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Presentation at parental education conference „Are good parents born or taught?“ in Tallinn University, January 20, 2011. The correlation between the quality of marital relationship and mental health of family members. How can national social policy provide support? The roots of our social skills are in the childhood – the way our parents communicated influences our relationships in the future. These patterns are hard to change. The relationship enhancement program will give tools to change these patterns. Please see video recording of the presentation at: http://vimeo.com/channels/vanemaharidus
Citation preview
The Effects of Relationship and Parenting Skill Training on Couples, Father
Involvement, Parenting and Children
Howard J. Markman, Ph.D & Marcie PregulmanUniversity of Denver
Center for Marital & Family ResearchUniversity of [email protected]
Oklahoma Statewide Survey (2002):If divorced, what were the contributors to your divorce?
• Religious differences 20.6%• Domestic Violence 30.1%• Economic Hardship 38.9%• Little or no marriage prep 41.4%• Married too young 42.9%• Infidelity 57.5%• Too much arguing 59.2%• Lack of commitment 84.9%
Johnson, C. A., Stanley, S. M., Glenn, N. D., Amato, P. A., Nock, S. L., Markman, H. J., & Dion, M. R. (2002). Marriage in Oklahoma: 2001 baseline statewide survey on marriage and divorce (S02096 OKDHS). Oklahoma City, OK: Oklahoma Department of Human Services.
Marital Conflict & Divorce: Effects on Children• Divorce associated with increased risk for child
behavioral problems, and school problems, later relationship problems
• Destructive parental conflict may underlie negative effects of divorce (children exposed to conflict for many years.
• Tolstoy – only few ways to have bad marriage/parenting
• Danger Signs
Data from Sweden
• Children growing up with two parents have fewer behavioral and emotional problems than growing up with single mother (Sarkadi, et. al, 2008 )
• Lower death and injury rates (Weitoft et. al, 2003, )
(reported in Popenoe, 2008, Rutgers Marriage Project)
For Children….
• Divorce is an emotional: “Searing Experience”
• American Association for Pediatrics (2004)
Marriage & Parenting Programs• Can these negative effects on children
be prevented or diminished?: The hope of marriage education and parenting programs
• The role of private and public sectors in promoting and funding these programs: Invest one Euro, save XXX Euro.
Children & Marriage: Key Findings• Children one of top three problem areas for
couples (money, communication others); especially in middle years, when fun, satisfaction fall to lowest point in marriage
• Marital satisfaction after childbirth falls for about 60% of couples, but most are still satisfied; unplanned children more negative effects
Children Benefit From Growing up in Intact and Healthy Relationships • Except in high danger sign relationships• Economic, social, education, emotional • Black poverty rate would be 25% vs. 47%• White 11% vs. 16%• After divorce, children experience 70% drop
in household income• More likely to finish high school and college• Avoid teen pregnancy
…do better at work,…earn more money,…feel happier in life.
Adults living within a healthy marriage tend to…
Copyright © PREP Educational Products, Inc. 2008. All rights reserved. 303.759.9931.
Children living with their married parents tend to do better…
…with friends,…in school,…emotionally.
Copyright © PREP Educational Products, Inc. 2008. All rights reserved. 303.759.9931.
Data based on U.S. nationwide random phone survey of 947 adults who were engaged, cohabitating, or married. (Stanley & Markman, PREP, Inc., 1996; 303-759-9931)
Copyright © PREP Educational Products, Inc. 2008. All rights reserved. 303.759.9931.
Marriage & Parenting: Key Findings• If you improve marriage you improve parenting
even if program does not directly target parenting
• If you improve parenting, may improve marriage, especially if program directly targets marriage
• If you improve marriage and parenting, you improve child and family functioning.
