Jane and Terry Semel Institute for Neuroscience and Human Behavior, University of California Los Angeles, 760 Westwood Plaza, Room A8-225, Los Angeles, CA, 90024, USA.
Private Practice, Los Angeles, CA, USA.
Child Psychiatry Hum Dev. 2022 Oct;53(5):964-979. doi: 10.1007/s10578-021-01181-y. Epub 2021 May 7.
Military-connected families face many challenges associated with military life transitions, including deployment separations. We report on a randomized controlled trial to evaluate the efficacy of Families OverComing Under Stress-Early Childhood (FOCUS-EC) delivered through an in-home, virtual telehealth platform. FOCUS-EC is a trauma-informed, family-centered preventive intervention designed to promote family resilience and well-being. Military-connected families with 3- to 6-year-old children (194 mothers; 155 fathers; 199 children) were randomized to FOCUS-EC or an online education condition. Parent psychological health symptoms, child behavior, parenting, and parent-child relationships were examined by parent-report and observed interaction tasks for up to 12 months. Longitudinal regression models indicated that FOCUS-EC families demonstrated significantly greater improvements than online education families in parent-reported and observational measures of child behavior, parenting practices, and parent-child interaction, as well as greater reductions in parent posttraumatic stress symptoms. Findings provide support for the benefit of a virtually-delivered preventive intervention for military-connected families.
军属家庭面临许多与军事生活转型相关的挑战，包括部署分离。我们报告了一项随机对照试验的结果，该试验评估了通过家庭虚拟远程医疗平台提供的 Families Over Coming Under Stress-Early Childhood（FOCUS-EC）的疗效。FOCUS-EC 是一种创伤知情、以家庭为中心的预防干预措施，旨在促进家庭的适应力和幸福感。有 3 至 6 岁儿童的军属家庭（194 位母亲；155 位父亲；199 位儿童）被随机分配到 FOCUS-EC 或在线教育组。通过父母报告和长达 12 个月的观察性互动任务，检查了父母的心理健康症状、儿童行为、育儿和亲子关系。纵向回归模型表明，与在线教育组相比，FOCUS-EC 组在父母报告和观察性儿童行为、育儿实践和亲子互动测量方面的改善更为显著，父母创伤后应激症状的减轻也更为明显。研究结果为军属家庭提供了虚拟交付的预防干预措施的益处提供了支持。
