Montefiore Medical Center Healthy Marriage and Relationship Education Program
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,029
- 试验地点
- 1
- 主要终点
- Change in Couples Satisfaction Index (CSI-32)
研究概览
简要总结
The proposed program will flexibly provide an array of relationship promotion activities incorporating case management and job placement/career advancement activities: marriage and relationship education; pre-marital education and marriage skills; marriage enhancement and marriage skills for married couples; and divorce reduction and relationship skills. In addition, our proposed local evaluation will examine factors that might account for the observed impacts of attending relationship education programs (i.e., higher levels of relationship satisfaction), including dosage of workshops, relationship commitment and longevity, and skill learning.
详细描述
The objective of the proposed evaluation is to delineate those factors and sub-groups that account for the observed impact of HMRE services on the quality of relationships. Specifically, we are interested in investigating the following factors:
- Commitment: Are couples that are more committed to each other (measured in terms of marital status, duration of relationship, or relationship commitment scale scores) more motivated to attend a greater number of HMRE workshops? Do they actually learn more relationship skills, and report improvements in their relationship quality?
- Hopefulness: How does hopefulness about the relationship impact outcomes?
- Dosage: Is attendance at a greater number of workshops related to improvements in relationship satisfaction and relationship quality?
- Couple characteristics: How are various demographic factors related to observed outcomes?
- Skill acquisition: How much did couples actually learn during the course of the relationship workshop?
In order to explore these research questions, we will be conducting an evaluation that utilizes pre-and post-survey data and qualitative interview information from participants. This will be a descriptive study and not a random assignment design. Data collection will begin when couples who expressed interest in the program attend a preliminary interview with one of Montefiore's clinical staff on site. The program and study will be explained to the couple and they will be asked to consent to participate. Once consent is gathered, on-site staff will administer measures required by our funders through an online system called nForm, or Information, Family Outcomes, Reporting, and Management. This online system was developed by Mathematica Policy Research, an agency contracted by the Department of Health and Human Services to conduct a Cross-Site evaluation of all grantees who received funding to provide relationship education services. Preliminary demographic information will be collected through surveys completed by participants online through secure web browsing at a Montefiore facility.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •In a committed relationship
- •18 years or older
- •expecting a child or are caring for a child in the home at least 50% of the time (biological, foster, adopted, kinship care, etc.)
排除标准
- •Active intimate partner violence and increased risk of intimate partner violence
结局指标
主要结局
Change in Couples Satisfaction Index (CSI-32)
时间窗: Change from Baseline CSI at 6 months
Considered the gold standard, this measure detects differences in relationship satisfaction with great precision. It is a 32-item scale, total score range from 0 to 161. Higher scores indicate higher levels of relationship satisfaction. CSI-32 scores falling below 104.5 suggest notable relationship dissatisfaction.
Change in Relationship Hope Scale
时间窗: Change from Baseline Relationship Hope at 6 months
This is a newly developed 5-item scale by a major relationship researcher (Alan Hawkins), which has reportedly good psychometric properties. It will allow us to hone in on the level of hopefulness and cynicism among our couples. This is a 5-item scale, scores determined by mean, ranging 1-7. Mean scores less than or equal to 5 suggest low hope.
Change in Maybe I Do? Scale (Commitment)
时间窗: Change from Baseline Commitment at 6 months
A 4-item measure of commitment developed by another major relationship research group (Scott Stanley and Howard Markman). This is a 4-item scale, with a total score range 1-20. Low commitment is indicated at a total score of 12 or below.
Change in Assessing Emotions Scale (Emotional Intelligence)
时间窗: Change from Baseline Emotional Intelligence at 6 months
Assesses the extent individuals perceive, understand, regulate, and harness emotions adaptively. This is a 33-item self-report inventory focusing on typical emotional intelligence. Scores can range from 33 to 165. Low EI is less than or equal to 115 for females and 108 for males; average EI is 116-145 for females and 109-131 for males; high EI is greater than or equal to 146 for females and 132 for male.
Change Skills Assessment Measure (Skill Acquisition)
时间窗: Change from Baseline Skills at immediately post intervention and at 6 months
Assesses whether the individual has/has learned the skills and knowledge taught through the program curriculum. There are two forms of this measure, A and B, each 14 items. Scores are percentages ranging from 0-100%. Higher scores represent a higher outcome.
Adverse Childhood Experiences (ACE) Survey
时间窗: Halfway through intervention (Week 6 of 12 weeks, or Week 5 of 9 weeks)
The Adverse Childhood Experience (ACE) Questionnaire is a 10-item self-report measure developed for the ACE study to identify childhood experiences of abuse and neglect. Scores range 0-10. Higher scores suggest worse outcomes.
次要结局
- Information, Family Outcomes, Reporting, and Management (nFORM) Applicant Characteristics(Baseline)
- Information, Family Outcomes, Reporting, and Management (nFORM) Pre-Program Survey(At start of intervention (Week 1 of 12 or 9 weeks))
- nformation, Family Outcomes, Reporting, and Management (nFORM) Post-Program Survey(Immediately post intervention (Week 12 of 12 weeks or Week 9 of 9 weeks))
研究者
Traci Maynigo
Program Director
Montefiore Medical Center