Prevention And Relationship Enhancement Program Research Articles

The Effectiveness of Prevention and Relationship Enhancement Program on the Quality of Life and Marital Commitment in Married Women

Background and Purpose: There are several ways to enhance marriage. Prevention and Relationship Enhancement Program (PREP) are among the methods of educating relationships. Relationship education programs have made a significant contribution to the growth and development of millions of couples. This study aimed to investigate the effectiveness of the Prevention and Relationship Enhancement Program (PREP) on quality of life and marital commitment in married women.
 Materials and Methods: This quasi-experimental research was conducted in a pretest-posttest control group design with 15 participants in the experimental group and 15 participants in the control group. Marital Commitment Questionnaire (DCI), and World Health Organization Quality of Life Questionnaire (WHOQOL) were completed as research instruments by the participants. The full version of PREP.8 was presented to the group of 15 participants over a weekend for a total of 12 hours, with each segment lasting for two hours. The Multivariate Analysis of Covariance (MANCOVA) as well as the Univariate Analysis of Covariance (ANCOVA) tests were used. Hedge´s g effect size (ES) was also calculated to determine the magnitude of pairwise comparisons.
 Results: The findings indicated that there was a significant difference between the experimental and control groups in terms of quality of life (Social Relations: Exp:12.27±1.28, Cont:11.13±1.64, P≤0.03; Environment, Exp:30.73±3.06, Cont:28.67±3.27, P≤0.02) and marital commitment (Structural Commitment: Exp: 76.40±5.08, Cont: 70.53±3.42; P≤0.02).
 Conclusion: We concluded that utilizing PREP can successfully help Iranian couples in their relationships providing them with more knowledge and skills.

A Comparison of the Effectiveness of Marriage Enrichment (PAIRS) and the Prevention and Relationship Enhancement Program (PREP) in Improving Sexual Satisfaction

A Comparison of the Effectiveness of Marriage Enrichment (PAIRS) and the Prevention and Relationship Enhancement Program (PREP) in Improving Sexual Satisfaction

The Effectiveness of Prevention and Relationship Enhancement Program (PREP) on Marital Burnout in Married Women

Background : This study aimed to investigate the effectiveness of the prevention and relationship enhancement program (PREP) on marital burnout in married women. Methods : Thirty married women were selected and randomly replaced in experimental (n=15) and control (n=15) groups. The quasi-experimental research method was conducted in the pretest-posttest control group design to examine the effectiveness of the PREP on marital burnout in married women. The sessions of the PREP were implemented for the experimental group during 8 sessions of 90 minutes, one session per week, and no educational intervention was performed for the control group. Multivariate analysis of covariance was used as a statistical method. Results : The results showed that there was a significant difference between the control and experimental groups in psychological and emotional aspects of marital burnout(Pvalue≤0.02). Our results also showed that the total burnout score was significantly different from pre-test to post-test in the experimental group (Pvalue≤0.01). Conclusions : It can be implied from the results of our study that PREP can have different implications in Iranian culture. Keywords : Prevention and Relationship Enhancement Program (PREP), Marital Burnout, Married Women.

A Preliminary Investigation of Empirically Based and Spiritually Based Marital Enrichment Programs

Similarities and differences of two empirically based marital enrichment programs, Prevention and Relationship Enhancement Program (PREP) and Couple Communication (CC), and two spiritually based marital enrichment programs, Couples’ Temperament Workshop and Heirs Together were examined. Using published literature and observation, foundations, goals, content, and outcomes were considered. Programs contained similar goals and content, with core curriculum surrounding communication skills and conflict management. Although outcome information is unavailable upon the spiritually based programs, it is possible that these programs may be as effective as empirically based programs validated through research considering the similarities in core curriculum; however, research is needed to determine the influence of context.

Post-9/11 Veterans and Their Partners Improve Mental Health Outcomes with a Self-directed Mobile and Web-based Wellness Training Program: A Randomized Controlled Trial.

