Supporting Healthy Relationships Program for FRAMEWorks (SHR FRAMEWorks)

NCT ID: NCT05367102

Last Updated: 2025-12-23

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 1022 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-04-01
• Study Completion Date: 2025-06-10

Brief Summary

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?

Detailed 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.

Conditions

Parenting; Family Relations; Relationship, Family

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: NONE

Study Groups

In Person

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

Group Type: EXPERIMENTAL

Supporting Healthy Relationships program

Intervention Type: BEHAVIORAL

The investigator will provide the following 4 activities: 1) marriage and relationship education [using a modified version of the empirically supported Loving Couples, Loving Children (LCLC); 2) pre-marital education and marriage skills; 3) marriage enhancement and marriage skills for married couples; and 4) divorce reduction and relationship skills.

All couples will be expected to participate in 24 hours of core relationship education workshops (including parenting education). Since parental financial support represents a core element of family stability, relationship education workshops will address motivation for providing financial support through employment for all couples (employed and unemployed) as well as how to manage conflicts over money. All couples will be invited to supplemental workshops (with couples from other cohorts) on topics of specialized interest, including employment services and financial literacy (i.e. budgeting, debt, etc.)

Virtual (Zoom)

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

Group Type: EXPERIMENTAL

Supporting Healthy Relationships program

Intervention Type: BEHAVIORAL

The investigator will provide the following 4 activities: 1) marriage and relationship education [using a modified version of the empirically supported Loving Couples, Loving Children (LCLC); 2) pre-marital education and marriage skills; 3) marriage enhancement and marriage skills for married couples; and 4) divorce reduction and relationship skills.

All couples will be expected to participate in 24 hours of core relationship education workshops (including parenting education). Since parental financial support represents a core element of family stability, relationship education workshops will address motivation for providing financial support through employment for all couples (employed and unemployed) as well as how to manage conflicts over money. All couples will be invited to supplemental workshops (with couples from other cohorts) on topics of specialized interest, including employment services and financial literacy (i.e. budgeting, debt, etc.)

Interventions

Supporting Healthy Relationships program

The investigator will provide the following 4 activities: 1) marriage and relationship education [using a modified version of the empirically supported Loving Couples, Loving Children (LCLC); 2) pre-marital education and marriage skills; 3) marriage enhancement and marriage skills for married couples; and 4) divorce reduction and relationship skills.

All couples will be expected to participate in 24 hours of core relationship education workshops (including parenting education). Since parental financial support represents a core element of family stability, relationship education workshops will address motivation for providing financial support through employment for all couples (employed and unemployed) as well as how to manage conflicts over money. All couples will be invited to supplemental workshops (with couples from other cohorts) on topics of specialized interest, including employment services and financial literacy (i.e. budgeting, debt, etc.)

Intervention Type: BEHAVIORAL

Eligibility Criteria

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

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Children's Bureau - Administration for Children and Families

OTHER

Sponsor Role: collaborator

Montefiore Medical Center

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Scott Wetzler, PhD

Role: PRINCIPAL_INVESTIGATOR

Montefiore Medical Center

Locations

Montefiore Medical Center

The Bronx, New York, United States

Countries

United States

Other Identifiers

90ZB0022

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

2021-12751

Identifier Type: -

Identifier Source: org_study_id