Military Family Foundations: Adapting an Evidence-based Family Prevention Program

军人家庭基金会：采用循证家庭预防计划

• 批准号: 8443493
• 负责人: MARK Ethan FEINBERG
• 金额: $ 22.35万
• 依托单位: PENNSYLVANIA STATE UNIVERSITY, THE
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-08-01 至 2015-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8443493
• 关键词: 3 year old; Address; Age; Alcohol or Other Drugs use; Attitude; Behavior Control; Child; Child Abuse; Child Mental Health; Child Rearing; Communication; Couples; Data; Decision Making; Development; Educational Curriculum; Emotional; Evidence based program; Family; Feasibility Studies; Feedback; First Births; Foundations; Frustration; Future; Health behavior; Home environment; Human Resources; Infant; Informal Social Control; Intervention; Joints; Life; Life Style; Measures; Mental Depression; Mental Health; Methods; Military Personnel; Morbidity - disease rate; Online Systems; Outcome; Parenting behavior; Parents; Participant; Pattern; Personal Satisfaction; Physical aggression; Pilot Projects; Population; Prevention program; Problem Solving; Provider; Psyche structure; Randomized; Recruitment Activity; Reporting; Research; Research Personnel; Risk; Role; Self Efficacy; Series; Services; Soldier; Spouses; Staging; Stress; Telephone Interviews; Time; United States National Institutes of Health; Violence; Vision; Work; base; behavioral health; combat; dosage; evidence base; experience; flexibility; meetings; member; mortality; parental influence; programs; public health relevance; randomized trial; resilience; satisfaction; skills; stress management; stressor; uptake

DESCRIPTION (provided by applicant): To enhance the well-being and resilience of Reserve and National Guard families, we propose to adapt a civilian evidence-based, family-strengthening program, Family Foundations (FF), and assess the feasibility of implementing it with Reserve and Guard families. The program's focus on the transition to parenthood period-and its documented effects with civilian families through at least child age three years-is well-suited to address the needs among reserve and guard families with young children. At the core of FF is recognition of the crucial role of positive coparenting support for facilitating the emotional, mental, and behavioral health of parents and children. Positive coparenting cooperation and support may serve as a leverage point to enhance the flexibility, capacity for family adaptation, and joint decision-making central to military family resilience. Research indicates that positive coparenting promotes parental self-efficacy, reduces parental stress and depression, and has positive influence on parenting quality. The program's focus on coparenting skills is supplemented by promotion of parent stress management, self-regulation, and behavioral control. These capacities enable parents to manage frustrations with reduced emotional reactivity, resulting in increased problem-solving and positive communication. Aim 1. We will adapt the existing FF curriculum for civilian families to meet the needs of R/NG families (in line with PA-11-202). First, we will develop a version that incorporates values, themes, and issues relevant to military families. Second, based on our existing work developing a DVD/workbook version of FF and interactive web-based materials for parents of infants, we will develop the adapted program as an interactive, online program that families can access on their own at home. Aim 2. We will conduct a pilot study of the program with couples to assess technical feasibility, engagement, user satisfaction, and efficacy. 120 R/NG couples expecting a child will be recruited and randomized to intervention or control conditions. We will measure parent engagement based on utilization data, and ask parents to report on whether the program is perceived as engaging, relevant, and helpful. We will administer pre-/posttest telephone interviews with participants to provide estimates of effects sizes on parent adjustment, coparenting, and parenting. We will conduct exploratory analyses of whether dosage (program usage) predicts outcomes, and whether program impact is moderated by sociodemographic factors.

描述（由申请人提供）：为了增强储备和国民警卫队家庭的福祉和韧性，我们建议适应基于平民证据的，家庭强化计划，家庭基金会（FF），并评估实施它的可行性与预备队和警卫家庭。该计划的重点是过渡到父母时期的过渡，并在至少三岁的孩子中与平民家庭的有影响力的影响非常适合，以满足预备役和有年幼孩子的守护家庭的需求。 FF的核心是认识到积极支持对促进父母和子女的情感，心理和行为健康的关键作用。积极的共同合作和支持可能是提高灵活性，适应能力以及对军事家庭弹性中心的共同决策的杠杆点。研究表明，积极的同意促进父母的自我效能感，减少父母的压力和抑郁症，并对育儿质量产生积极影响。该计划对共同技能的关注是通过促进父母压力管理，自我调节和行为控制来补充的。这些能力使父母能够通过降低情绪反应性来控制挫败感，从而增加了解决问题和积极的沟通。 目标1。我们将适应现有的FF课程，以供民用家庭满足R/NG家庭的需求（与PA-11-11-202一致）。首先，我们将开发一个版本，其中包含与军人家庭相关的价值观，主题和问题。其次，基于我们现有的工作，开发了FF的DVD/Workbook版本和为婴儿父母提供互动网络的材料，我们将开发适应的计划，作为一个互动的在线程序，家庭可以在家中自己访问该计划。 AIM 2。我们将与夫妇对该计划进行试点研究，以评估技术可行性，参与度，用户满意度和功效。 120 R/ng夫妇期望将招募儿童并随机分配干预或控制条件。我们将根据利用数据来衡量父母的参与度，并要求父母报告该计划是否被认为是吸引人，相关和有益的。我们将对参与者进行预/后测试的电话访谈，以估计对父母调整，共同养育和育儿的影响大小。我们将对剂量（程序使用）是否预测结果以及程序影响是否受社会人口统计学因素的调节性进行探索性分析。