Helpful and harmful expectations of premarital interventions.

Despite the demonstrated effectiveness of premarital programs, estimates indicate that only 30% of couples use these services. This study examined the helpful and harmful aspects of premarital programs that may encourage or discourage participation. As expected, participants identified improved communication and problem solving skills as most beneficial. Disclosing secrets or past relationship issues that threaten the stability of the relationship was viewed as most harmful. Implications for the recruitment of couples and for the design and implementation of premarital programs are discussed.