Optimizing Coaching During Online Relationship Education for Low-Income Couples: A Precision Medicine Research Protocol (Preprint)

2021 ◽  
Author(s):  
S. Gabe Hatch ◽  
Diana Lobaina ◽  
Brian D. Doss
Keyword(s):  
Relationship Satisfaction ◽  
Social Services ◽  
Treatment Adherence ◽  
Low Income ◽  
Relationship Education ◽  
Attrition Rates ◽  
Medicine Research ◽  
Direct Benefits ◽  
Effective Delivery ◽  
Precision Medicine Research

BACKGROUND In-person relationship education classes funded by the federal government tend to experience relatively high attrition rates and have only limited effects on relationships. In contrast, low-income couples tend to report meaningful gains from online relationship education when provided with individualized coach contact. However, little is known about the method and intensity of practitioner contact that a couple requires to complete the online program and receive the intended benefit. OBJECTIVE The current protocol seeks to: a) use the within-group models to create an algorithm to assign future couples to different programs and level of coach contact, b) identify the most powerful predictors of treatment adherence and gains in relationship satisfaction within three different levels of coaching, and c) examine the most powerful predictors of treatment adherence and gains in relationship satisfaction between three levels of coach contact. METHODS To accomplish these goals, this project intends to use data from an online Sequential Multiple Assignment Randomized Trial of the OurRelationship and ePREP programs where the method and type of coach contact were randomly varied across 1,248 couples (2,496 individuals) with the hope of advancing theory in this area and generating accurate predictions. RESULTS The current protocol was funded by the U.S. Department of Health and Human Services, Administration for Children and Families, Grant Number 90PD0309. CONCLUSIONS Some of the direct benefits from this protocol include benefits to social services programs administrators, tailoring of more effective relationship education, and the effective delivery of evidence- and web-based relationship health interventions. CLINICALTRIAL The current protocol was pre-registered with ClinicalTrials.gov (NCT02806635).

Relationship satisfaction trajectories among low-income ethnic minority couples before and after a relationship education intervention

2020 ◽  
Vol 37 (7) ◽  
pp. 2053-2077
Author(s):  
Xun Liu ◽  
Naomi J. Wheeler ◽  
Michael D. Broda ◽  
Andrew P. Daire ◽  
Vanessa N. Dominguez ◽  
...  
Keyword(s):  
Relationship Satisfaction ◽  
Ethnic Minority ◽  
Low Income ◽  
Education Intervention ◽  
Relationship Education ◽  
Latent Growth ◽  
Policy And Practice ◽  
Female Partners ◽  
Before And After ◽  
Curve Modeling

This study examined relationship satisfaction trajectories of low-income ethnic minority couples from a preintervention assessment to the fifth assessment at 120 days after enrollment in the relationship education intervention. Analysis included covariates of employment status, income, years of education, and length of relationship in the trajectories. The researchers drew the 5 waves of data from 728 couples who participated in a large, 4-year, federally funded project—Project TOGETHER (To Offer Great Education That Harvests Enduring Relationships). The results of the dyadic latent growth curve modeling revealed the linearity of growth in relationship satisfaction among couples; specifically, both male and female partners having significant positive growth of relationship satisfaction from intake through 120-day post-RE intervention. Interestingly, when we analyzed distressed and nondistressed couples separately, growth trajectories for both groups were not significant. The researchers present a discussion of implications for policy and practice.

scholarly journals Relationship Distress in Couples With and Without Reported Existing Cardiovascular Risk Factors: Making a Case for Relationship Education (RE)

2020 ◽  
Vol 28 (1) ◽  
pp. 40-47
Author(s):  
Andrew P. Daire ◽  
Brooke Williams ◽  
Sandy-Ann M. Griffith ◽  
Naomi Wheeler ◽  
Kelsee Tucker ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Relationship Satisfaction ◽  
Low Income ◽  
Indirect Costs ◽  
The United States ◽  
Factor Group ◽  
Female Group ◽  
Relationship Education ◽  
Cvd Risk

Cardiovascular disease (CVD) is the leading cause of death in the United States, costing billions of dollars per year in direct and indirect costs, and its prevalence is projected to increase exponentially over the next 15 years. Additionally, low-income and ethnic minority populations are especially at risk for CVD and CVD-related adverse health outcomes. This study aimed to examine the influence of a 12-hr, evidence-based relationship education (RE) program, Within Our Reach (WOR), on relational distress and satisfaction in participants with and without CVD risk factors. Findings indicated that participants significantly improved in their relationship satisfaction following the RE intervention with the female group improving in their relationship satisfaction at an amount significantly greater than the male group. However, no differences were found between CVD risk factor group and non-CVD risk factor group on their relationship satisfaction either before or after the RE intervention. Clinical implications and future directions for research in this area are also discussed.

