Cooperation after Divorce: An RCT Study of the Effects of a Digital Intervention Platform on Self-Perceived Stress

IF 3.6 1区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY

Psychosocial Intervention Pub Date : 2020-03-03 DOI:10.5093/pi2020a7

Ana Ciprić, J. Strizzi, C. Øverup, T. Lange, A. Štulhofer, Søren Sander, Simone Gad-Kjeld, G. Hald

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引用次数: 5

Abstract

espanolRESUMEN El divorcio se ha considerado como uno de los eventos estresantes de la vida mas persistentes y se ha asociado repetidamente con altos niveles de estres y el deterioro de la salud mental y fisica. Este estudio evalua la eficacia de la intervencion online Cooperacion Despues del Divorcio (CAD) en el estres percibido inmediatamente despues de su ocurrencia. El diseno del estudio fue un ensayo controlado aleatorio longitudinal de un ano que incluyo un grupo de intervencion (n = 1,031) y otro de control sin tratamiento (n = 825) con cuatro evaluaciones del nivel de estres percibido (linea base y 3, 6 y 12 meses despues del divorcio). La intervencion CAD consiste en una plataforma online de 17 modulos disenada para apoyar a los divorciados y sus hijos despues del divorcio. Los analisis de datos consistieron en modelos lineales de efectos mixtos y comparacion de medias. El estudio encontro que la intervencion acelero significativamente la reduccion del estres percibido entre los adultos recientemente divorciados en comparacion con el grupo control. Ademas, despues de un ano, el nivel de estres en el grupo de intervencion se redujo al nivel de estres nacional normativo, mientras que el nivel de estres promedio en el grupo control permanecio sustancialmente mas alto. Los resultados sugieren que las intervenciones online pueden ofrecer ventajas para la salud publica a largo plazo para reducir el estres entre las personas recien divorciadas y pueden tener implicaciones para los servicios que se prestan a las personas que se encuentran en un proceso de divorcio. EnglishABSTRACT Divorce has long been considered one of the most pervading stressful life events and has consistently been associated with high stress levels and subsequent poorer mental- and physical health. This study evaluates the effectiveness of the Cooperation after Divorce (CAD) online intervention on perceived stress immediately following divorce. The study's design was a one-year longitudinal randomized controlled trial including an intervention group (n = 1,031) and a no-treatment control group (n = 825) with four assessments of perceived stress levels (at baseline and 3, 6 and 12-months post-divorce). The CAD intervention consists of a 17-module online platform designed to support divorcees and their children post-divorce. Data analyses consisted of linear mixed effect modeling and means comparisons. The study found that the intervention significantly accelerated the reduction of perceived stress among recently divorced adults when compared with controls. Further, after one year, stress levels in the intervention group were reduced to normed national stress levels while the mean stress level in the control group remained substantially higher. The results suggest that online interventions may offer long-term public health benefits in reducing stress among newly divorced individuals and speak to potential implications related to the services provided for people undergoing divorce.

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离婚后的合作：数字干预平台对自我感知压力影响的随机对照研究

离婚被认为是生活中最持久的压力事件之一，并多次与高水平的压力和身心健康的恶化联系在一起。这项研究评估了离婚后在线合作干预(CAD)对离婚后立即感知到的压力的有效性。该研究设计为一项为期一年的纵向随机对照试验，包括干预组(n = 1031)和非治疗对照组(n = 825)，对感知压力水平进行四次评估(基线和离婚后3个月、6个月和12个月)。CAD干预是一个由17个模块组成的在线平台，旨在支持离婚和离婚后的孩子。本研究的目的是评估一项随机对照试验(rct)，该试验评估了一项随机对照试验(rct)，该试验评估了一项随机对照试验(rct)。研究发现，与对照组相比，干预显著加速了最近离婚成年人感知到的压力的减少。此外，一年后，干预组的压力水平降低到规范的国家压力水平，而对照组的平均压力水平仍然显著较高。结果表明，在线干预可以提供长期的公共健康益处，以减少最近离婚的人的压力，并可能对向处于离婚过程中的人提供的服务产生影响。英国传统离婚一直被认为是生活中压力最大的事件之一，一直与高压力水平和随之而来的精神和身体健康不良有关。本研究评估离婚后合作(CAD)在线干预对离婚后即时感知压力的有效性。该研究设计为一项为期一年的纵向随机对照试验，包括一个干预组(n = 1,031)和一个不治疗对照组(n = 825)，对感知到的压力水平进行四次评估(基线和离婚后3个月、6个月和12个月)。发展援助委员会的干预包括一个17模块的在线平台，旨在支持离婚及其离婚后的子女。数据分析包括线性混合效应建模和均值比较。研究发现，与对照组相比，这种干预显著加速了最近离婚的成年人感知到的压力的减少。此外，一年后，干预组的压力水平降低到正常的国家压力水平，而对照组的平均压力水平则大大提高。调查结果表明，网上干预措施可在减轻新离婚者的压力方面提供长期的公共卫生效益，并说明了向离婚者提供的服务可能产生的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychosocial Intervention PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

8.00

自引率

8.30%

发文量

审稿时长

14 weeks

期刊介绍： Psychosocial Intervention is a peer-reviewed journal that publishes papers in all areas relevant to psychosocial intervention at the individual, family, social networks, organization, community, and population levels. The Journal emphasizes an evidence-based perspective and welcomes papers reporting original basic and applied research, program evaluation, and intervention results. The journal will also feature integrative reviews, and specialized papers on theoretical advances and methodological issues. Psychosocial Intervention is committed to advance knowledge, and to provide scientific evidence informing psychosocial interventions tackling social and community problems, and promoting social welfare and quality of life. Psychosocial Intervention welcomes contributions from all areas of psychology and allied disciplines, such as sociology, social work, social epidemiology, and public health. Psychosocial Intervention aims to be international in scope, and will publish papers both in Spanish and English.