BackgroundVeterans with history of deployment in the Global War on Terror face significant and ongoing challenges with high prevalences of adverse psychological, physical, spiritual, and family impacts. Together, these challenges contribute to an emerging public health crisis likely to extend well into the future. Innovative approaches are needed that reach veterans and their family members with strategies they can employ over time in their daily lives to promote improved adjustment and well-being.ObjectiveThe objective of this study was to evaluate effects of use of a Web-based, self-directed program of instruction in mind- and body-based wellness skills to be employed by Global War on Terror veterans and their significant relationship partners on mental health and wellness outcomes associated with postdeployment readjustment.MethodsWe recruited 160 veteran-partner dyads in 4 regions of the United States (San Diego, CA; Dallas, TX; Fayetteville, NC; and New York, NY) through publicity by the Iraq and Afghanistan Veterans of America to its membership. Dyads were randomly allocated to 1 of 4 study arms: Mission Reconnect (MR) program alone, MR plus the Prevention and Relationship Enhancement Program (PREP) for Strong Bonds weekend program for military couples, PREP alone, and waitlist control. We administered a battery of standardized and investigator-generated instruments assessing mental health outcomes at baseline, 8 weeks, and 16 weeks. Dyads in the MR arms were provided Web-based and mobile app video and audio instruction in a set of mindfulness-related stress reduction and contemplative practices, as well as partner massage for reciprocal use. All participants provided weekly reports on frequency and duration of self-care practices for the first 8 weeks, and at 16 weeks.ResultsDuring the first 8-week reporting period, veterans and partners assigned to MR arms used some aspect of the program a mean of 20 times per week, totaling nearly 2.5 hours per week, with only modest declines in use at 16 weeks. Significant improvements were seen at 8 and 16 weeks in measures of posttraumatic stress disorder, depression, sleep quality, perceived stress, resilience, self-compassion, and pain for participants assigned to MR arms. In addition, significant reductions in self-reported levels of pain, tension, irritability, anxiety, and depression were associated with use of partner massage.ConclusionsBoth veterans and partners were able to learn and make sustained use of a range of wellness practices taught in the MR program. Home-based, self-directed interventions may be of particular service to veterans who are distant from, averse to, or prohibited by schedule from using professional services. Leveraging the partner relationship may enhance sustained use of self-directed interventions for this population. Use of the MR program appears to be an accessible, low-cost approach that supports well-being and reduces multiple symptoms among post-9/11 veterans and their partners.Trial RegistrationClinicaltrials.gov NCT01680419; https://clinicaltrials.gov/ct2/show/NCT01680419 (Archived by WebCite at http://www.webcitation.org/6jJuadfzj)

Multi-Couple Group and Self-Directed PREP Formats Enhance Relationship Satisfaction and Improve Anger Management Skills in Air Force Couples

This study examined the effectiveness of delivering the Prevention and Relationship Enhancement Program (PREP) to volunteer couples in the U.S. Air Force in either a six-week instructional multi-couple group condition or a self-directed book condition. A standardized pre/post protocol was employed and outcomes included relationship satisfaction and anger management skills, two known risk factors for partner maltreatment. Significant improvement was found for the group condition in both relationship satisfaction and anger management skills, but only for anger management skills in the self-directed book condition. Finally, the group condition reported greater program satisfaction. Implications are discussed.

Reasons for Divorce and Recollections of Premarital Intervention: Implications for Improving Relationship Education.

The study presents findings from interviews of 52 divorced individuals who received the Prevention and Relationship Enhancement Program (PREP) while engaged to be married. Using both quantitative and qualitative methods, the study sought to understand participant reasons for divorce (including identification of the "final straw") in order to understand if the program covered these topics effectively. Participants also provided suggestions based on their premarital education experiences so as to improve future relationship education efforts. The most commonly reported major contributors to divorce were lack of commitment, infidelity, and conflict/arguing. The most common "final straw" reasons were infidelity, domestic violence, and substance use. More participants blamed their partners than blamed themselves for the divorce. Recommendations from participants for the improvement of premarital education included receiving relationship education before making a commitment to marry (when it would be easier to break-up), having support for implementing skills outside of the educational setting, and increasing content about the stages of typical marital development. These results provide new insights into the timing and content of premarital and relationship education.

Relationship Interventions During the Transition to Parenthood: Issues of Timing and Efficacy

This study evaluated the efficacy of the Prevention and Relationship Enhancement Program (PREP) adapted for Danish couples expecting their first child. Couples were recruited consecutively through a public maternity ward (N = 290). On the basis of due dates, they were allocated to (a) PREP, (b) an information‐based control group (INFO), or (c) naturally occurring care. Approximately half of the couples accepted program invitations. Across 24 months, all 3 groups declined in relationship satisfaction, and no significant differences were found between PREP and INFO or between PREP and the natural condition. Negativity decreased from pre‐ to posttest for women in the PREP condition, but this was not significantly different from the women in the INFO condition. Findings revealed that communication skills training was not effective during pregnancy, and no intervention was successful at preventing the decline in satisfaction during the transition to parenthood. This study suggests that pregnancy may not be an optimal time for relational interventions like PREP.

The Effectiveness of PREP with Lower‐Income Racial/Ethnic Minority Couples

The current study examined the effectiveness of the Prevention and Relationship Enhancement Program (PREP) with lower-income and racial/ethnic minority (African American and Latino/a) couples. Additionally, we tested whether relationship outcomes varied based on the delivery format (i.e., group format vs. couple format). The sample included 321 unmarried couples expecting a child or who have a child 3 month old or younger. The couples participated in 16 hr of PREP via a group or a couple format over the course of 2-3 months. Couples relationship quality was assessed prior to and directly after the program. The results showed that men and women demonstrated significant gains in their communication skills, relationship functioning, friendship, dedication, and relationship confidence. Couples who participated in PREP via the couple format had better outcomes on three of the seven relational outcomes as compared to couples who participated in PREP via the group format.

The role of leaders' working alliance in premarital education.

