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）：婚姻不和谐是一系列负面心理和身体健康结果的重要风险因素。1, 2 关系不幸福的个人会经历压力、焦虑、功能障碍和抑郁症状的增加3，并且面临药物滥用障碍的重大风险。4-7 此外，与婚姻问题相关的工作损失导致美国企业和工业每年因缺勤、工作量减少而造成约 68 亿美元的赤字。 8 夫妻关系教育和技能培训 (CREST) 是预防和减少婚姻不和谐及其相关问题的有效方法。9, 10 夫妻治疗侧重于解决婚姻冲突，并需要与训练有素的治疗师定期进行治疗，10 夫妻治疗不同，CREST 提供主动教育和技能培训，作为预防性和早期干预方法，以提高关系质量和稳定性。11 CREST 课程提供针对特定特定对象的技能培训 认知（知识、态度）、情感和行为结构被证明可有效促进稳定的关系。 9, 10, 12 拟议项目将根据现有研究证据（例如 CREST 项目的荟萃分析）9, 10, 13 开发全面的在线 CREST 资源，以预防和减少夫妻冲突及其相关问题。该在线 CREST 计划的创新在于技术，它超越了简单地呈现文本和在线表格，而是将当前的最佳实践纳入技术和成人电子学习（网络和移动交付；使用基于场景的教学设计和交互式技能建设活动的行为建模培训；行动规划；行为跟踪）。在拟议的第二阶段开发中，CREST 将与 ORCAS 育儿技能计划（R44 DA15563、R44 DA12082 和 R43 DA016830）整合。 14 该产品将设计用于员工援助计划 (EAP)，作为 (a) 一个预防性独立计划，以促进主动寻求这样做的夫妇之间的关系质量和稳定性，以及 (b) EAP 辅导员作为夫妻治疗的辅助手段。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。