Study of the Effects of the Becoming Parents Program on Couples Becoming Parents for the First Time
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 940
- 主要终点
- Scores on a marital satisfaction scale at 6 months, 1 , 2 , 3 post-birth
研究概览
简要总结
The primary aim of this study is to test the effectiveness of the Becoming Parents Program--a couple focused educational program for couples having a first child--on individual and couple well being and the parent-infant relationship over the first three years of parenthood.
Other aims of this study are to evaluate the cost of implementing the Becoming Parents Program; to describe changes in individual and couple well-being over time, viewing the transition to parenthood from a developmental perspective using data from the control group; examine the various variables in the study over time from pregnancy through three years post-birth.
详细描述
The transition to parenthood is extremely difficult for both mothers and fathers, yet education and support during this major life transition emphasize getting through labor and birth, rather than preparing couples for the many changes accompanying parenthood. The classes of the Becoming Parents Program provide information and skills for taking care of the couple relationship, taking care of self, interacting with the baby, and the many ways becoming parents changes peoples' lives.
The purpose of this study is to evaluate the effects of the Becoming Parents Program classes on individual well being (measured by symptoms of depression and stress, perceived health, risk behaviors, health practices, health resource utilization), couple well-being (measured by marital satisfaction and stability), and the parent-infant relationship (measured by observation of the mother feeding the baby and the father teaching the baby) over the first three years of parenthood. Information is gathered by paper-and-pencil questionnaires during pregnancy, and at six months, one year, two years, and three years post-birth and by observation of parent-infant interaction at three months post-birth and videotaping and coding of couple interaction at six months post-birth.
Hypotheses are that couples who receive the Becoming Parents Program classes as compared to the couples who do not will:
- have higher levels of marital satisfaction
- have lower levels of depression
- have less symptoms of stress
- have higher levels of marital stability
- communicate more effectively about a problem issue
- have higher levels of health and well-being
- score higher on observational evaluations of parent-infant interaction
- report they are more satisfied with parenting, their partner's involvement in parenting their child, and with who does what in their family
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •married couples
- •expecting the birth of a first child
- •not more than 30 weeks pregnant
排除标准
- •consider their couple relationship in immediate danger or breaking up
结局指标
主要结局
Scores on a marital satisfaction scale at 6 months, 1 , 2 , 3 post-birth
时间窗: 6 mos, 1 yr, 2 yrs, 3 yrs post-birth
次要结局
- Scores on a depression rating scale(6 mos, 1 yr, 2 yrs, 3 yrs post-birth)
- Scores on a symptoms of stress measure(6 mos, 1 yr, 2 yrs, 3 yrs post-birth)
- Whether or not subject couples are still married(6 mos, 1 yr, 2 yrs, 3 yrs post-birth)
- Coding of how effectively couples communicate about a problem issue in their relationship as observed from a videotape of the couples interacting at 6 months post-birth(6 mos post-birth)
- Individual participant ratings of their own health, their partner's health, their baby's health(6 mos, 1 yr, 2 yrs, 3 yrs post-birth)
- Identification of health risk behaviors and health practices(6 mos, 1 yr, 2 yrs, 3 yrs post-birth)
- Health resource utilization(6 mos, 1 yr, 2 yrs, 3 yrs post-birth)