Dyadic, Skills-Based Primary Prevention for Partner Violence in Perinatal Parents
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 入组人数
- 706
- 试验地点
- 1
- 主要终点
- Conflict Tactics Scale Change from Assessment 1 to Assessment 3
研究概览
简要总结
Couple CARE for Parents is a couple-focused intervention that addresses interpersonal processes within relationships and promotes relationship and parenting skills among couples with a newborn. Couple CARE for Parents uses an approach developed in Australia that was designed to be fairly easy and cost-effective to disseminate widely (i.e., home-visitation and video- and telephone-assisted skills training). It has demonstrated efficacy for significantly enhancing couples' relationship satisfaction in three Australian randomized trials.
Arresting the normal decline of satisfaction of new parents to near-clinical levels is noteworthy because relationship dissatisfaction is one of the strongest predictors of partner physical assault. Managing relationship conflict is critical to the health and well-being of both parents and their children. Given the high prevalence of partner physical and emotional aggression (a precursor to the more serious form labeled "intimate partner violence" [IPV]) in new parents) among perinatal parents, the need for efficacious prevention services is acute.
This randomized, controlled trial will test if couples with a newborn who receive Couple CARE for Parents report significantly less IPV than control couples who do not receive the program. This is a prevention trial. No couple will report ever having experienced IPV. All couples will have three empirically documented risk factors for the development of IPV: youth (each couple will have at least one partner under 30 years of age), parenting a newborn, and psychological aggression in the past year.
The project has the following aims: (1) Determine the outcomes of Couple CARE for Parents. The investigators hypothesize that, among other positive outcomes, couples who receive Couple CARE for Parents, compared with those who do not, will report at follow-up (a) less IPV; and (b) less partner physical and emotional aggression. (2) Identify factors that may contribute to reduction in IPV and in physical and emotional aggression (e.g., communication skills, conflict behaviors, parenting expectations, , quality of adult attachment, partner attributions, child abuse potential, family income, marital status, parenting stress, infant difficultness).
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
- None
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
- •Couples are the unit of inclusion. Thus, individuals must be in a relationship. The following criteria are at the couple level.
- •must be living together
- •must have at least one member aged 30 years or younger
- •must have a baby less than 3 months of age at the time of enrollment
- •must have at least one member who, based on self- or partner-report, has been verbally or psychologically aggressive in the previous six months
- •have two partners able to complete assessments in English
- •have never engaged in intimate partner violence, by both partners' reports
排除标准
- •Any of the above not met.
- •One member less than 18 years old.
研究组 & 干预措施
Couple CARE for Parents
Couple CARE for Parents is a couple-focused intervention that addresses interpersonal processes within relationships and promotes healthy relationship and parenting skills among couples with a newborn. Couple CARE for Parents uses a highly disseminable model (i.e., home-visitation and video- and telephone-assisted skills training) developed in Australia.
干预措施: Couple CARE for Parents (Behavioral)
Wait-list control
The control group will be wait-listed until after the 24-month assessment, at which point they are eligible to receive Couple CARE for Parents (tailored for their children's ages).
干预措施: Couple CARE for Parents (Behavioral)
结局指标
主要结局
Conflict Tactics Scale Change from Assessment 1 to Assessment 3
时间窗: Assessment 1 (0-3 months); Assessment 3 (15 months)
The CTS2 is a 78-item inventory that assesses the frequency (on 0 - 6 scales labeled from "never" to "more than 20 times") of perpetration of and victimization by partner conflict behaviors in the past 6 months.
Conflict Tactics Scale Change from Assessment 1 to Assessment 4
时间窗: Assessment 1 (0-3 months); Assessment 4 (24 months)
The CTS2 is a 78-item inventory that assesses the frequency (on 0 - 6 scales labeled from "never" to "more than 20 times") of perpetration of and victimization by partner conflict behaviors in the past 12 months.
Conflict Tactics Scale Change from Assessment 1 to Assessment 2
时间窗: Assessment 1 (0-3 months); Assessment 2 (8 months)
The CTS2 is a 78-item inventory that assesses the frequency (on 0 - 6 scales labeled from "never" to "more than 20 times") of perpetration of and victimization by partner conflict behaviors in the past 6 months.
次要结局
- Couples Satisfaction Index Change from Assessment 1 to Assessment 4(Assessment 1 (0-3 months); Assessment 4 (24 months))
- Couples Satisfaction Index Change from Assessment 1 to Assessment 2(Assessment 1 (0-3 months), Assessment 2 (8 months))
- Infant Difficultness Questionnaire Change from Assessment 1 to Assessment 4(Assessment 1 (0-3 months); Assessment 4 (24 months))
- Child Abuse Potential Inventory Change from Assessment 1 to Assessment 4(Assessment 1 (0-3 months); Assessment 4 (24 months))
- Infant Difficultness Questionnaire Change from Assessment 1 to Assessment 3(Assessment 1 (0-3 months); Assessment 3 (15 months))
- Child Abuse Potential Inventory Change from Assessment 1 to Assessment 2(Assessment 1 (0-3 months); Assessment 2 (8 months))
- Infant Difficultness Questionnaire Change from Assessment 1 to Assessment 2(Assessment 1 (0-3 months), Assessment 2 (8 months))
- Child Abuse Potential Inventory Change from Assessment 1 to Assessment 3(Assessment 1 (0-3 months); Assessment 3 (15 months))
- Couples Satisfaction Index Change from Assessment 1 to Assessment 3(Assessment 1 (0-3 months); Assessment 3 (15 months))