循序渐进——一项促进初为人父和初为人母者幸福感的在线计划：一项研究方案。

Baby Steps - An Online Program Promoting the Well-Being of New Mothers and Fathers: A Study Protocol.

作者信息

Hamilton Kyra, Kavanagh David, Connolly Jennifer, Davis Leigh, Fisher Jane, Halford Kim, Hides Leanne, Milgrom Jeannette, Rowe Heather, Sanders Davina, Scuffham Paul A, Tjondronegoro Dian, Walsh Anne, White Katherine M, Wittkowski Anja

机构信息

Menzies Health Institute Queensland, Griffith University, Brisbane, Australia.

出版信息

JMIR Res Protoc. 2016 Jul 1;5(3):e140. doi: 10.2196/resprot.5706.

DOI:10.2196/resprot.5706

PMID:27370711

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4963015/

Abstract

BACKGROUND

Parental well-being can be seriously impacted during the challenging perinatal period. Most research and support services focus on perinatal psychopathology, leaving a need for programs that recognize and enhance the strengths and well-being of parents. Furthermore, fathers have received minimal attention and support relative to mothers, despite experiencing perinatal distress. New parents have limited time and energy to invest in program attendance, and web-based programs provide an ideal platform for delivering perinatal well-being programs. Such programs are globally accessible, available at any time, and can be accessed anywhere with an Internet connection.

OBJECTIVE

This paper describes the protocol of a randomized controlled trial investigating the effects on first-time parents' perinatal well-being, comparing two versions of the online program Baby Steps.

METHODS

The clinical trial will randomize 240 primiparous mother-father couples to either (1) Babycare, an online information-only program providing tips on selected childcare issues, or (2) Well-being, an online interactive program including all content from the Babycare program, plus parental well-being-focused content with tools for goal-setting and problem solving. Both programs will be supported by short message service (SMS) texts at two, four, seven, and ten weeks to encourage continued use of the program. Primary outcomes will be measures of perinatal distress and quality of life. Secondary outcomes will be couple relationship satisfaction, parent self-efficacy, and social support. Cost-effectiveness will also be measured for each Baby Steps program.

RESULTS

Participant recruitment commenced March, 2015 and continued until October, 2015. Follow-up data collection has commenced and will be completed May, 2016 with results expected in July, 2016.

CONCLUSIONS

Perinatal distress has substantial impacts on parents and their infants, with potential to affect later childhood adjustment, relationships, and development. This study aims to test the impact of a highly accessible online program to support parental coping, and maximize the well-being of both parents. By including fathers in the program, Baby Steps has the potential to engage and support this often neglected group who can make a substantial contribution to familial well-being.

CLINICALTRIAL

Australian & New Zealand Clinical Trials Registry: ANZCTR12614001256662; https://www.anzctr.org.au/ Trial/Registration/TrialReview.aspx?id=367277 (Archived by WebCite at http://www.webcitation.org/6ibUsjFIL).

摘要

背景

在充满挑战的围产期，父母的幸福感可能会受到严重影响。大多数研究和支持服务都集中在围产期精神病理学方面，因此需要一些能够认识并增强父母优势和幸福感的项目。此外，尽管父亲在围产期也会感到困扰，但相对于母亲而言，他们得到的关注和支持却很少。初为父母者投入项目参与的时间和精力有限，而基于网络的项目为提供围产期幸福感项目提供了一个理想平台。此类项目全球均可访问，随时可用，只要有网络连接，在任何地方都能访问。

目的

本文描述了一项随机对照试验的方案，该试验旨在研究在线项目“步步为营”的两个版本对初为父母者围产期幸福感的影响，并进行比较。

方法

该临床试验将把240对初产父母随机分为两组：（1）“育儿护理”组，这是一个仅提供在线信息的项目，提供有关选定育儿问题的小贴士；（2）“幸福感提升”组，这是一个在线互动项目，包括“育儿护理”项目的所有内容，以及以父母幸福感为重点的内容，还有目标设定和问题解决工具。两个项目在第2、4、7和10周都会通过短信提供支持，以鼓励持续使用该项目。主要结果将是围产期困扰和生活质量的测量指标。次要结果将是夫妻关系满意度、父母自我效能感和社会支持。还将对每个“步步为营”项目的成本效益进行评估。