Strong Foundations: Intervening to Promote Co-Parenting and Reduce Father Hazardous Drinking in Expectant Parents

项目概要/摘要 这是一项多方法、随机有效性试验，旨在促进适应、共同养育和二元功能 在怀孕期间饮酒量很大的父亲和母亲中， 怀孕我们建议利用向父母身份过渡的力量，作为一个激励事件， 持久的行为改变的机会。我们将审查创新预防战略的效力 (mFF+），调整和整合两个基于证据的干预措施：1）家庭基金会（FF）-一个普遍的 在通用样本中显示出对父母有意义、广泛和持久影响的干预措施 心理健康、养育质量和夫妻关系，以及多项试验中的婴儿结局，2）简要 酒精干预（BI）对重度饮酒的父亲。这种改良干预（mFF+）是一种多模式的 将酒精相关内容纳入FF现有模块并添加简短干预的干预措施 因为酗酒怀孕夫妇（n = 180对夫妇）将在他们的前三个月招募， 妊娠并随机分为mFF+或对照组。控制条件（CC）将包括 关于酒精使用的简要建议（个性化）和关于社区资源和儿童的小组研讨会 从健康家庭干预中获得的发展，从而与mFF+的背景和交付相匹配， 控制注意力。将修改现有FF模块，以包括酒精含量，并进行讨论 酒精对共同抚养和夫妻关系的影响。调整后的mFF+会议将 以5个产前班和4个产后班的小组形式进行管理。BI组件将是 在三次会议上以原始的个性化格式提供：基线评估后， 第一次FF组产前会议和出生后约1个月。我们的主要目标是研究 这种改良的干预措施mFF+在减少父亲饮酒和夫妻冲突，同时促进 共同养育质量，父母的敏感性，和儿童的结果与酗酒的父亲的家庭。那里 有两个主要目标：1）对180对重度饮酒夫妇（每种情况90对）进行mFF+ RCT 男性和轻度饮酒/戒酒的女性在怀孕的前三个月招募。家长报告和 将在基线（预测试）、产后6个月时对家庭功能进行观察性评估 （后测），产后12个月（随访）; 2）检查这些是否对饮酒，共同， 养育、适应和夫妻二元功能介导mFF+对养育和婴儿的影响。 成果。这一应用将推进美国国立卫生研究院的两大举措：有效 对酗酒问题进行干预，并预防儿童开始和继续饮酒。

PROJECT SUMMARY/ABSTRACT This is a multi-method, randomized efficacy trial to promote adjustment, co-parenting, and dyadic functioning among expecting couples with heavy drinking fathers and mothers who are light drinking/abstaining during pregnancy. We propose to harness the power of the transition to parenthood as a motivating event providing opportunity for lasting behavioral change. We will examine the efficacy of an innovative prevention strategy (mFF+) that adapts and integrates two evidence-based interventions: 1) Family Foundations (FF) - a universal intervention that has demonstrated meaningful, broad, and durable impacts in universal samples on parent mental health, parenting quality, and couple relations, as well as infant outcomes in multiple trials and 2) brief alcohol intervention (BI) for heavy drinking fathers. This modified intervention (mFF+) is a multi-modal intervention that incorporates alcohol-related content into existing modules of FF and adds a brief intervention for heavy drinking. Expecting couples (n = 180 couples) will be recruited during the first trimester of their pregnancy and randomized into either the mFF+ or control condition. The control condition (CC) will consist of brief advice regarding alcohol use (individualized) and group workshops on community resources and child development taken from Healthy Families intervention, thereby matching the context and delivery of mFF+ and controlling for attention. Existing FF modules will be modified to include alcohol content with discussions around alcohol effects on co-parenting and couple relationship. The adapted mFF+ sessions will be administered in a group format with 5 prenatal classes and 4 postnatal classes. The BI component will be delivered in the original individualized format across three meetings: after the baseline assessment, after the first FF group prenatal session, and approximately 1 month after birth. Our major goal is to examine the efficacy of this modified intervention, mFF+, in reducing fathers' drinking and couple conflict while promoting co-parenting quality, parental sensitivity, and child outcomes among families with heavy drinking fathers. There are two major aims: 1) to conduct a RCT of mFF+ with 180 couples (90 in each condition) with heavy drinking men and light drinking/abstaining women recruited in the first trimester of pregnancy. Parent reports and observational assessments of family functioning will be conducted at baseline (pretest), 6 months postpartum (posttest), and 12 months postpartum (follow-up); 2) to examine whether these impacts on drinking, co- parenting, adjustment, and couple dyadic functioning mediate the impact of mFF+ on parenting, and infant outcomes. This application will advance two major initiatives of the National Institutes of Health: effective intervention for problem alcohol use and prevention of children beginning and continuing to drink alcohol.