Preventive Intervention for Young Co-Parenting Couples

年轻共同抚养夫妇的预防性干预

• 批准号: 6729690
• 负责人: PAUL W FLORSHEIM
• 金额: $ 22.43万
• 依托单位: UNIVERSITY OF UTAH
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-01-01 至 2006-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6729690
• 关键词: adolescence (12-20); age at pregnancy; attitude; behavior therapy; behavioral /social science research tag; child abuse; child rearing; clinical research; conflict; coping; counseling; data collection methodology /evaluation; domestic violence; health care service; human therapy evaluation; interpersonal relations; interview; longitudinal human study; marriage counseling; mother /infant health care; parent deprivation; parent offspring interaction; psychological stressor; stress management; women' s health

DESCRIPTION (provided by applicant): The goal of this study is to evaluate a preventive-intervention program designed to help pregnant adolescents and their partners make a successful transition to parenthood, defined in terms of the quality of their co-parenting relationship and their functioning as parents. The importance of developing such a program is underscored by the large numbers of young couples who have serious problems maintaining a successful co-parenting relationship and the need for innovative interventions for reducing the well known risks associated with both dysfunctional co-parenting and adolescent parenthood. This flexible 5-10 week intervention will be administered prior to childbirth and will focus on the development of interpersonal skills and improving the quality of the relationship. The interpersonal focus of the intervention program is based on several preliminary studies of young couples making the transition to parenthood and a review of previous research on couples therapy, adolescent interpersonal development, and interpersonally based models of prevention and intervention. The study design will be a randomized prevention trial in which 90 expectant couples will be recruited from a university based clinic providing services to pregnant teenagers and assigned to one of two groups. Sixty couples will be recruited to participate in the intervention and 30 couples will serve as controls. The project will be divided into three phases. The first phase will focus on refining the intervention protocol, developing a manual, and training therapists (interventionists). The second phase will include (a) participant recruitment, (b) collecting baseline data, focusing primarily on the couple's relationship, (c) administering the program to the intervention group, and (d) collecting the first wave of follow-up data at six weeks post birth. The first follow up will focus on changes in the quality of the couples' relationships. The third phase of the study will include a preliminary evaluation of program effects and a second follow up focusing on parental functioning at 18 months post birth. Primary analyses will focus on testing the effects of program participation on the quality of co-parenting relationships and the quality of parental functioning, defined in terms of parenting attitudes, parenting stress and observed parenting behavior.

描述（由申请人提供）：本研究的目标是评估旨在帮助怀孕青少年及其伴侣成功过渡到为人父母的预防性干预计划，该计划根据共同养育关系的质量及其功能进行定义作为父母。大量年轻夫妇在维持成功的共同养育关系方面存在严重问题，并且需要创新干预措施来减少与功能失调的共同养育和青少年父母相关的众所周知的风险，这凸显了制定此类计划的重要性。这种灵活的 5-10 周干预将在分娩前进行，重点是发展人际交往能力和提高关系质量。干预计划的人际重点是基于对年轻夫妇过渡为人父母的几项初步研究，以及对先前关于夫妻治疗、青少年人际发展以及基于人际的预防和干预模型的研究的回顾。 该研究设计将是一项随机预防试验，从一家为怀孕青少年提供服务的大学诊所招募 90 对准夫妇，并将其分配到两组中的一组。将招募 60 对夫妇参与干预，30 对夫妇作为对照。该项目将分为三个阶段。第一阶段将侧重于完善干预方案、制定手册和培训治疗师（干预师）。第二阶段将包括（a）参与者招募，（b）收集基线数据，主要关注夫妻关系，（c）对干预组实施该计划，以及（d）收集第一波后续数据出生后六周。第一个后续行动将重点关注夫妻关系质量的变化。该研究的第三阶段将包括对计划效果的初步评估和第二阶段的随访，重点关注出生后 18 个月时父母的功能。主要分析将侧重于测试项目参与对共同养育关系质量和父母功能质量的影响，这些质量是根据养育态度、养育压力和观察到的养育行为来定义的。