Premarital (and general relationship) education programs, as a prevention method, have been shown to have a positive effect on marital quality and can prevent divorce. However, it is unclear whether these positive effects are consistent across leaders who conduct premarital education programs. Examining the variability in relationship outcomes attributed to the leaders of premarital education programs, and the role of general therapeutic factors such as working alliance in explaining relationship outcomes, may help increase the effectiveness of these programs. Accordingly, this study examined 31 leaders who trained 118 couples (236 attendees) in a randomized clinical trial of the Prevention and Relationship Enhancement Program (PREP), a research-based and empirically supported premarital education program being compared with a treatment as usual track. The results demonstrated that couples' relationship outcomes from pre- to post-training varied on the basis of the leader who provided the premarital education training. Both training in PREP and aggregated leader working alliance quality (as rated by attendees) explained variability between leaders in change in attendees' observed negative and positive communication. Leaders' aggregated working alliance quality also explained change in relationship satisfaction. In addition, attendees' ratings of their leaders' working alliance predicted change in their relationship satisfaction and confidence, and attendees had higher positive communication when they reported better working alliance with their leader.

Mechanisms of Change in a Cognitive Behavioral Couples Prevention Program: Does Being Naughty or Nice Matter?

Although there is a body of evidence suggesting beneficial effects of premarital prevention, little research directly examines the mechanisms of effect. One study that examined changes in communication following training in the Prevention and Relationship Enhancement Program (PREP) found that, although couples made the expected communication gains pre to post PREP, female gains in positive communication were paradoxically associated with worse, not better, outcomes (Schilling et al., J. Fam. Psychol. 17(1):41-53, 2003). Using two samples, the current investigation did not yield evidence of such an association. We discuss issues related to replication studies (e.g., failure to reject null hypotheses), challenges in analyzing and interpreting dyadic data, and implications for prevention.

A Public/Private Partnership in Offering Relationship Education to the Norwegian Population

This article is an overview of the relationship education field in Norway. We explain the roles of the national authorities and private organizations in education, and analyze achievements and challenges in the field. Involvement and economic support from the national authorities have made relationship education available to large groups of the population, though the characteristics of those who choose to attend are largely unknown. To ensure recruitment of those most in need of education, new strategies based on systematic information on barriers among different groups of the population must be developed. A variety of relationship education programs are offered by public and private organizations, with the U.S.-developed Prevention and Relationship Enhancement Program (PREP) being the most widespread. We present preliminary data of an effectiveness evaluation of PREP workshops in Norway. In general, participants evaluate the workshops positively. It is important to tailor relationship education to fit the various customs, beliefs, and challenges of couples attending programs.

Use of an empirically based marriage education program by religious organizations: Results of a dissemination trial*

We present an evaluation of the extent to which an empirically based couples' intervention program was successfully disseminated in the community. Clergy and lay leaders from 27 religious organizations who were trained to deliver the Prevention and Relationship Enhancement Program (PREP) were contacted approximately yearly for 5 years following training to determine whether they still used PREP and which aspects were used. Results indicated that 82% continued to use at least parts of the program, especially parts dealing with communication and conflict management. Results also showed that clergy and lay leaders extended the use of the curriculum from premarital couples to married couples. We discuss implications for future efforts toward disseminating empirically based programs into community settings.

When marital interaction and intervention researchers arrive at different points of view: the active listening controversy

In 1998, John Gottman and his associates published an article which asserted that training ‘active listening’ between couples was an ineffective therapeutic intervention. Not surprisingly, this claim generated considerable controversy, particularly in relation to treatment and educational models that were heavily dependent on active listening as a major part of their intervention programmes. The authors of one such approach, the Prevention and Relationship Enhancement Program (PREP), were particularly vocal in their disagreement with Gottman's conclusions. This paper provides an account of the controversy, a summary of the current status of the debate and a discussion of the remaining unanswered questions.

Making A Case for Premarital Education*

This article advances the argument that engaging in broadly applied premarital education efforts can reduce marital distress and divorce. Because of the complexity of design issues and difficulties inherent in outcome studies, researchers will reasonably continue to debate the effectiveness of premarital education regimens. Furthermore, there is a great deal more to be discovered that will guide prevention efforts in ways that will improve the effectiveness of those efforts in the future. Using a combination of rational argument and empirical findings, 4 key benefits of premarital education are discussed: (a) it can slow couples down to foster deliberation, (b) it sends a message that marriage matters, (c) it can help couples learn of options if they need help later, and (d) there is evidence that providing some couples with some types of premarital training, for example, the Prevention and Relationship Enhancement Program (PREP), can lower their risks for subsequent marital distress or termination.

Preventing marital distress through communication and conflict management training: a 4- and 5-year follow-up.

This article reports the 4- and 5-year follow-up results of evaluating the effects of a marital distress prevention program. The program, Prevention and Relationship Enhancement Program (PREP), is a 5-session program designed to teach couples effective communication and conflict management skills. At the 5-year follow-up, intervention, as compared with control, couples had higher levels of positive and lower levels of negative communication skills and lower levels of marital violence. Data are also presented on couples who declined the program. Issues are discussed concerning selection effects, change mechanisms, and future directions for prevention research.

The Prevention and Relationship Enhancement Program (PREP): An Empirically Based Preventive Intervention Program for Couples

The Prevention and Relationship Enhancement Program (PREP): An Empirically Based Preventive Intervention Program for Couples