Couple Relationship Education and Skills Training

描述（由申请人提供）：婚姻不和谐是一系列负面心理和身体健康结果的重要风险因素。1,2在不愉快的人际关系中，个人会经历更多的压力、焦虑、功能障碍和抑郁症状，并且有很大的滥用药物的风险。4-7此外，由于缺勤、生产力下降和医疗费用增加，与婚姻问题相关的工作损失转化为美国工商业每年约68亿美元的赤字夫妻关系教育和技能培训（CREST）是预防和减少婚姻不和谐及其相关问题的有效途径。9,10与夫妻治疗不同，夫妻治疗侧重于解决婚姻冲突，并涉及与训练有素的治疗师的定期会议，10 CREST提供积极主动的教育和技能培训，作为预防和早期干预方法，以改善关系的质量和稳定性CREST课程提供针对特定认知（知识、态度）、情感和行为结构的技能培训，这些结构在促进稳定关系方面是有效的。9,10,12拟议的项目将基于现有的研究证据（例如，CREST项目的荟萃分析）9,10,13，开发一个综合性的在线CREST资源，以预防和减少夫妻冲突及其相关问题。这个在线CREST项目的创新之处在于技术，它超越了简单地呈现文本和在线表格，结合了当前技术和成人电子学习的最佳实践（网络和移动交付；使用基于场景的教学设计与互动技能培养活动的行为建模培训；行动计划；行为跟踪）。在拟议的第二阶段开发中，CREST将与ORCAS育儿技能项目（R44 DA15563、R44 DA12082和R43 DA016830）整合该产品将被设计用于员工援助计划（EAP），作为(a)一个预防性的独立计划，以促进积极寻求这样做的夫妇之间的关系质量和稳定性，以及(b) EAP辅导员使用的技能培养计划，作为夫妻治疗的辅助。在第二阶段，将开发全范围CREST项目，并在一项大规模随机试验中进行评估。

DESCRIPTION (provided by applicant): Marital discord is a significant risk factor for a range of negative mental and physical health outcomes.1, 2 Individuals in unhappy relationships experience increases in stress, anxiety, functional impairment, and depressive symptoms3 and are at significant risk for substance abuse disorders.4-7 Furthermore, work loss associated with marital problems translates into a deficit of approximately $6.8 billion per year for U.S. businesses and industry due to absenteeism, reduction in productivity, and increased healthcare costs.8 Couple Relationship Education and Skills Training (CREST) is an effective approach for preventing and reducing marital discord and its associated problems.9, 10 Unlike couple therapy, which focuses on resolving marital conflict and involves regular sessions with a trained therapist,10 CREST provides proactive education and skills training as a preventive and early intervention approach to improving relationship quality and stability.11 CREST curricula provide skills training targeting specific cognitive (knowledge, attitudes), affective, and behavioral constructs shown to be efficacious in promoting stable relationships.9, 10, 12 The proposed project will develop a comprehensive online CREST resource based on the extant research evidence (e.g., meta-analyses of CREST programs)9, 10, 13 for the prevention and reduction of couple conflict and its associated problems. The innovation of this online CREST program is in the technology, which moves beyond simply presenting text and online forms to incorporating current best practices in technology and adult e-Learning (web and mobile delivery; Behavioral Modeling Training using scenario- based instructional design with interactive skill-building activities; action planning; behavioral tracking). In the proposed Phase2 development, CREST will be integrated with the ORCAS parenting skills programs (R44 DA15563, R44 DA12082 and R43 DA016830).14 The product will be designed for use in Employee Assistance Programs (EAPs) as (a) a preventive standalone program to promote relationship quality and stability among couples proactively seeking to do so, and (b) a skills-building program used by EAP counselors as an adjunct to couple therapy. In Phase 2, the full-scope CREST program will be developed and evaluated in a large-scale randomized trial.