Randomized Control Trial of the Co-Parenting for Resilience Program

项目摘要 父母离婚可能会对孩子产生负面影响，影响往往是严重和持久的。大致 25%的离异父母的孩子有严重的长期心理和行为健康问题 相比之下，总人口中大约只有10%的儿童。即使是在那些最终 如果适应得好，许多人会经历相当大的情绪困扰，这可能会导致适应不良的应对和 负面后果，如反社会行为、抑郁、辍学、吸毒和早熟 性行为。针对离婚对儿童的影响，简要的预防干预措施侧重于 教父母如何减轻离婚对孩子的影响得到了广泛的接受 在新冠肺炎期间，全国各地的法院系统对此进行了审查，类似的在线版本也激增。 然而，最近关于离婚教育计划有效性的系统和元分析评论， 虽然显示出有希望的结果，但普遍缺乏形成坚实的经验基础的方法严谨性 需要在理论和实践上推动这一领域的发展。为了解决这些弱点，当前的项目 测试共同育儿的弹性(CPR)，这是一个离婚教育项目，借鉴了 婚姻家庭治疗和预防科学将纳入经验性治疗 策略转化为4小时的心理教育研讨会。在我们之前成功试验的基础上，使用了非 相当于对照组，建议的研究使用三臂(面对面CPR、在线CPR和阅读疗法 注意安慰剂对照)意向治疗设计的随机对照试验。这项研究收集了一个样本 在最近提出离婚的300名父母中，他们实现了以下三个目标：1)确定 CPR网络版和面对面版对改善孩子离婚后适应的相对有效性 在3个月和12个月的随访中相互比较和与阅读疗法对照组比较；2)测试路径来自 在线和面对面的CPR版本通过育儿能力对儿童的适应；以及3)确定 面对面和在线形式的CPR有效性的主持人，如父母性别、种族和 离婚伴侣之间的冲突程度和类型。如果实现了这些目标，将提供对 是否：(A)让夫妻参加离婚教育课程比简单地读一本书更有效 离婚，(B)面对面或在线交付模式在帮助父母克服养育方式方面更有好处 离婚的挑战；以及(C)离婚教育对某些群体来说或多或少是有效的。

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.