Department of Psychology, Arizona State University, Tempe, AZ, USA.
REACH Institute, Arizona State University, P.O. Box 876005, Tempe, AZ, 85287-6005, USA.
Prev Sci. 2018 Jul;19(5):674-684. doi: 10.1007/s11121-017-0791-3.
The public health impact of evidence-based, preventive parenting interventions has been severely constrained by low rates of participation when interventions are delivered under natural conditions. It is critical that prevention scientists develop effective and feasible parent engagement methods. This study tested video-based methods for engaging parents into an evidence-based program for divorcing parents. Three alternative versions of a video were created to test the incremental effectiveness of different theory-based engagement strategies based on social influence and health behavior models. A randomized controlled trial was conducted to compare the three experimental videos versus two control conditions, an information-only brochure and an information-only video. Participants were attendees at brief, court-mandated parent information programs (PIPs) for divorcing or never married, litigating parents. Of the 1123 eligible parents, 61% were female and 13% were never married to the child's other parent. Randomization to one of five conditions was conducted at the PIP class level, blocking on facilitator. All participants completed a 15-item, empirically validated risk index and an invitation form. Results of regression analyses indicated that the most streamlined version, the core principles video, significantly increased parents' interest in participating in the parenting intervention, enrollment during a follow-up call, and initiation (i.e., attending at least one session) compared to one or the other control conditions. Findings suggest that videos based on social influence and health behavior theories could provide an effective and feasible method for increasing parent engagement, which would help maximize the public health benefits of evidence-based parenting interventions.
基于证据的预防性育儿干预措施对公众健康的影响受到很大限制，因为在自然条件下实施干预措施时，参与率很低。预防科学家必须开发出有效且可行的家长参与方法。本研究测试了基于视频的方法，以将父母纳入基于证据的离婚父母计划。为了测试基于社会影响和健康行为模型的不同理论基础的参与策略的增量有效性，创建了三个替代的视频版本。进行了一项随机对照试验，将三个实验视频与两种对照条件（仅信息小册子和仅信息视频）进行比较。参与者是参加简短的、法庭强制的离婚或未婚父母信息课程（PIP）的人。在 1123 名符合条件的父母中，61%是女性，13%与孩子的另一位父母没有结婚。在 PIP 课程层面上，按照协调员进行随机分组，在每个课程中都有一个干预组和一个对照组。所有参与者都完成了 15 项经过实证验证的风险指数和邀请表。回归分析的结果表明，与一种或另一种对照条件相比，最精简的版本，即核心原则视频，显著增加了父母对参与育儿干预的兴趣、在后续电话中的注册和开始（即至少参加一次会议）。研究结果表明，基于社会影响和健康行为理论的视频可能是一种有效且可行的方法，可以提高家长的参与度，从而最大限度地提高基于证据的育儿干预措施的公共卫生效益。