Responsible Fatherhood and Healthy Marriage Initiative• 2010 1 year re-authorization• $150 million/year for marriage education
and responsible fatherhood promotion efforts for low income couples and individuals
• Child policy driven
Fatherhood & Healthy Marriage Initiative: History• 1996 Welfare reform under Clinton (TANF,
Temporary Aid for Needy Families) • Two of four goals involve marriage promotion,
since children growing up in one parent families in U.S. more at risk for a variety of behavioral and mental health problems, costing federal government billions of dollars in services
• Invest $150,000,000/year
Goal is to Promote Healthy Marriages
• Provide skills to help low income couples and parents who desire a healthy marriage the tools and knowledge to achieve this goal
Couples Relationship Education• Structured education to couples about
relationship skills, knowledge and attitudes
• Goal is to increase chances of couple having a healthy relationship and lifetime love and decrease chances of relationship distress and breakup
• Focus is on early intervention and on risk and protective factors
Effects of Marriage Education Programs (Hawkins Meta Analysis)• Effect size =.44 for communication pre-post• .44 one year later• 60% significantly improve • Experiments (random assignment) strongest • Impressive since most are PREVENTION
Fort Campbell– Home of the 101st AirborneDivision (Air Assault).
“The Screaming Eagles”
PREP AND CONTROL COUPLES DIVORCE OUTCOMES (1 YR)
GERMAN PREP AND CONTROL COUPLESDIVORCE OUTCOMES (11 YRS)
Dissemination to Diverse Settings and Populations• Adoptive and foster parent couples • High Schools• Teen pregnancy • First offender youths and parents• Transition to parenthood • Work settings • Prisons
Getting Both Partners in Room• Despite the success of reaching out to
diverse groups of couples through institutions that serve them, one of the biggest issues heard from service providers is getting couples in the room.
“Spillover” Effects
• For example, a very important question in the family services field: Since mom’s receive most family oriented services (e.g., parenting programs; nurse visitor), how do these services impact dad, marriage, other romantic relationship partner, as well as children?
• Can effects be even stronger?
Fatherhood, Relationship, and
Marriage Education Project
Howard Markman, Martha Wadsworth, Lindsey Einhorn,
Shuana Reinks, Marcie Pregulman & Erica Moran
Thank You For Your Support
• Administration for Children Youth & Families (ACF), Office of Planning, Research & Evaluation (OPRE)
Qualifications for Entry into Study
• Low Income (200% of the poverty level)
• Raising at least one child together• Child 18 or under• Family of 3 - $34,000• Living together at least 6 months
Total Couples Recruited (n = 724)
Total Excluded (n = 423) Did not meet inclusion criteria n = 166 Qualified but declined participation n = 109 Other n = 148
Completed Pretest and
Randomized (n = 301)
Assigned to Male-Only
(n = 72)
Assigned to Couples (n = 77)
Assigned to Control (n = 72)
Assigned to Female-Only
(n = 80)
Completed Post (n = 67)
93.1% retention
Completed Post (n = 70)
90.9% retention
Completed Post (n = 62)
86.1% retention
Completed Post (n = 72)
90% retention
Completed FU1 (n = 63)
87.5% retention
Completed FU1 (n = 63)
81.8% retention
Completed FU1 (n = 59)
81.9% retention
Completed FU1 (n = 66)
82.5% retention
The Sample
• 301 couples• Random Assignmento77 Couples Intervention Groupo80 Female Intervention Group o72 Male Intervention Group o72 Control Group
Demographics
• Age M 33.9, F 31.0• Ethnicityo27% African Americano35% Whiteo23% Hispanico 5% American Indiano10% Bi-racial/Other
Demographics (2)
•Relationship Status: 63% Married•Relationship Length: 6.7 years•Children: 2.3 in home•Family Income: $22, 800
FRAME Intervention
• Marries Markman’s couple’s intervention (PREP) with Wadsworth’s stress and coping approach to parenting (consistent with Forgatch, Sanders)
• 14 hours delivered in two formats: 3 weekend days or 5 weekday evenings
• Community Service Providers, female/male teams
The Keys
Copyright © PREP Educational Products, Inc. 2008. All rights reserved. 303.759.9931.
Communication Danger Signs
• Escalation
• Invalidation
• Negative Interpretations
• Avoidance and Withdrawal
The Speaker Listener Technique
• A way to talk safely when you really need to do it well
• Not designed to be used all the time
• It neutralizes the Danger Signs
• Regular practice can help to “inoculate” your relationship against Danger Signs
Copyright © PREP Educational Products, Inc. 2008. All rights reserved. 303.759.9931.
The Goal• is for each partner to feel
understood by the other
• is NOT agreement
• is NOT to solve a problem (yet)
Copyright © PREP Educational Products, Inc. 2008. All rights reserved. 303.759.9931.
