Strong Foundations: Intervening to Promote Co-Parenting and Reduce Father Hazardous Drinking in Expectant Parents

项目摘要/摘要 这是一项多方法、随机疗效试验，旨在促进适应、共同养育和二元功能。 在大量饮酒的预期夫妇中，父亲和母亲在以下时间饮酒/戒酒 怀孕了。我们建议利用为人父母的转变的力量作为一项激励事件，提供 持久的行为改变的机会。我们将审查创新预防战略的有效性 (MFF+)适应并整合了两种循证干预措施：1)家庭基金会(FF)--一种普遍的 干预措施在普遍样本中对父母产生了有意义的、广泛的和持久的影响 心理健康、育儿质量、夫妻关系，以及多项试验和简要报告中的婴儿结局 酗酒父亲的酒精干预(BI)。这种改进的干预(MFF+)是一种多模式 干预将与酒精相关的内容合并到FF的现有模块中，并添加一个简短的干预 因为酗酒。预期夫妇(n=180对)将在他们怀孕的前三个月被招募 并随机分为MFF+组或对照组。控制条件(CC)将包括 关于饮酒的简要建议(个人化)和关于社区资源和儿童的小组讲习班 来自健康家庭干预的发展，从而与MFF+的背景和交付相匹配 控制注意力。现有的FF模块将被修改为在讨论中包括酒精内容 酒精对共同育儿和夫妻关系的影响。改编的MFF+课程将是 以小组形式进行，产前5个班，产后4个班。BI组件将是 在三次会议上以原始的个性化形式交付：在基线评估之后、在 第一组产前，产后约1个月。我们的主要目标是研究 这一改良干预措施在减少父亲饮酒和促进婚姻冲突方面的效果 父亲酗酒家庭的共同育儿质量、父母敏感性和子女结局。那里 有两个主要目标：1)对180对酗酒夫妇(每种情况90对)进行MFF+随机对照试验 在怀孕前三个月招募男性和少量饮酒/戒酒的女性。父报告和 对家庭功能的观察性评估将在产后6个月的基线(前测)进行 (后测)和产后12个月(随访)；2)为了检查这些对饮酒的影响，联合 父母教养、适应和夫妻二元功能在MFF+对父母教养和婴儿的影响中起中介作用 结果。这项申请将推动美国国立卫生研究院的两项主要倡议：有效 对问题饮酒和预防儿童开始和继续饮酒的干预。

PROJECT SUMMARY/ABSTRACT This is a multi-method, randomized efficacy trial to promote adjustment, co-parenting, and dyadic functioning among expecting couples with heavy drinking fathers and mothers who are light drinking/abstaining during pregnancy. We propose to harness the power of the transition to parenthood as a motivating event providing opportunity for lasting behavioral change. We will examine the efficacy of an innovative prevention strategy (mFF+) that adapts and integrates two evidence-based interventions: 1) Family Foundations (FF) - a universal intervention that has demonstrated meaningful, broad, and durable impacts in universal samples on parent mental health, parenting quality, and couple relations, as well as infant outcomes in multiple trials and 2) brief alcohol intervention (BI) for heavy drinking fathers. This modified intervention (mFF+) is a multi-modal intervention that incorporates alcohol-related content into existing modules of FF and adds a brief intervention for heavy drinking. Expecting couples (n = 180 couples) will be recruited during the first trimester of their pregnancy and randomized into either the mFF+ or control condition. The control condition (CC) will consist of brief advice regarding alcohol use (individualized) and group workshops on community resources and child development taken from Healthy Families intervention, thereby matching the context and delivery of mFF+ and controlling for attention. Existing FF modules will be modified to include alcohol content with discussions around alcohol effects on co-parenting and couple relationship. The adapted mFF+ sessions will be administered in a group format with 5 prenatal classes and 4 postnatal classes. The BI component will be delivered in the original individualized format across three meetings: after the baseline assessment, after the first FF group prenatal session, and approximately 1 month after birth. Our major goal is to examine the efficacy of this modified intervention, mFF+, in reducing fathers' drinking and couple conflict while promoting co-parenting quality, parental sensitivity, and child outcomes among families with heavy drinking fathers. There are two major aims: 1) to conduct a RCT of mFF+ with 180 couples (90 in each condition) with heavy drinking men and light drinking/abstaining women recruited in the first trimester of pregnancy. Parent reports and observational assessments of family functioning will be conducted at baseline (pretest), 6 months postpartum (posttest), and 12 months postpartum (follow-up); 2) to examine whether these impacts on drinking, co- parenting, adjustment, and couple dyadic functioning mediate the impact of mFF+ on parenting, and infant outcomes. This application will advance two major initiatives of the National Institutes of Health: effective intervention for problem alcohol use and prevention of children beginning and continuing to drink alcohol.