员工援助计划(EAP)，作为(A)预防性的独立计划，在主动寻求这样做的夫妇中促进关系质量和稳定性，以及(B)EAP顾问作为夫妇治疗的辅助工具使用的技能建设计划。在第二阶段，将在大规模随机试验中开发和评估全面的CREST计划。