Strong Foundations: Intervening to Promote Co-Parenting and Reduce Father Hazardous Drinking in Expectant Parents

坚实的基础：干预以促进共同育儿并减少准父母父亲的危险饮酒行为

• 批准号: 10615958
• 负责人: Rina D Eiden
• 金额: $ 40.71万
• 依托单位: PENNSYLVANIA STATE UNIVERSITY, THE
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-01 至 2025-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10615958
• 关键词: Abstinence; Address; Alcohol abuse; Alcohol consumption; Alcohols; Behavioral; Birth; Child; Child Development; Child Rearing; Communities; Conflict (Psychology); Couples; Early Intervention; Educational workshop; Environment; Event; Evidence based intervention; Expectancy; Family; Family Process; Fathers; First Pregnancy Trimester; Foundations; Frequencies; Goals; Health; Heavy Drinking; Individual; Individual Adjustment; Infant; Informal Social Control; Institute of Medicine (U.S.); Intervention; Light; Mediating; Mental Depression; Mental Health; Methods; Mothers; Outcome; Parents; Pathway interactions; Personal Satisfaction; Postpartum Period; Pregnancy; Pregnancy Trimesters; Pregnant Women; Prevention strategy; Problem behavior; Process; Randomized; Recommendation; Reporting; Resource Development; Risk; Sampling; Schools; Security; Self Efficacy; Sex Differences; Stress; Testing; United States National Institutes of Health; United States Preventative Services Task Force; Woman; Work; alcohol abstinence; alcohol consumption during pregnancy; alcohol content; alcohol effect; alcohol measurement; alcohol misuse; alcohol prevention; attentional control; binge drinking; brief advice; brief alcohol intervention; brief intervention; critical period; drinking; effective intervention; efficacy evaluation; efficacy trial; evidence base; follow-up; hazardous drinking; improved; infant outcome; innovation; meetings; member; men; multi-component intervention; novel; postnatal; prenatal; prevent; preventive intervention; psychologic; randomized trial; recruit; satisfaction; sex; substance use; trial enrollment; underage drinking; universal prevention

PROJECT SUMMARY/ABSTRACT This is a multi-method, randomized efficacy trial to promote adjustment, co-parenting, and dyadic functioning among expecting couples with heavy drinking fathers and mothers who are light drinking/abstaining during pregnancy. We propose to harness the power of the transition to parenthood as a motivating event providing opportunity for lasting behavioral change. We will examine the efficacy of an innovative prevention strategy (mFF+) that adapts and integrates two evidence-based interventions: 1) Family Foundations (FF) - a universal intervention that has demonstrated meaningful, broad, and durable impacts in universal samples on parent mental health, parenting quality, and couple relations, as well as infant outcomes in multiple trials and 2) brief alcohol intervention (BI) for heavy drinking fathers. This modified intervention (mFF+) is a multi-modal intervention that incorporates alcohol-related content into existing modules of FF and adds a brief intervention for heavy drinking. Expecting couples (n = 180 couples) will be recruited during the first trimester of their pregnancy and randomized into either the mFF+ or control condition. The control condition (CC) will consist of brief advice regarding alcohol use (individualized) and group workshops on community resources and child development taken from Healthy Families intervention, thereby matching the context and delivery of mFF+ and controlling for attention. Existing FF modules will be modified to include alcohol content with discussions around alcohol effects on co-parenting and couple relationship. The adapted mFF+ sessions will be administered in a group format with 5 prenatal classes and 4 postnatal classes. The BI component will be delivered in the original individualized format across three meetings: after the baseline assessment, after the first FF group prenatal session, and approximately 1 month after birth. Our major goal is to examine the efficacy of this modified intervention, mFF+, in reducing fathers' drinking and couple conflict while promoting co-parenting quality, parental sensitivity, and child outcomes among families with heavy drinking fathers. There are two major aims: 1) to conduct a RCT of mFF+ with 180 couples (90 in each condition) with heavy drinking men and light drinking/abstaining women recruited in the first trimester of pregnancy. Parent reports and observational assessments of family functioning will be conducted at baseline (pretest), 6 months postpartum (posttest), and 12 months postpartum (follow-up); 2) to examine whether these impacts on drinking, co- parenting, adjustment, and couple dyadic functioning mediate the impact of mFF+ on parenting, and infant outcomes. This application will advance two major initiatives of the National Institutes of Health: effective intervention for problem alcohol use and prevention of children beginning and continuing to drink alcohol.

项目摘要/摘要 这是一项多方法，随机疗效试验，可促进调整，育儿和二元功能 在期望有沉重饮酒的夫妇和母亲的夫妻中，他们在 怀孕。我们建议利用过渡到育儿的力量作为一个激励事件提供 持久行为改变的机会。我们将研究创新预防策略的功效 （MFF+）适应和整合两种基于证据的干预措施：1）家庭基础（FF） - 通用 在普遍样本中表现出有意义，广泛且持久的影响对父母的干预措施 心理健康，育儿质量和夫妻关系，以及多次试验中的婴儿结果，2）简短 饮酒（BI）重饮饮酒者。这种修改的干预措施（MFF+）是多模式 干预措施将与酒精相关的内容纳入现有的FF模块，并添加了简短的干预措施 大量饮酒。期望夫妻（n = 180对夫妇）将在他们的前三个月招募 怀孕并随机分为MFF+或对照条件。控制条件（CC）将包括 关于饮酒（个性化）和小组研讨会的简短建议，有关社区资源和儿童 从健康的家庭干预中采取的发展，从而匹配MFF+的上下文和交付 控制注意力。现有的FF模块将被修改以包括酒精含量和讨论 围绕酒精对共同父母和夫妇关系的影响。适应的MFF+会议将是 以5个产前类别和4个产后类别的组格式管理。 BI组件将是 在三个会议上以原始的个性化格式交付：基线评估后，之后 第一个FF小组产前会议，大约出生后1个月。我们的主要目标是检查 这种修改的干预措施的功效MFF+在减少父亲的饮酒和夫妇冲突时的功效 饮酒父亲的家庭中，共同育儿的质量，父母的敏感性和儿童成果。那里 是两个主要目的：1）用180对夫妇（每种情况下有90对MFF+）用大量饮酒进行RCT 男性和轻便的饮酒/戒除妇女在怀孕的第一月份招募。父母报告和 家庭功能的观察评估将在基线（预测），产后6个月进行 （后测）和产后12个月（随访）； 2）检查这些对饮酒的影响是否 育儿，调整和夫妇二元功能介导MFF+对育儿的影响，而婴儿的影响 结果。该申请将推进美国国立卫生研究院的两项主要举措：有效 干预饮酒和预防儿童开始并继续喝酒的干预措施。