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 父母的离婚可能会以严重而持久的方式对儿童产生负面影响。大约 离婚父母的孩子中有25％有重大的长期精神和行为健康问题 相比之下，普通人群中只有大约10％的儿童。甚至最终 调整良好，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和 负面结果，例如反社会行为，抑郁，学校辍学，药物使用和早熟 性活动。针对离婚对儿童的影响，简短的预防干预措施着重于 教父母如何改善离婚对孩子的影响已获得广泛接受 在全国各地的法院系统以及在线版本中，在Covid-19期间已经扩散了。 但是，最近的系统和归纳评论报告了离婚教育计划有效性的报告， 在表现出令人鼓舞的结果的同时，通常缺乏构成强大经验基础的方法论严格 在理论和实践中都需要推进领域。为了解决这些弱点，当前项目 测试共同抗辩性（CPR），这是一个离婚教育计划，借鉴了领域的理论 婚姻和家庭疗法以及预防科学，以纳入经验支持的治疗 4小时的心理教育研讨会的策略。在我们以前成功的试验中，使用非 - 同等的对照组，拟议的研究使用了3臂（CPR面对面，CPR在线和Bibliotherapy 注意安慰剂控制）随机对照试验，目的是治疗设计。该研究收集样本 最近有300名父母在最近申请离婚以完成以下三个目标：1）确定 CPR在线和面对面版本的相对功效改善儿童后调整后调整 在3个月和12个月的随访中，彼此相比，并与书目疗法对照组相比； 2）测试路径 通过育儿能力的CPR到儿童调整的在线和面对面版本； 3）识别 主持人和在线格式的主持人，例如父母性别，种族和 离婚伙伴之间的冲突水平和类型。如果完成，这些目标将为您提供洞察力 是否：（a）将夫妻送入离婚教育课比简单地阅读一本书更有效 离婚，（b）面对面或在线交货格式对帮助父母克服育儿更有益 离婚的挑战，以及（c）有一些子组或多个离婚教育或多或少有效。