Trial of Transition to Parenting Program for Couples

描述（由申请人提供）：本申请概述了一项向父母过渡的夫妇提供普遍预防干预的随机试验，旨在加强共同父母的支持和解决问题，减少父母间的冲突和父母抑郁症，并加强温暖，在第一次父母中参与养育。在最初的NIMD和NICHD资助的试点研究，调查了8届家庭基金会计划的潜力，拟议的研究将探讨家庭基金会的干预效果时，结合一个典型的分娩教育课程在一个大型的现场试验（总N=440个家庭）。通过两个社区当地医院现有的分娩教育部门，对随机分配到干预条件的220对夫妇进行干预。两个地点内两个家庭的不同和多样的社会经济和民族/种族背景将有助于审查跨背景和家庭特征的影响的一般化。将通过家庭访视（术前、术后和随访）收集三波数据。该项目将研究所实施的预防战略在多大程度上能够减轻产后抑郁症的公共卫生负担，并提高父母的能力和早期儿童适应能力。公共卫生相关性：该项目旨在测试一项针对初为人父母者的创新的以家庭为中心的干预措施，旨在加强共同父母的支持和解决问题的能力，减少父母间的冲突和父母的抑郁，并加强初为人父母者的温暖和参与式养育。对许多夫妇来说，过渡到为人父母是一个紧张的时期。开发和传播新的，有效的预防计划，如一个建议将有大量的公共卫生福利的夫妇和他们的孩子。

DESCRIPTION (provided by applicant): This application outlines a randomized trial of a universal preventive intervention delivered to couples at the transition to parenthood, aimed at enhancing co-parental support and problem solving, decreasing interparental conflict and parental depression, and strengthening warm, engaged parenting among first-time parents. Following on an initial NIMD and NICHD funded pilot study that investigated the potential of the 8-session Family Foundations program, the proposed research will examine intervention effects of Family Foundations when integrated with a typical childbirth education curriculum in a large field trial (total N=440 families). The intervention is to be delivered to the 220 couples randomly assigned to the intervention condition through existing childbirth education departments of local hospitals in two communities. The differing and diverse socio-economic and ethnic/racial background of the two families within the two sites will facilitate examination of the generalization of effects across contexts and family characteristics. Three waves of data will be collected through home visits (pre, post, and follow-up). This project will examine the degree to which the prevention strategy implemented is able to reduce the public health burden of post-natal depression, and to enhance parenting competence and early child adjustment. PUBLIC HEALTH RELEVANCE: This project seeks to test an innovative family-focused intervention for first time parents, which aims to enhance co-parental support and problem solving, decrease interparental conflict and parental depression, and strengthen warm, engaged parenting among first- time parents. The transition to parenthood is a stressful period for many couples. Developing and disseminating new, effective preventive programs such as the one proposed would have substantial public health benefits for couples and their children.