Trial of Transition to Parenting Program for Couples

描述（由申请人提供）：本申请概述了一项随机试验，旨在向过渡为父母的夫妇提供普遍预防性干预，旨在加强共同父母的支持和解决问题，减少父母之间的冲突和父母的抑郁，并加强首次父母之间温暖，参与的养育方式。在NIMD和NICHD资助的初步试点研究调查了8期家庭基金会项目的潜力之后，拟议的研究将在大型现场试验（总共N=440个家庭）中检查家庭基金会与典型分娩教育课程相结合的干预效果。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下的220对夫妇进行干预。两个地点内两个家庭的社会经济和民族/种族背景的不同和多样化，将有助于检查跨背景和家庭特征的影响的概括。通过家访收集三波数据（前、后、随访）。该项目将审查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儿童早期适应能力。公共卫生相关性：本项目旨在为首次父母测试一种创新的以家庭为中心的干预措施，其目的是加强共同父母的支持和解决问题，减少父母之间的冲突和父母抑郁，并加强首次父母之间温暖、投入的养育方式。对许多夫妇来说，过渡到为人父母是一个压力很大的时期。制定和传播新的、有效的预防方案，如所提议的方案，将对夫妇及其子女的公共卫生产生实质性的好处。

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.