Copyright © PREP Educational Products, Inc. 2008. All rights reserved. 303.759.9931.
Copyright © PREP Educational Products, Inc. 2008. All rights reserved. 303.759.9931.
“The Speaker has The Floor.”
Copyright © PREP Educational Products, Inc. 2008. All rights reserved. 303.759.9931.
• So, what I hear you saying is…
• So, from your point of view…
• It sounds like you…
• So you…
• Let me see if I’ve got it. You feel…
How to Paraphrase
Copyright © PREP Educational Products, Inc. 2008. All rights reserved. 303.759.9931.
Events, Issues and Hidden Issues
Events: How
the discussion got started
Issues: WHAT
we’re talking about
Hidden Issues: WHY
it matters so much
Copyright © PREP Educational Products, Inc. 2008. All rights reserved. 303.759.9931.
How helpful was FRAME?
Response to Intervention
• Overall satisfaction with workshop o 5 point scale (5 = Very Satisfied)oCouples Group (mean = 4.32)o Female Group (mean = 4.46)oMale Group (mean = 4.2)
• Overall very high satisfaction with workshop leaders
• Participants most commonly reported finding the speaker listener technique most helpful
Divorce & Aggression
No overall breakup & divorce findings at FU 1 (not expected so soon)
However high aggressive couples have higher rates of breakup and divorce than low aggressive couples
Why? Couples may be learning about what a healthy relationship is and what it is not. Then deciding to breakup after seeing their relationship is unhealthy and bad for children
NEGATIVE COMMUNICATION FOR MEN
FEMALE GROUP RESULTS
FEMALE POSITIVE BONDING FOR
PREP AND CONTROL COUPLES (FRAME)
T1 T23
3.13.23.33.43.53.63.73.83.9
4
3.56 3.66
3.53
3.77
3.27
3.473.55
3.80 CONTROL
COUPLES
MALE GROUP
FEMALE GROUP
MALE POSITIVE BONDING FOR PREP AND CONTROL COUPLES (FRAME)
T1 T23.5
3.553.6
3.653.7
3.753.8
3.853.9
3.954
3.68
3.59
3.78
3.90
3.57
3.84
3.77
3.91 Control
Couples Group
Male Group
Female Group
NEGATIVE COMMUNICATION FOR WOMAN
MALE GRO
UP
RESULTS
FRAME Parenting Findings
• Increased parenting alliance• Increased parent-child warmth and decreased
parent-child negative interactions• When negative communication between
parents decrease and relationship happiness increased:
• There was decreased negative interactions between parents and child
FRAME Child Outcomes
• Decreased child symptoms of depression, anxiety & aggression (on Child Behavior Checklist)
Parenting Changes Linked to Child Functioning1. Pre-post increases in parental warmth and monitoring, and reduced stress predicted reductions in children’s internalizing and externalizing symptoms at 6-month follow-up
2. Decreased parental worry (50% 1-3 hours day) about finances, linked to lower levels of child symptoms
Parenting Changes and Child Functioning (2)3. Decreased parental worry (50% 1-3 hours day) about finances, linked to lower levels of child symptoms
4. Less negative communication and increased parenting alliance associated with decreased child externalizing and internalizing problems
Service Delivery Issues: Our Findings• Since mom’s receive most family
oriented services, can these services positively impact dad, marriage?
• Frame suggests yes, if services are dad and/or couple friendly
• So both people do not have to be in room.
• Its not so simple!• Need to have father, family perspective
How We Integrate Couple Perspective in FRAME• Letter to partner about couples
orientation• Talk about the other person in program• Orient skill use in program toward
partner• Home work is couple oriented
Integration of Couples Perspective (2)• Other person also gets home work assignment
sheet• Coed leaders give male and female
perspective• Bring home food for family • Food provided so other person does need to
deal with pre workshop dinner• Providing child care money so other partner
not burdened with taking care of kids
Building Strong Families Evaluation: Oklahoma• Family expectations delivered at Transition to
Parenthood; evaluated by RCT• Key significant findings 15 months later for
couple outcomes:• Higher stability• Relationship happiness• Support and affection• Avoidance of destructive conflict• Economic well being
Impact on Parenting (weaker findings)• Quality of co-parenting (not individual parenting
behaviors)• Higher father involvement• Living with child• Supporting child financially
Thank You For Listening