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Impact evaluation of the family expectations program and moderation by sociodemographic disadvantage
Authors:Lane L. Ritchie  Scott M. Stanley  Maggie O.T. Allen  Galena K. Rhoades
Affiliation:1. VA Greater Los Angeles Healthcare System, Los Angeles, California, USA;2. Center for Marital and Family Studies, University of Denver, Denver, Colorado, USA
Abstract: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.
Keywords:randomized clinical trial  relationship education  sociodemographic disadvantage  关系教育  随机临床试验  社会经济背景不利
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