Military Family Foundations: Adapting an Evidence-based Family Prevention Program

军人家庭基金会：采用循证家庭预防计划

• 批准号: 8443493
• 负责人: MARK Ethan FEINBERG
• 金额: $ 22.35万
• 依托单位: PENNSYLVANIA STATE UNIVERSITY, THE
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-08-01 至 2015-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8443493
• 关键词: 3 year old; Address; Age; Alcohol or Other Drugs use; Attitude; Behavior Control; Child; Child Abuse; Child Mental Health; Child Rearing; Communication; Couples; Data; Decision Making; Development; Educational Curriculum; Emotional; Evidence based program; Family; Feasibility Studies; Feedback; First Births; Foundations; Frustration; Future; Health behavior; Home environment; Human Resources; Infant; Informal Social Control; Intervention; Joints; Life; Life Style; Measures; Mental Depression; Mental Health; Methods; Military Personnel; Morbidity - disease rate; Online Systems; Outcome; Parenting behavior; Parents; Participant; Pattern; Personal Satisfaction; Physical aggression; Pilot Projects; Population; Prevention program; Problem Solving; Provider; Psyche structure; Randomized; Recruitment Activity; Reporting; Research; Research Personnel; Risk; Role; Self Efficacy; Series; Services; Soldier; Spouses; Staging; Stress; Telephone Interviews; Time; United States National Institutes of Health; Violence; Vision; Work; base; behavioral health; combat; dosage; evidence base; experience; flexibility; meetings; member; mortality; parental influence; programs; public health relevance; randomized trial; resilience; satisfaction; skills; stress management; stressor; uptake

DESCRIPTION (provided by applicant): To enhance the well-being and resilience of Reserve and National Guard families, we propose to adapt a civilian evidence-based, family-strengthening program, Family Foundations (FF), and assess the feasibility of implementing it with Reserve and Guard families. The program's focus on the transition to parenthood period-and its documented effects with civilian families through at least child age three years-is well-suited to address the needs among reserve and guard families with young children. At the core of FF is recognition of the crucial role of positive coparenting support for facilitating the emotional, mental, and behavioral health of parents and children. Positive coparenting cooperation and support may serve as a leverage point to enhance the flexibility, capacity for family adaptation, and joint decision-making central to military family resilience. Research indicates that positive coparenting promotes parental self-efficacy, reduces parental stress and depression, and has positive influence on parenting quality. The program's focus on coparenting skills is supplemented by promotion of parent stress management, self-regulation, and behavioral control. These capacities enable parents to manage frustrations with reduced emotional reactivity, resulting in increased problem-solving and positive communication. Aim 1. We will adapt the existing FF curriculum for civilian families to meet the needs of R/NG families (in line with PA-11-202). First, we will develop a version that incorporates values, themes, and issues relevant to military families. Second, based on our existing work developing a DVD/workbook version of FF and interactive web-based materials for parents of infants, we will develop the adapted program as an interactive, online program that families can access on their own at home. Aim 2. We will conduct a pilot study of the program with couples to assess technical feasibility, engagement, user satisfaction, and efficacy. 120 R/NG couples expecting a child will be recruited and randomized to intervention or control conditions. We will measure parent engagement based on utilization data, and ask parents to report on whether the program is perceived as engaging, relevant, and helpful. We will administer pre-/posttest telephone interviews with participants to provide estimates of effects sizes on parent adjustment, coparenting, and parenting. We will conduct exploratory analyses of whether dosage (program usage) predicts outcomes, and whether program impact is moderated by sociodemographic factors.

描述（由申请人提供）：为了提高预备役和国民警卫队家庭的福祉和恢复能力，我们建议采用以平民为基础的家庭强化计划，家庭基金会（FF），并评估在预备役和国民警卫队家庭中实施该计划的可行性。该计划的重点是向为人父母时期的过渡，以及它对平民家庭至少在孩子三岁之前的记录影响，非常适合解决有幼儿的预备役和警卫家庭的需求。FF的核心是认识到积极的父母支持在促进父母和孩子的情感、心理和行为健康方面的关键作用。积极的父母合作和支持可以作为一个杠杆点，以提高灵活性，家庭适应能力和共同决策的核心军人家庭弹性。研究表明，积极的父母教养方式提高了父母的自我效能感，减少了父母的压力和抑郁，并对育儿质量产生了积极的影响。该计划的重点是父母养育技能，辅以促进父母压力管理、自我调节和行为控制。这些能力使父母能够通过减少情绪反应来管理挫折，从而增加解决问题的能力和积极的沟通。目的1。我们将根据PA-11-202的要求，调整现有的平民家庭家庭教育课程，以满足R/NG家庭的需要。首先，我们将制定一个包含与军人家庭有关的价值观、主题和问题的版本。第二，基于我们目前为婴儿父母开发的DVD/练习册版本和交互式网络材料的工作，我们将开发改编的节目，作为家庭可以在家中自行访问的交互式在线节目。目标2。我们将对该项目进行试点研究，以评估技术可行性、参与度、用户满意度和有效性。将招募120对期待孩子的R/NG夫妇，并随机分为干预组和对照组。我们将根据使用数据来衡量家长的参与度，并要求家长报告该项目是否被认为是参与的、相关的和有益的。我们将对参与者进行测试前/测试后的电话访谈，以提供对父母适应、父母教养和养育子女的影响大小的估计。我们将对剂量（项目使用）是否能预测结果，以及项目影响是否受到社会人口因素的调节进行探索性分析。