Supporting Healthy Relationships Program for FRAMEWorks (SHR FRAMEWorks)

Montefiore Medicine Academic Health System

Status: Completed

Conditions: Relationship, Family; Parenting; Family Relations

Treatments: Behavioral: Supporting Healthy Relationships program

Study type: Interventional

Funder types: Other

Identifiers

NCT05367102

2021-12751

90ZB0022 (Other Grant/Funding Number)

Details and patient eligibility

About

The overarching objective for the Supporting Health Relationships (SHR) program is to create and sustain families in the Bronx by improving relationship skills, improving parenting skills, and improving parental financial support for children. The investigator's local evaluation addresses a research question about the effectiveness of delivering the SHR curriculum virtually: To what extent do couples show improvements in engagement, skills learning, and relationship quality outcomes when receiving the curriculum over Zoom?

Full description

More specifically, the investigator is interested in answering the following research questions:

Primary Study Question:

1. To what extent do clients show increased relationship satisfaction (Primary Endpoint: Couples Satisfaction Index-CSI) after receiving the virtual Zoom relationship education intervention?

   a) To what extent do partner effects impact this outcome?

   Secondary Study Questions:

2. To what extent do clients learn and retain the knowledge and skills that are taught in the relationship education intervention?

   a) To what extent do partner effects impact this outcome?

3. To what extent do clients become more emotionally intelligent after the relationship education intervention?

   a) To what extent do partner effects impact this outcome?

4. To what extent do clients show improved co-parenting relationships after the relationship education intervention?

   a) To what extent do partner effects impact this outcome?

5. To what extent do clients become more securely attached to their partners after receiving the relationship education intervention?

   1. To what extent do partner effects impact this outcome?

6. To what extent do clients attend workshops when they are delivered virtually via Zoom?

   a) To what extent do partner effects impact this outcome?

7. To what extent are clients engaged in workshops when they are delivered virtually via Zoom? a) To what extent do partner effects impact this outcome?

NOTE: The Post-Randomization Phase of the study begins on 01/01/2025. Participants will no longer be randomized to one of the two study arms during this phase. Additionally, data collection at the 6-month follow-up point will not occur during this phase. Participants will now have the autonomy to choose their preferred mode of participation, either in virtual or in-person workshops. This choice aims to provide greater flexibility and accommodate participants' preferences while continuing to deliver the same curriculum. Both arms will maintain identical workshop content, facilitation quality, and support services to ensure consistency across delivery modes. The shift to a non-randomized structure in this phase reflects the conclusion of the initial randomized trial while enabling ongoing access to the program for participants under a more participant-centered delivery model. This approach will allow researchers to observe participation trends and engagement levels under conditions of self-selection, complementing the insights gained from the randomized control trial.

Enrollment: 1,022 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Married or unmarried couples who are 18 years or older
• Must have custodial children (biological, foster, adopted) under the age of 18 (or expectant parents)
• Income below 200% of poverty level

Exclusion criteria

• Active intimate partner violence and increased risk of intimate partner violence

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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1,022 participants in 2 patient groups

In Person

Experimental group

Description:

Participants will receive all services in person, including participating in the initial intake process, and attending all workshops.

Treatment:

Behavioral: Supporting Healthy Relationships program

Virtual (Zoom)

Experimental group

Description:

Participants will complete their intake process in person, but will complete all workshops virtually through Zoom.

Treatment:

Behavioral: Supporting Healthy Relationships program