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.

与军队有联系的家庭面临着许多与军队生活过渡相关的挑战，包括部署分离。我们报告了一项随机对照试验，以评估通过家庭虚拟远程医疗平台提供的家庭克服压力早期儿童 (FOCUS-EC) 的功效。FOCUS-EC 是一种创伤知情、以家庭为中心的预防性干预措施，旨在促进家庭复原力和幸福感。有 3 至 6 岁儿童（194 名母亲；155 名父亲；199 名儿童）的军人家庭被随机分配到 FOCUS-EC 或在线教育条件。通过父母报告检查父母心理健康症状、儿童行为、养育子女和亲子关系，并观察长达 12 个月的互动任务。纵向回归模型表明，与在线教育家庭相比，FOCUS-EC 家庭在儿童行为、育儿实践和亲子互动的家长报告和观察措施方面表现出明显更大的改善，以及家长创伤后应激症状的更大减少。调查结果为与军事有联系的家庭提供虚拟预防干预的好处提供了支持。