The Efficacy of Digital Help for Divorced Danes: Randomized Controlled Trial of Cooperation After Divorce (CAD) and Sick Days

IF 1 Q3 PSYCHOLOGY, CLINICAL CONTEMPORARY FAMILY THERAPY Pub Date : 2024-02-17 DOI:10.1007/s10591-023-09692-7

Søren Sander, Jenna Marie Strizzi, Ana Cipric, Camilla Stine Øverup, Gert Martin Hald

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Abstract

Few digital divorce interventions have undergone rigorous randomized control trial study (RCT) testing of their physical and psychological health effects. This paper describes the Cooperation after Divorce (CAD) intervention including background, target group, design and engagement strategies, intervention development, content, and theoretical cornerstones. The 17-module digital psychoeducational intervention addresses three main content areas: (1) the divorcee themselves, (2) the children, and (3) co-parenting. The content of the modules provided psychoeducation and therapeutic activities focused on the maladaptive interactional patterns between former partners and how to develop new interactional schemas, including a focus on when and how to communicate with the former partner in a way that does not escalate conflict. A randomized controlled trial (N = 778) assessed the effect of CAD in terms of number of sick days. Participants were assessed at 3-, 6- and 12-month post-divorce. Independent samples t test revealed that participants in the intervention group on average reported 5.82 fewer sick days one year post-divorce than did participants in the control condition. The results suggest that digital post-divorce interventions decrease sick days for newly divorce individuals, thereby offering long-term human, family, and public health benefits.

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为离婚丹麦人提供数字帮助的有效性：离婚后合作（CAD）和病假的随机对照试验

很少有数字离婚干预措施经过严格的随机对照试验研究（RCT）来检验其对身心健康的影响。本文介绍了离婚后合作（CAD）干预措施，包括背景、目标群体、设计和参与策略、干预措施的开发、内容和理论基础。17 个模块的数字心理教育干预涉及三个主要内容领域：（1）离婚者本人；（2）子女；（3）共同养育。这些模块的内容提供了心理教育和治疗活动，重点是前伴侣之间不适应的互动模式以及如何发展新的互动模式，包括重点关注何时以及如何以一种不会使冲突升级的方式与前伴侣沟通。一项随机对照试验（N = 778）从病假天数的角度评估了 CAD 的效果。参与者在离婚后 3 个月、6 个月和 12 个月接受评估。独立样本 t 检验显示，干预组的参与者在离婚后一年的病假天数平均比对照组的参与者少 5.82 天。结果表明，离婚后数字干预措施可减少新离婚者的病假，从而为人类、家庭和公共健康带来长期益处。

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来源期刊

CONTEMPORARY FAMILY THERAPY PSYCHOLOGY, CLINICAL-

CiteScore

2.50

自引率

7.70%

发文量

期刊介绍： Contemporary Family Therapy: An International Journal (COFT) is is a quarterly, peer-reviewed publication that presents the latest developments in research, practice, theory, and training in couple and family therapy. COFT publishes applied and basic research with implications for systemic theory, treatment, and policy. COFT appreciates a multidisciplinary approach, and welcomes manuscripts which address processes and outcomes in systemic treatment across modalities and within broader social contexts. The journal’s content is relevant to systemic therapy practitioners and researchers, as well as marriage and family therapists, family psychologists, clinical social workers, and social policy specialists.