为低收入夫妻开展的基于网络的关系教育中优化辅导：精准医学研究方案
Optimizing Coaching During Web-Based Relationship Education for Low-Income Couples: Protocol for Precision Medicine Research.
作者信息
Hatch S Gabe, Lobaina Diana, Doss Brian D
机构信息
Department of Psychology, University of Miami, Coral Gables, FL, United States.
出版信息
JMIR Res Protoc. 2021 Nov 4;10(11):e33047. doi: 10.2196/33047.
BACKGROUND
In-person relationship education classes funded by the federal government tend to experience relatively high attrition rates and have only a limited effect on relationships. In contrast, low-income couples tend to report meaningful gains from web-based relationship education when provided with individualized coach contact. However, little is known about the method and intensity of practitioner contact that a couple requires to complete the web-based program and receive the intended benefit.
OBJECTIVE
The aim of this study is to use within-group models to create an algorithm to assign future couples to different programs and levels of coach contact, identify the most powerful predictors of treatment adherence and gains in relationship satisfaction within 3 different levels of coaching, and examine the most powerful predictors of treatment adherence and gains in relationship satisfaction among the 3 levels of coach contact.
METHODS
To accomplish these goals, this project intends to use data from a web-based Sequential Multiple Assignment Randomized Trial of the OurRelationship and web-based Prevention and Relationship Enhancement programs, in which the method and type of coach contact were randomly varied across 1248 couples (2496 individuals), with the hope of advancing theory in this area and generating accurate predictions. This study was funded by the US Department of Health and Human Services, Administration for Children and Families (grant number 90PD0309).
RESULTS
Data collection from the Sequential Multiple Assignment Randomized Trial of the OurRelationship and web-based Prevention and Relationship Enhancement Program was completed in October of 2020.
CONCLUSIONS
Some of the direct benefits of this study include benefits to social services program administrators, tailoring of more effective relationship education, and effective delivery of evidence- and web-based relationship health interventions.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/33047.
背景
由联邦政府资助的面对面关系教育课程往往流失率相对较高，对人际关系的影响也较为有限。相比之下，低收入夫妇在获得个性化教练联系时，往往会报告从网络关系教育中获得了有意义的收获。然而，对于夫妇完成网络课程并获得预期益处所需的从业者联系方法和强度，我们知之甚少。
目的
本研究的目的是使用组内模型创建一种算法，为未来的夫妇分配不同的课程和教练联系级别，确定在3种不同教练级别中治疗依从性和关系满意度提升的最有力预测因素，并检查3种教练联系级别中治疗依从性和关系满意度提升的最有力预测因素。
方法
为实现这些目标，本项目打算使用来自基于网络的OurRelationship顺序多重分配随机试验以及基于网络的预防和关系增强计划的数据，其中教练联系的方法和类型在1248对夫妇（2496人）中随机变化，希望能推进该领域的理论并做出准确预测。本研究由美国卫生与公众服务部儿童与家庭管理局资助（拨款号90PD0309）。
结果
OurRelationship顺序多重分配随机试验以及基于网络的预防和关系增强计划的数据收集于2020年10月完成。
结论
本研究的一些直接益处包括对社会服务项目管理人员的益处、定制更有效的关系教育以及有效提供基于证据和网络的关系健康干预措施。
国际注册报告识别码（IRRID）：DERR1-10.2196/33047
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