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1.
Fam Process ; 62(1): 201-215, 2023 03.
Artigo em Inglês | MEDLINE | ID: mdl-35233770

RESUMO

The federal government, through the Administration for Children and Families (ACF), has funded community-based relationship education programs for couples, individuals, and families, with a strong focus on serving economically disadvantaged and racially diverse families. This study evaluated the impact of a 36-hour, workshop-based couple relationship education program that was funded by ACF using a randomized controlled trial (RCT) design and intent-to-treat (ITT) analyses. Participants were 1320 couples who were either expecting a baby or had a baby within the past 3 months, at the time of enrollment. Follow-up surveys were administered 12 months later. Analyses evaluated program impacts on relationship stability, constructive communication, and destructive conflict compared to a no-treatment control group. Analyses showed a statistically significant impact of the program on destructive conflict (d = 0.10) but not on constructive communication (d = 0.06) or stability (dCox  = 0.10). Based on findings from previous evaluations, we also examined whether participants' levels of sociodemographic disadvantage moderated these effects. There was significant moderation by sociodemographic disadvantage on constructive communication and destructive conflict, but not on stability. Effects were observed for those at higher levels of sociodemographic disadvantage.


Assuntos
Comunicação , Motivação , Criança , Humanos , Avaliação de Programas e Projetos de Saúde
2.
J Marriage Fam ; 79(2): 451-461, 2017 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-28392583

RESUMO

This study clarifies within-family and between-family links between marital functioning and child wellbeing. Expanding on existing prospective research, this study tests whether changes in parents' marital functioning are associated with corresponding changes in their children's wellbeing, independent from associations that exist when comparing different families. Participants (N = 1033) were members of married, opposite-sex couples with children who participated in five waves of a larger study of marriage in the U.S. Army. Spouses' constructive communication, verbal conflict, and marital satisfaction each showed between-family associations with parent-reported child internalizing and externalizing problems. In contrast, within-family associations were significant only for parents' communication behaviors. That is, parents who reported lower levels of marital satisfaction also reported lower child wellbeing, whereas change in parents' communication was associated with change in child wellbeing over time. Isolating within-family effects is important for understanding marital and child functioning and for identifying potential targets for effective intervention.

3.
Fam Process ; 54(4): 655-71, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26547902

RESUMO

This paper focuses on issues sparked by the Couples Relationship Education (CRE) field moving toward a more clinical model to meet the needs of an increasing number of distressed couples coming to CRE programs. We review the concerns raised and recommendations made by Bradford, Hawkins, and Acker (2015), most of which push CRE toward a more clinical model. We address these recommendations and make suggestions for best practices that preserve the prevention/education model underlying research-based CRE. The three main issues are couple screening, leader training, and service delivery models. Our suggested best practices include: conducting minimal screening including the assessment of dangerous levels of couple violence, training leaders with key skills to handle issues raised by distressed couples as well as other couples who may place additional burdens on leaders, providing referrals and choices of programs available to participants at intake and throughout the CRE program, and adding (rather than integrating) clinical services to CRE services for couples who desire additional intervention. Finally, throughout the paper, we review other key issues in the CRE field and make recommendations made for future research and practice.


Assuntos
Terapia de Casal , Educação não Profissionalizante/métodos , Características da Família , Relações Interpessoais , Educação não Profissionalizante/organização & administração , Prática Clínica Baseada em Evidências , Relações Familiares , Humanos , Modelos Educacionais , Seleção de Pacientes , Encaminhamento e Consulta , Ensino
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