Randomized Control Trial of the Co-Parenting for Resilience Program

共同养育韧性计划的随机对照试验

• 批准号: 10730996
• 负责人: Ronald Blake Cox
• 金额: $ 44.33万
• 依托单位: OKLAHOMA STATE UNIVERSITY STILLWATER
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-18 至 2026-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10730996
• 关键词: 10 year old; Academic Research Enhancement Awards; Address; Age; Alcohols; Attention; Behavioral; Bibliotherapy; Books; COVID-19; Child; Child Rearing; Cognition; Collaborations; Competence; Conflict (Psychology); Control Groups; County; Coupled; Couples; Data; Diagnosis; Disease remission; Divorce; Education; Educational process of instructing; Educational workshop; Effectiveness; Emotional; Emotions; Ethnic Origin; Exposure to; Family; Family Research; Family psychotherapy; Foundations; Gender; General Population; Hour; Individual; Institution; Instruction; Intervention; Knowledge; Marriage and Family; Mediating; Mediation; Mental Depression; Mental Health; Mental disorders; Methodology; Oklahoma; Outcome; Parents; Participant; Performance; Persons; Pharmaceutical Preparations; Phase; Pilot Projects; Placebo Control; Prevention; Process; Program Development; Program Evaluation; Proliferating; Public Health; Quasi-experiment; Randomized; Randomized, Controlled Trials; Reading; Reporting; Research; Research Project Grants; Rural Population; Sampling; School Drop-Outs; Science; Sex Behavior; Stress; Student Dropouts; Subgroup; System; Testing; Therapeutic; antisocial behavior; arm; behavior change; behavioral health; brief prevention intervention; coping; cost; court; deep learning; design; emotional distress; experience; field theory; follow-up; graduate student; improved; innovation; insight; motivational enhancement therapy; negative affect; online delivery; online version; peer; physical conditioning; programs; psychoeducation; psychoeducational; psychoeducational intervention; resilience; response; rural underserved; social; substance use; theories; undergraduate student

Project Summary Parental divorce can negatively affect children in ways that are often severe and long lasting. Approximately 25% of the children of divorcing parents have major long-term mental and behavioral health problems compared to approximately only 10% of children in the general population. Even among those who ultimately adjust well, many will experience considerable emotional distress which can lead to maladaptive coping and negative outcomes such as antisocial behavior, depression, school dropout, substance use and precocious sexual activity. In response to the effects of divorce on children, brief prevention interventions focused on teaching parents how to ameliorate the impact of divorce on their children have gained widespread acceptance by court systems across the nation, and online versions of the same have proliferated during COVID-19. However, recent systematic and metanalytic reviews reporting on the efficacy of divorce education programs, while showing promising results, generally lack the methodological rigor to form the strong empirical foundation needed to advance the field in both theory and practice. To address these weaknesses, the current project tests Co-Parenting for Resilience (CPR), a divorce education program that draws on theories from the field of Marriage and Family Therapy and Prevention Science to incorporate empirically-supported therapeutic strategies into a 4-hour psychoeducational workshop. Building upon our previously successful trial using a non- equivalent control group, the proposed study uses a 3-arm (CPR in-person, CPR online, and bibliotherapy attention placebo control) randomized controlled trial with an intent to treat design. The study collects a sample of 300 parents who have recently filed for divorce to accomplish the following three aims: 1) Determine the relative efficacy of the online and in-person versions of CPR to improve child post-divorce adjustment compared to each other and to a bibliotherapy control group at 3- and 12-month follow-ups; 2) Test paths from the online and in-person versions of CPR to child adjustment via parenting competencies; and 3) Identify moderators of the effectiveness of in-person and online formats of CPR such as parent gender, ethnicity, and level and type of conflict between divorcing partners. If accomplished, these aims will provide insight into whether: (a) remitting couples to a divorce education class is more effective than simply reading a book on divorce, (b) in-person or online delivery formats are more beneficial in helping parents overcome the parenting challenges of divorce, and (c) there are subgroups for whom divorce education is more or less effective.

项目摘要 父母离婚会对孩子产生负面影响，这种影响往往是严重和持久的。约 25%的离婚父母的子女有长期的精神和行为健康问题。 相比之下，一般人群中只有大约10%的儿童。即使是那些最终 适应良好，许多人会经历相当大的情绪困扰，这可能导致适应不良的应对， 消极的结果，如反社会行为，抑郁症，辍学，物质使用和早熟 性行为针对离婚对儿童的影响，简短的预防干预措施侧重于 教育父母如何减轻离婚对子女的影响已得到广泛接受 在COVID-19期间，同样的在线版本激增。 然而，最近关于离婚教育项目有效性的系统和元分析综述， 虽然显示出有希望的结果，但普遍缺乏形成强有力的经验基础的方法论严谨性 需要在理论和实践上推进这一领域。为了解决这些问题，本项目 测试共同养育的弹性（CPR），离婚教育计划，借鉴了理论领域， 婚姻和家庭治疗与预防科学纳入经验支持的治疗方法 四小时的心理教育研讨会。在我们之前成功的试验基础上使用非- 相当的对照组，拟议的研究使用3臂（心肺复苏术在人，心肺复苏术在线，阅读疗法 注意安慰剂对照）随机对照试验，采用意向治疗设计。这项研究收集了一个样本， 最近提出离婚的300名父母中，有300名父母为了实现以下三个目标而提出离婚：1）确定 在线和面对面CPR版本改善儿童离婚后适应的相对功效 在3个月和12个月的随访中相互比较，并与阅读疗法对照组进行比较; 2）从 在线和面对面的CPR版本，通过养育能力来调整儿童;以及3）识别 亲自和在线形式的CPR的有效性的主持人，如父母性别，种族， 离婚伴侣之间的冲突程度和类型。如果实现这些目标， 是否：（a）将夫妇送到离婚教育班比简单地阅读一本关于离婚的书更有效 （B）面对面或在线交付形式更有利于帮助父母克服养育子女的困难。 （c）对某些亚群体而言，离婚教育或多或少有效。