Trial of Video Series to Enhance Coparenting

描述（由申请人提供）：该项目将测试一种针对怀孕期间和怀孕后首次父母的预防性干预家庭学习产品。该产品由12个心理教育视频模块组成，向夫妻介绍积极的育儿支持的重要性，并帮助夫妻在协调和支持彼此育儿的背景下发展沟通和解决问题的技能。视频模块和附带的工作手册旨在增强父母对父母的支持，以促进对父母身份的积极调整，增强父母的温暖，减少儿童接触父母之间的冲突。干预的短期目标包括增强亲子合作和减少敌对/竞争行为。中期目标包括改善父母的适应能力，增加父母的敏感性，减少父母的消极情绪。干预产品的最终长期目标是减少儿童适应问题。我们将通过以下描述的随机试验来评估产品对家庭的影响。具体目标第一个目标是根据现有脚本和第一阶段开发的前两个视频模块制作完整的产品。视频模块结合了简短的教学演示、结构化的练习、实际家庭互动的镜头和小组讨论的写照。随附的DVD系列中还将包括为这对夫妇中的每一位成员准备的练习册，以及一个为消费者提供扩展材料和个人后续链接的网站。在每个模块最终编辑之前，我们会收集准夫妇的反馈。具体目标2。第二个目标是在一项随机对照试验中测试该产品，有220对夫妇期待第一个孩子。在完成测试前的测量后，这些夫妇将被随机分为对照组和干预组。参与干预的夫妇将通过邮件收到产品，并将通过每周的电话报告他们对模块的观看情况，以及每个模块结束时布置的家庭作业的完成情况。公共卫生相关性：拟议的预防产品将解决父母在过渡到为人父母期间所经历的高度紧张，并有助于建立积极沟通和家庭管理协调的基础。注重改善亲子关系的目的是减少产妇产后抑郁（这与伴侣的支持密切相关），减少敌对的夫妻冲突（这与消极的儿童结果有关），并提高父母的效能和能力。

DESCRIPTION (provided by applicant): The proposed project will test a preventive intervention home-study product targeting first-time parents during and after pregnancy. The product is a series of 12 psycho- educational video modules which introduce couples to the importance of positive coparenting support, and assist couples in developing communication and problem- solving skills in the context of coordinating and supporting each others' parenting. The video modules with an accompanying workbook are designed to enhance coparenting support in order to promote positive adjustment to parenthood, enhance parental warmth, and decrease exposure of children to interparental conflict. The intervention's short-term goals include enhanced coparenting cooperation and diminished hostile/competitive behaviors. Medium-term goals include improved parental adjustment, increased parental sensitivity, and diminished parental negativity. The ultimate long-term goal of the intervention product is to reduce child adjustment problems. We will assess the impact of the product on families through a randomized trial described below. Specific Aim 1. The first aim entails the production of the complete product, based on the existing script and the first 2 video modules developed under Phase 1. The video modules combine brief didactic presentations, structured exercises, footage of actual families' interactions, and portrayal of group discussion. An accompanying workbook for each member of the couple will be included with the DVD series, as well as a website available for consumers with extended materials and links for individual follow-up. Before final editing of each module, we will gather feedback from expectant couples. Specific Aim 2. The second aim is to test the product in a randomized controlled trial with 220 couples expecting a first child. After completing pretest measures, the couples will be randomized into control and intervention groups. The intervention couples will receive the product through the mail and will report via a weekly phone call on their viewing of the modules, as well as completion of homework assignments given at the end of each module. PUBLIC HEALTH RELEVANCE: The proposed prevention product will address the heightened strains experienced by parents during the transition to parenthood, and help foster a foundation of positive communication and family management coordination. The focus on improving the coparenting relationship is aimed at decreasing maternal postnatal depression (which is strongly linked to partner support), decreasing hostile couple conflict (which is linked to negative child outcomes), and enhancing parental efficacy and competence.