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: 8682891
• 负责人: MARK Ethan FEINBERG
• 金额: $ 18.1万
• 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 2016-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8682891
• 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）：为了提高预备役和国民警卫队家庭的福祉和复原力，我们建议采用一项基于民间证据的家庭强化计划——家庭基金会（FF），并评估实施该计划的可行性与预备役和警卫队家庭。该计划的重点是向为人父母阶段的过渡，以及其对至少三岁儿童的平民家庭的有记录的影响，非常适合解决有幼儿的预备役和警卫家庭的需求。 FF 的核心是认识到积极的共同养育支持对于促进父母和孩子的情感、心理和行为健康的关键作用。积极的共同养育合作和支持可以作为增强灵活性、家庭适应能力以及对军人家庭复原力至关重要的联合决策的杠杆点。研究表明，积极的共同养育可以提高父母的自我效能感，减少父母的压力和抑郁，并对养育质量产生积极影响。该计划注重共同养育技能，同时促进家长压力管理、自我调节和行为控制。这些能力使父母能够通过减少情绪反应来管理挫折，从而提高解决问题的能力和积极的沟通能力。 目标 1. 我们将调整现有的平民家庭 FF 课程，以满足 R/NG 家庭的需求（符合 PA-11-202）。首先，我们将开发一个包含与军人家庭相关的价值观、主题和问题的版本。其次，基于我们现有的为婴儿父母开发 FF 的 DVD/工作簿版本和交互式网络材料的工作，我们将把改编后的程序开发为一个交互式在线程序，家庭可以在家中自行访问。目标 2：我们将与夫妻一起对该项目进行试点研究，以评估技术可行性、参与度、用户满意度和功效。将招募 120 名即将生孩子的 R/NG 夫妇，并随机分配到干预或控制条件下。我们将根据利用率数据衡量家长参与度，并要求家长报告该计划是否被认为具有吸引力、相关性和帮助性。我们将对参与者进行测试前/测试后的电话访谈，以提供对父母调整、共同养育和养育子女的影响大小的估计。我们将对剂量（计划使用）是否可以预测结果以及计划影响是否受到社会人口因素的调节进行探索性分析。