Randomized Control Trial of the Co-Parenting for Resilience Program

共同养育韧性计划的随机对照试验

• 批准号: 10730996
• 负责人: Ronald Blake Cox
• 金额: $ 44.33万
• 依托单位: OKLAHOMA STATE UNIVERSITY STILLWATER
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-18 至 2026-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10730996
• 关键词: 10 year old; Academic Research Enhancement Awards; Address; Age; Alcohols; Attention; Behavioral; Bibliotherapy; Books; COVID-19; Child; Child Rearing; Cognition; Collaborations; Competence; Conflict (Psychology); Control Groups; County; Coupled; Couples; Data; Diagnosis; Disease remission; Divorce; Education; Educational process of instructing; Educational workshop; Effectiveness; Emotional; Emotions; Ethnic Origin; Exposure to; Family; Family Research; Family psychotherapy; Foundations; Gender; General Population; Hour; Individual; Institution; Instruction; Intervention; Knowledge; Marriage and Family; Mediating; Mediation; Mental Depression; Mental Health; Mental disorders; Methodology; Oklahoma; Outcome; Parents; Participant; Performance; Persons; Pharmaceutical Preparations; Phase; Pilot Projects; Placebo Control; Prevention; Process; Program Development; Program Evaluation; Proliferating; Public Health; Quasi-experiment; Randomized; Randomized, Controlled Trials; Reading; Reporting; Research; Research Project Grants; Rural Population; Sampling; School Drop-Outs; Science; Sex Behavior; Stress; Student Dropouts; Subgroup; System; Testing; Therapeutic; antisocial behavior; arm; behavior change; behavioral health; brief prevention intervention; coping; cost; court; deep learning; design; emotional distress; experience; field theory; follow-up; graduate student; improved; innovation; insight; motivational enhancement therapy; negative affect; online delivery; online version; peer; physical conditioning; programs; psychoeducation; psychoeducational; psychoeducational intervention; resilience; response; rural underserved; social; substance use; theories; undergraduate student

Project Summary Parental divorce can negatively affect children in ways that are often severe and long lasting. Approximately 25% of the children of divorcing parents have major long-term mental and behavioral health problems compared to approximately only 10% of children in the general population. Even among those who ultimately adjust well, many will experience considerable emotional distress which can lead to maladaptive coping and negative outcomes such as antisocial behavior, depression, school dropout, substance use and precocious sexual activity. In response to the effects of divorce on children, brief prevention interventions focused on teaching parents how to ameliorate the impact of divorce on their children have gained widespread acceptance by court systems across the nation, and online versions of the same have proliferated during COVID-19. However, recent systematic and metanalytic reviews reporting on the efficacy of divorce education programs, while showing promising results, generally lack the methodological rigor to form the strong empirical foundation needed to advance the field in both theory and practice. To address these weaknesses, the current project tests Co-Parenting for Resilience (CPR), a divorce education program that draws on theories from the field of Marriage and Family Therapy and Prevention Science to incorporate empirically-supported therapeutic strategies into a 4-hour psychoeducational workshop. Building upon our previously successful trial using a non- equivalent control group, the proposed study uses a 3-arm (CPR in-person, CPR online, and bibliotherapy attention placebo control) randomized controlled trial with an intent to treat design. The study collects a sample of 300 parents who have recently filed for divorce to accomplish the following three aims: 1) Determine the relative efficacy of the online and in-person versions of CPR to improve child post-divorce adjustment compared to each other and to a bibliotherapy control group at 3- and 12-month follow-ups; 2) Test paths from the online and in-person versions of CPR to child adjustment via parenting competencies; and 3) Identify moderators of the effectiveness of in-person and online formats of CPR such as parent gender, ethnicity, and level and type of conflict between divorcing partners. If accomplished, these aims will provide insight into whether: (a) remitting couples to a divorce education class is more effective than simply reading a book on divorce, (b) in-person or online delivery formats are more beneficial in helping parents overcome the parenting challenges of divorce, and (c) there are subgroups for whom divorce education is more or less effective.

项目概要 父母离婚会对孩子产生严重且持久的负面影响。大约 25% 离婚父母的孩子存在严重的长期心理和行为健康问题 相比之下，总人口中大约只有 10% 的儿童。即使在那些最终 如果调整得好，许多人会经历相当大的情绪困扰，这可能导致适应不良的应对和 负面结果，如反社会行为、抑郁、辍学、药物滥用和早熟 性活动。针对离婚对儿童的影响，简短的预防干预措施侧重于 教导父母如何减轻离婚对孩子的影响已获得广泛接受 全国各地的法院系统均提供此类信息，并且此类信息的在线版本在新冠肺炎 (COVID-19) 疫情期间激增。 然而，最近关于离婚教育计划有效性的系统和荟萃分析评论， 虽然显示出有希望的结果，但普遍缺乏形成强有力的实证基础的方法论严谨性 需要在理论和实践上推进该领域。为了解决这些弱点，当前的项目 测试“共同养育韧性”（CPR），这是一项离婚教育计划，借鉴了离婚领域的理论 婚姻和家庭治疗和预防科学纳入经验支持的治疗 4小时的心理教育研讨会中的策略。基于我们之前使用非 同等对照组，拟议的研究使用 3 组（亲自心肺复苏、在线心肺复苏和阅读疗法） 注意安慰剂对照）旨在治疗设计的随机对照试验。研究收集样本 调查最近申请离婚的 300 名父母，以实现以下三个目标： 1) 确定 在线和现场心肺复苏对改善离婚后儿童适应的相对功效 在 3 个月和 12 个月的随访中相互比较以及与阅读疗法对照组进行比较； 2) 测试路径来自 通过养育能力对儿童进行心肺复苏的在线和面对面版本； 3) 识别 现场和在线心肺复苏有效性的调节因素，例如父母性别、种族和 离婚伴侣之间冲突的程度和类型。如果实现的话，这些目标将提供深入了解 是否：(a) 让夫妻参加离婚教育课程比简单地阅读有关离婚的书更有效 离婚，(b) 面对面或在线交付形式更有利于帮助父母克服养育问题 离婚的挑战，以及 (c) 对于某些亚群体来说，离婚教育或多或少有效。