Marriage Education in the Army: Results of a Randomized Clinical Trial

Authors
Allen, E. S. Stanley, S. M. Rhoades, G. K. Markman, H. J. Loew, B. A.
Publication year
2011
Citation Title
Marriage education in the Army: Results of a randomized clinical trial.
Journal Name
Journal of Couple & Relationship Therapy
Journal Volume
10
Issue Number
4
Page Numbers
309-326
DOI
10.1080/15332691.2011.613309
Summary
Pre-test and post-test survey data from two different installations were used to examine the long-term effectiveness of the Prevention and Relationship Education (PREP) program on Army couples relationship quality (i.e., marital satisfaction, communication skills, confidence, positive bonding, forgiveness, dedication, satisfaction with sacrifices made, and negative communication) and divorce over a two-year period. Results indicate that couples who engaged in PREP experienced some improvements in marital quality, although these effects were not maintained long-term. Rates of divorce differed by installations among those who completed PREP and the control groups.
Key Findings
Across both sites, couples who completed the program were less likely to divorce (8%) compared to control couples (12%); however, site differences were observed, such that 8% of program couples and 15% of control couples at site one divorced, and 6% of program couples and 4% of control couples divorced at site two.
Ethnic minority couples who completed the program were less likely to be divorced at two-year follow-up than ethnic minority couples assigned to the control group.
Couples who completed the program showed improvements in communication skills post-intervention compared to controls, but these gains were not maintained over time.
Implications for Program Leaders
Offer interventions for military couples using the Prevention and Relationship Education program, or components of the program to enhance relationship quality
Provide support groups for military spouses throughout the deployment cycle
Disseminate information regarding the resources and services available to Service members and their families post-deployment to help couples and families successfully reintegrate
Implications for Policy Makers
Continue to support programs that help military couples improve and maintain strong marriages throughout the deployment cycle
Continue to support research efforts that evaluate the effectiveness of programs working with military couples
Encourage the collaboration of DoD and community-based programs that offer support to military couples and families throughout the deployment cycle
Methods
Participants included Active Duty Army couples who were randomly assigned to the program treatment group or a control group at two installations.
Site one had high operational tempo and program groups were led by unit chaplains for couples within the same unit; site two program groups were led by family life chaplains and couples were not from the same unit.
Data were collected prior to the program, two weeks following the completion of the program, and every six months post-treatment for two years.
Participants
Participants included 476 couples; 249 couples from site one and 184 couples from site two.
The majority of husbands were White (69%) and had an average age of 28.5 years (SD = 5.9).
Most wives were White (71%) with an average age of 27.7 years (SD = 6.2).
Site one had younger, lower rank, and more frequently deployed military personnel.
Limitations
The samples at the two sites differed in important ways that could influence results; site 1 was populated by younger, lower rank, and more frequently deployed soldiers and their families while site 2 had soldiers who had been married longer and were not facing imminent deployment.
The use of self-report data only could introduce bias.
Couples who participated in the intervention may differ from nonparticipants in ways that were not measured but affected the outcome variables (e.g., couples that volunteered may be functioning better than those that did not volunteer).
Avenues for Future Research
Replicate this study with couples in other branches of the military
Include multiple time points beyond pre- and post-test assessments when assessing the effectiveness of PREP
Examine the demographic charactierstics of couples that may influence the effectiveness of PREP and similar interventions (e.g., gender, ethnicity, age)
Design Rating
2 Stars - There are some flaws in the study design or research sample, but those flaws do not significantly threaten the ability to make conclusions based on the data.
Methods Rating
2 Stars - There are no significant biases or deficits in the way the variables in the study are defined or measures and conclusions are appropriately drawn from the analyses performed.
Limitations Rating
2 Stars - There are a few factors that limit the ability to extend the results to an entire population, but the results can be extended to most of the population.
Focus
Army
Target Population
Population Focus
Military Branch
Military Component
Abstract
Although earlier studies have demonstrated promising effects of relationship education for military couples, these studies have lacked random assignment. The current study evaluated the short-term effects of relationship education for Army couples in a randomized clinical trial at two sites (476 couples at Site 1 and 184 couples at Site 2). At both sites, participant satisfaction with the program was high. Intervention and control couples were compared on relative amounts of preintervention to postintervention change. At Site 1, not all variables showed the predicted intervention effects, although we found significant and positive intervention effects for communication skills, confidence that the marriage can survive over the long haul, positive bonding between the partners, and satisfaction with sacrificing for the marriage or the partner. However, at Site 2, we found significant and positive intervention effects for communication skills only. Possible site differences as moderators of intervention effects are discussed.
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