Empirically-Based Couple Interventions on the Web: Serving the Underserved

基于经验的网络夫妻干预：为服务不足的人提供服务

• 批准号: 7741187
• 负责人: Brian D. Doss
• 金额: $ 62.36万
• 依托单位: UNIVERSITY OF MIAMI CORAL GABLES
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2014-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7741187
• 关键词: Address; Adult; Behavior; Behavioral; Books; Child; Clip; Communication; Control Groups; Couples; Couples Therapy; Data; Deterioration; Distress; Divorce; Effectiveness; Emotional; Ensure; Feedback; Film; Future; Individual; Internet; Intervention; Mediating; Mediator of activation protein; Motivation; Online Systems; Participant; Perception; Persons; Pilot Projects; Population; Randomized; Randomized Controlled Clinical Trials; Relative (related person); Reporting; Resources; Self-Administered; Translating; Translations; Waiting Lists; Work; base; depression; group intervention; help-seeking behavior; high risk; improved; individualized feedback; intervention effect; intimate behavior; motivational enhancement therapy; prevent; psychologic; public health relevance; satisfaction; self help; web site

DESCRIPTION (provided by applicant): Although several empirically-supported interventions to prevent and treat relationship distress have been developed, the majority of couples - especially high-risk couples - do not seek these face-to-face interventions. However, our pilot data indicate that large numbers of couples will seek self-administered assistance for their relationship. Additionally, unlike many in-person interventions, couples seeking self-help resources tend to have higher levels of relationship distress. Thus, to improve the reach of couple interventions, this project will translate a leading empirically-supported intervention targeting early signs of relationship distress into a Web-based format. This intervention will consist of individualized feedback and professionally-filmed video clips tailored to a couple's specific needs. By intervening effectively with a large number of couples, the resulting Web-based intervention has the potential to have a population-level impact on relationship distress, divorce, and resulting child difficulties. In the proposed project, building off our previous pilot studies, effective translation of this in-person intervention into a Web-based format will be ensured by conducting two additional intensive pilot studies. Once final changes have been made to the website and Web-based intervention, 450 couples will be randomly assigned to one of three conditions: a wait-list control group, a tailored feedback group, and a tailored feedback + Web- based intervention group. This project will: 1) demonstrate that couples randomly assigned to the Feedback- only as well as the Feedback + Intervention groups will report higher levels of individual, child, and relationship functioning than those in the wait-list control group; 2) document the mechanisms of both active conditions; and 3) show that, consistent with a motivational interviewing approach, the interventions will facilitate subsequent help-seeking behaviors for individual and relationship difficulties not fully addressed by the Web- based intervention. PUBLIC HEALTH RELEVANCE: Relationship distress and divorce have profound effects on child and adult physical and psychological functioning. While numerous marital interventions have been shown to be effective in preventing further relationship deterioration, these interventions are not widely available. The proposed project will translate a leading empirically-based couple intervention targeting early signs of relationship distress into a Web-based format so it can be disseminated on a population level.

描述（由申请人提供）：尽管已经开发出几种有经验支持的干预措施来预防和治疗关系困扰，但大多数夫妇 - 特别是高风险夫妇 - 并不寻求这些面对面的干预措施。然而，我们的试点数据表明，大量夫妇会为他们的关系寻求自我管理的帮助。此外，与许多面对面的干预措施不同，寻求自助资源的夫妇往往有更高程度的关系困扰。因此，为了扩大夫妻干预的范围，该项目将把针对关系困扰的早期迹象的领先的经验支持的干预措施转化为基于网络的格式。这种干预措施将包括个性化反馈和根据夫妇的具体需求量身定制的专业拍摄的视频剪辑。通过对大量夫妇进行有效干预，由此产生的基于网络的干预措施有可能对关系困扰、离婚以及由此产生的儿童问题产生人口层面的影响。在拟议的项目中，在我们之前的试点研究的基础上，将通过进行两项额外的深入试点研究来确保将这种亲自干预有效转化为基于网络的格式。一旦对网站和基于网络的干预进行最终更改，450对夫妇将被随机分配到以下三种情况之一：等待名单对照组、定制反馈组和定制反馈+基于网络的干预组。该项目将：1）证明，随机分配到仅反馈组以及反馈+干预组的夫妇将报告比等待名单对照组中的夫妇更高水平的个人、儿童和关系功能； 2）记录两种活性条件的机制； 3）表明，与动机访谈方法一致，干预措施将促进随后针对基于网络的干预措施未完全解决的个人和关系困难的寻求帮助行为。公共卫生相关性：关系困扰和离婚对儿童和成人的身心功能产生深远影响。虽然许多婚姻干预措施已被证明可以有效防止关系进一步恶化，但这些干预措施并未广泛实施。拟议的项目将把针对关系困扰的早期迹象的基于经验的领先夫妻干预措施转化为基于网络的格式，以便可以在人群层面上传播。