Influence of Relationship Education on Relationship Satisfaction for Low-Income Couples

2014 ◽  
Vol 92 (4) ◽  
pp. 418-427 ◽  
Author(s):  
Ryan G. Carlson ◽  
Sejal M. Barden ◽  
Andrew P. Daire ◽  
Jennifer Greene
Keyword(s):  
Relationship Satisfaction ◽  
Low Income ◽  
Relationship Education

Associations among perceived provider cultural sensitivity, trust in provider, and treatment adherence among predominantly low-income Asian American patients.

2016 ◽  
Vol 7 (4) ◽  
pp. 295-304 ◽  
Author(s):  
Shuchang Kang ◽  
Carolyn M. Tucker ◽  
Guillermo M. Wippold ◽  
Michael Marsiske ◽  
Paige H. Wegener
Keyword(s):  
Treatment Adherence ◽  
Asian American ◽  
Low Income ◽  
Cultural Sensitivity

Cripping the Welfare Queen

Social Text ◽  
2021 ◽  
Vol 39 (3) ◽  
pp. 79-101
Author(s):  
Jina B. Kim
Keyword(s):  
Social Services ◽  
Low Income ◽  
State Regulation ◽  
State Violence ◽  
Literary Texts ◽  
Black Mothers ◽  
Disability Theory ◽  
Queer Of Color Critique ◽  
Public Resource ◽  
Welfare Queen

Abstract Drawing together feminist- and queer-of-color critique with disability theory, this essay offers a literary-cultural reframing of the welfare queen in light of critical discourses of disability. It does so by taking up the discourse of dependency that casts racialized, low-income, and disabled populations as drains on the state, reframing this discourse as a potential site of coalition among antiracist, anticapitalist, and feminist disability politics. Whereas antiwelfare policy cast independence as a national ideal, this analysis of the welfare mother elaborates a version of disability and women-of-color feminism that not only takes dependency as a given but also mines the figure of the welfare mother for its transformative potential. To imagine the welfare mother as a site for reenvisioning dependency, this essay draws on the “ruptural possibilities” of minority literary texts, to use Roderick A. Ferguson’s coinage, and places Sapphire's 1996 novel Push in conversation with Jesmyn Ward's 2011 novel Salvage the Bones. Both novels depict young Black mothers grappling with the disabling context of public infrastructural abandonment, in which the basic support systems for maintaining life—schools, hospitals, social services—have become increasingly compromised. As such, these novels enable an elaboration of a critical disability politic centered on welfare queen mythology and its attendant structures of state neglect, one that overwrites the punitive logics of public resource distribution. This disability politic, which the author terms crip-of-color critique, foregrounds the utility of disability studies for feminist-of-color theories of gendered and sexual state regulation and ushers racialized reproduction and state violence to the forefront of disability analysis.

Relationship Educator Experiences of Couple Improvement and Group Dynamics in Relationship Education With Low-Income Couples

2018 ◽  
Vol 26 (2) ◽  
pp. 174-184 ◽  
Author(s):  
Naomi J. Wheeler ◽  
Shaywanna Harris ◽  
Mark E. Young
Keyword(s):  
Focus Groups ◽  
Relationship Quality ◽  
Group Dynamics ◽  
Low Income ◽  
Phenomenological Analysis ◽  
Training Intervention ◽  
Relationship Education ◽  
Current Investigation ◽  
Facilitator Training ◽  
Group Format

Relationship education (RE) interventions improve relationship quality and distress; yet, little is known about the origins of positive gains derived from RE. Couples identified benefits from the group format of RE; however, the perspective of facilitators is neglected. Therefore, the current investigation included two focus groups ( N = 9) with RE facilitators from one federal RE program for low-income couples. Five themes emerged from the phenomenological analysis including (a) therapeutic factors of groups, (b) participant attributes, (c) stress, (d) insight/awareness, and (e) program attributes. Applications of RE facilitator experiences, specifically group factors observed, may inform RE facilitator training, intervention, and implementation.

The Effects of Mother Participation in Relationship Education on Coparenting, Parenting, and Child Social Competence: Modeling Spillover Effects for Low-Income Minority Preschool Children

2016 ◽  
Vol 57 (1) ◽  
pp. 113-130 ◽  
Author(s):  
Francesca Adler-Baeder ◽  
Chelsea Garneau ◽  
Brian Vaughn ◽  
Julianne McGill ◽  
Kate Taylor Harcourt ◽  
...  
Keyword(s):  
Preschool Children ◽  
Social Competence ◽  
Low Income ◽  
Spillover Effects ◽  
Relationship Education ◽  
Child Social Competence
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