Trial of Video Series to Enhance Coparenting

描述（由申请人提供）：拟议的项目将测试一种预防性干预家庭研究产品，针对怀孕期间和怀孕后的首次父母。该产品是一系列12个心理教育视频模块，向夫妇介绍积极的共同育儿支持的重要性，并帮助夫妇在协调和支持彼此育儿的背景下发展沟通和解决问题的技能。视频模块和配套的工作手册旨在加强共同抚养支助，以促进对父母身份的积极调整，增强父母的温暖，减少儿童面临父母间冲突的机会。干预的短期目标包括加强共同养育的合作和减少敌对/竞争行为。中期目标包括改善父母的调整，增加父母的敏感性，减少父母的消极。干预产品的最终长期目标是减少儿童适应问题。我们将通过下述随机试验评估产品对家庭的影响。具体目标1。第一个目标是根据现有的脚本和第一阶段开发的前两个视频模块制作完整的产品。视频模块结合了联合收割机简短的教学演示，结构化的练习，实际家庭互动的镜头，以及小组讨论的写照。DVD系列中将包括这对夫妇中每一位成员的配套工作簿，以及一个为消费者提供扩展材料和个人后续联系的网站。在最终编辑每个模块之前，我们将收集准夫妇的反馈。具体目标2。第二个目标是在220对期待第一个孩子的夫妇中进行随机对照试验。在完成预测试后，这些夫妇将被随机分为对照组和干预组。干预夫妇将通过邮件收到产品，并将通过每周电话报告他们对模块的观看情况，以及每个模块结束时的家庭作业完成情况。公共卫生相关性：拟议的预防产品将解决父母在向父母过渡期间所经历的高度紧张，并帮助建立积极沟通和家庭管理协调的基础。重点改善共同养育关系的目的是减少产妇产后抑郁症（这是密切相关的合作伙伴的支持），减少敌对的夫妇冲突（这是与负面的孩子的结果），并提高父母的效力和能力。

DESCRIPTION (provided by applicant): The proposed project will test a preventive intervention home-study product targeting first-time parents during and after pregnancy. The product is a series of 12 psycho- educational video modules which introduce couples to the importance of positive coparenting support, and assist couples in developing communication and problem- solving skills in the context of coordinating and supporting each others' parenting. The video modules with an accompanying workbook are designed to enhance coparenting support in order to promote positive adjustment to parenthood, enhance parental warmth, and decrease exposure of children to interparental conflict. The intervention's short-term goals include enhanced coparenting cooperation and diminished hostile/competitive behaviors. Medium-term goals include improved parental adjustment, increased parental sensitivity, and diminished parental negativity. The ultimate long-term goal of the intervention product is to reduce child adjustment problems. We will assess the impact of the product on families through a randomized trial described below. Specific Aim 1. The first aim entails the production of the complete product, based on the existing script and the first 2 video modules developed under Phase 1. The video modules combine brief didactic presentations, structured exercises, footage of actual families' interactions, and portrayal of group discussion. An accompanying workbook for each member of the couple will be included with the DVD series, as well as a website available for consumers with extended materials and links for individual follow-up. Before final editing of each module, we will gather feedback from expectant couples. Specific Aim 2. The second aim is to test the product in a randomized controlled trial with 220 couples expecting a first child. After completing pretest measures, the couples will be randomized into control and intervention groups. The intervention couples will receive the product through the mail and will report via a weekly phone call on their viewing of the modules, as well as completion of homework assignments given at the end of each module. PUBLIC HEALTH RELEVANCE: The proposed prevention product will address the heightened strains experienced by parents during the transition to parenthood, and help foster a foundation of positive communication and family management coordination. The focus on improving the coparenting relationship is aimed at decreasing maternal postnatal depression (which is strongly linked to partner support), decreasing hostile couple conflict (which is linked to negative child outcomes), and enhancing parental efficacy and competence.