Strengthening Relationship Education and Marriage Services - Impact Evaluation of MotherWise Program
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 953
- 试验地点
- 1
- 主要终点
- Child social-emotional and behavioral problems
研究概览
简要总结
Mathematica was awarded a contract by ACF to conduct the evaluation of selected grantees offering Healthy Marriage and Relationship Education Programs.This particular evaluation will focus on the University of Denver's MotherWise program, which offers relationship education and other supports to low-income women expecting a baby. The program has three core components: (1) 18 hours of core workshop sessions using the Within My Reach relationship education curriculum supplemented with content on mother-infant relationships; (2) case management services; and (3) optional relationship education workshops for couples. The evaluation will test the effect of this full package of services on mothers' relationship outcomes, as well as other outcomes related to child well-being, such as co-parenting and father involvement.
详细描述
The U.S. Department of Health and Human Services (HHS), Administration for Children and Families (ACF), is conducting an evaluation of healthy marriage and relationship education (HMRE) programs. Mathematica was awarded a contract by ACF to conduct the evaluation of selected programs/grantees.This segment of the larger evaluation will focus on the University of Denver's MotherWise program.
The Mother Wise program will offer relationship education and other supports to low-income women expecting a baby. The program will have three core components: (1) 18 hours of core workshop sessions using the Within My Reach relationship education curriculum supplemented with content on mother-infant relationships; (2) case management services; and (3) optional relationship education workshops for couples. The evaluation will test the effect of this full package of services on mothers' relationship outcomes, as well as other outcomes related to child well-being, such as co-parenting and father involvement. If feasible, the evaluation will also examine some measures available through hospital records, such as birth weight.
Mother Wise will enroll women who are expecting a baby and those who have had a baby within the past month.
Control group members will not be eligible for Mother Wise but will be eligible for other services available in the community.
To document the outcomes of study participants, survey data will be collected at two time points: (1) a baseline survey administered at study enrollment, a (2) a 12-month follow-up survey, and (3) a 30-month follow-up survey. Surveys will be conducted by staff at Mathematica's Survey Operations Center using computer-assisted telephone interviewing (CATI). Survey data may be supplemented with administrative records data from the Denver Health system.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •To be eligible, women must be expecting a baby or had a baby in the past 3 months.
排除标准
- •To be eligible, women must not be incarcerated.
研究组 & 干预措施
MotherWise Programming
Three components: (1) 18 hours of core workshop sessions using the Within My Reach relationship education curriculum supplemented with content on mother-infant relationships; (2) case management services; and (3) optional relationship education workshops for couples.
干预措施: MotherWise Program (Behavioral)
Control
No program services
结局指标
主要结局
Child social-emotional and behavioral problems
时间窗: 30 months after random assignment
This 31-item scale is a measure of the child's social-emotional and behavioral problems with higher scores indicating more problems.
Child social-emotional abilities
时间窗: 30 months after random assignment
This 11-item scale is a measure of the child's social-emotional abilities-such as empathy, prosocial behaviors, and compliance-with higher scores indicating higher competence.
Perceived romantic relationship skills
时间窗: 30 months after random assignment
Six-item scale (ranges from 1 to 4)
Perceived conflict management skills
时间窗: 30 months after random assignment
Five-item scale (ranges from 1 to 4)
Support for going slow in romantic relationships
时间窗: 30 months after random assignment
One-item scale (ranges from 1 to 4)
Disapproval of couple violence
时间窗: 30 months after random assignment
Five-item scale (ranges from 1 to 4)
Any psychological abuse
时间窗: 30 months after random assignment
A binary variable equal to 1 if the mother indicates that a romantic partner has subjected her to psychological abuse in the past year.
Any physical abuse
时间窗: 30 months after random assignment
A binary variable equal to 1 if the mother indicates that a romantic partner has pushed, shoved, kicked, punched or beaten her up in the past year.
Had an unintended pregnancy since program enrollment
时间窗: 30 months after random assignment
A binary variable equal to 1 if the mother reported having had an unintended pregnancy since random assignment.
Quality of co-parenting relationship with baby's father
时间窗: 30 months after random assignment
Ten-item scale (ranges from 0 to 10)
Depressive symptoms
时间窗: 30 months after random assignment
Eight-item scale (ranges from 0 to 24; based on PHQ-8)
Number of relationship transitions
时间窗: 30 months after random assignment
This is a continuous variable representing the number of relationship transitions the mother reported since random assignment. A relationship transition occurs each time a romantic relationship begins or ends.
Material hardship
时间窗: 30 months after random assignment
This continuous variable ranges from 0 to 6 and reflects how many of six possible things a mother had done in the past year because she did not have enough money.
Support for going slow in romantic relationships
时间窗: 1 year after random assignment
One-item scale (ranges from 1 to 4)
Perceived romantic relationship skills
时间窗: 1 year after random assignment
Six-item scale (ranges from 1 to 4)
Perceived conflict management skills
时间窗: 1 year after random assignment
Five-item scale (ranges from 1 to 4)
Disapproval of couple violence
时间窗: 1 year after random assignment
Five-item scale (ranges from 1 to 4)
Any psychological abuse
时间窗: 1 year after random assignment
A binary variable equal to 1 if the mother indicates that a romantic partner has subjected her to psychological abuse in the past year.
Any physical abuse
时间窗: 1 year after random assignment
A binary variable equal to 1 if the mother indicates that a romantic partner has pushed, shoved, kicked, punched or beaten her up in the past year.
Had an unintended pregnancy since program enrollment
时间窗: 1 year after random assignment
A binary variable equal to 1 if the mother reported having had an unintended pregnancy since random assignment.
Quality of co-parenting relationship with baby's father
时间窗: 1 year after random assignment
Ten-item scale (ranges from 0 to 10)
Depressive symptoms
时间窗: 1 year after random assignment
Eight-item scale (ranges from 0 to 24; based on PHQ-8)
次要结局
未报告次要终点