Supporting Healthy Relationships Program for Relationship Improvement

(FRAMEWorks Trial)

Overseen By Traci Maynigo, PsyD

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Montefiore Medical Center

Disqualifiers: Intimate partner violence

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

2944 Participants Needed

Trial Summary

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of the Supporting Healthy Relationships Program treatment?

The research highlights the importance of building strong relationships and partnerships between patients and healthcare providers, which can lead to improved satisfaction and outcomes. Programs that focus on patient-centered care and partnership, like the Supporting Healthy Relationships Program, are shown to enhance communication and collaboration, benefiting both patients and healthcare staff. ^{1 2 3 4 5}

How is the Supporting Healthy Relationships Program treatment different from other relationship improvement treatments?

The Supporting Healthy Relationships Program is unique because it focuses on enhancing relationship skills through structured sessions, similar to the Healthy Relationships intervention, which has been effective in improving coping and decision-making skills in managing relationship stress and communication. Unlike self-directed programs, it likely involves guided sessions to ensure adherence and effectiveness. ^{6 7 8 9 10}

What is the purpose of this trial?

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?

Research Team

Scott Wetzler, PhD

Principal Investigator

Montefiore Medical Center

Eligibility Criteria

This trial is for couples, either married or unmarried, who are over 18 years old with children under 18 (or expecting) and have an income below twice the poverty level. Couples with active intimate partner violence or at high risk of such violence cannot participate.

Inclusion Criteria

Must have custodial children (biological, foster, adopted) under the age of 18 (or expectant parents)

Income below 200% of poverty level.

I am 18 or older and in a committed relationship.

Exclusion Criteria

I am currently experiencing or at risk of intimate partner violence.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

Participants receive the relationship education intervention virtually via Zoom or in person, focusing on improving relationship skills, parenting skills, and financial support for children.

12 weeks

Weekly virtual or in-person workshops

Follow-up

Participants are monitored for changes in relationship satisfaction, emotional intelligence, and co-parenting relationships.

6 months

Treatment Details

Interventions

• Supporting Healthy Relationships program

Trial Overview The SHR FRAMEWorks program aims to strengthen families in the Bronx by teaching relationship and parenting skills and enhancing financial support for children. The study tests how effective the program is when delivered virtually via Zoom.

Participant Groups

Group I: Virtual (Zoom) Experimental Treatment 1 Intervention

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

Group II: In Person Experimental Treatment 1 Intervention

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

Who Is Running the Clinical Trial?

Montefiore Medical Center

Lead Sponsor

Trials

468

Recruited

599,000+

Children's Bureau - Administration for Children and Families

Collaborator

Trials

23

Recruited

40,900+

Findings from Research

The program educates nurses on Relationship & Results Oriented Healthcare concepts, aiming to enhance both patient and staff satisfaction.

By implementing this program, the goal is to reduce nurse turnover, which can improve overall healthcare quality and stability in the workforce.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Impact of incorporating a patient-centered care model. Orn, M.[2018]

Patients have valuable insights that can help healthcare providers design better programs to meet their needs and improve outcomes, but there are challenges in fostering a culture of patient partnerships.

Leadership must take specific actions, such as setting clear expectations and providing education, to create environments that support effective patient engagement in healthcare decision-making.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The Leadership and Organizational Context Required to Support Patient Partnerships. O'Connor, P., Di Carlo, M., Rouleau, JL.[2019]

The University Hospitals of Geneva successfully established a partnership culture by studying existing collaborations between patients and healthcare professionals, leading to a structured relational approach based on mutual respect and expertise.

Over two years, the initiative facilitated 67 meetings and involved 510 patients, demonstrating that sustained exchanges between patients and professionals benefit both parties and can be adapted to other healthcare institutions.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

[A relational approach to partnership between patients and professionals : design and implementation]. Touveneau, S., Benichou, A., Geissbuhler, A., et al.[2019]

Improving the patient-provider relationship is crucial for enhancing service quality in healthcare organizations, as it influences patient satisfaction across various service encounters.

The study presents a relationship-building framework that integrates service quality issues among different healthcare stakeholders, suggesting that strong bonds between patients and providers can lead to better overall healthcare experiences.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Relationships building. Measure service quality across health care encounters. Peltier, JW., Boyt, T., Schibrowsky, JA.[2004]

The current societal and institutional climate supports a partnership model between patients and healthcare providers, which can enhance the effectiveness of healthcare delivery.

Transforming a bariatric surgery preparation program into a collaborative approach emphasizes the importance of understanding the needs of both patients and health providers, addressing power dynamics, and defining the skills necessary for effective patient partnership.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

[Start to collaborate with partner patients : an evidence?] Somers, F., Lasserre Mouttet, A., Joly, C., et al.[2020]

Relationship Competence Training (RCT) is a new framework designed to help families improve their ability to support each other during difficult times, which can enhance overall family health.

RCT also serves as a valuable tool for healthcare providers to address 'compassion fatigue' by promoting mental health and continuity of care in challenging healthcare settings.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Rebuilding Family Relationship Competencies as a Primary Health Intervention. Reiss-Brennan, B., Oppenheim, D., Kirstein, JL.[2023]

The Agapé smartphone app, designed for relationship enhancement, showed high engagement among 405 couples, with 99% completing an average of 27 daily prompts, indicating its feasibility and acceptability as a self-directed intervention.

Participants reported significant improvements in relationship quality and individual well-being, with 80% noting better relationships and 70% feeling enhanced personal well-being, particularly when they engaged more with the app's prompts.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Connection at your fingertips: A first look at the Agapé app's contributions to healthy relationships. Rogge, RD., Macri, JA., Okwudili, K.[2023]

The Healthy Relationships (HR) intervention is being adapted into a culturally relevant program called Speaking Out & Allying Relationships for gay, bisexual, and other men who have sex with men (GBMSM) living with HIV in South Africa, focusing on improving treatment adherence and safer sex practices.

The adaptation process includes integrating education on Undetectable=Untransmittable and pre-exposure prophylaxis, utilizing technology for delivery, and assessing the intervention's feasibility through pilot testing with GBMSM and healthcare providers, aiming to enhance communication about HIV treatment and prevention.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A Skills-Based HIV Serostatus Disclosure Intervention for Sexual Minority Men in South Africa: Protocol for Intervention Adaptation and a Pilot Randomized Controlled Trial. Daniels, J., Peters, RPH., Medina-Marino, A., et al.[2022]

Engaging in discussions about challenging relationship patterns, known as Relationship Pattern Labeling (RPL), led to significant improvements in intimacy, acceptance, and relationship satisfaction among participants.

The study provides preliminary evidence that RPL can be effectively integrated into existing interventions and suggests its potential for use in independent online programs to promote healthier relationships.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The influence of relationship pattern labeling on intimacy, acceptance, and relationship satisfaction. Rice, J., McTernan, M., Cordova, J.[2023]

In Australia, government-supported relationship education programs are generally well-received by couples, indicating a positive perception of their value.

However, there is a need for these programs to better target high-risk couples and for more research to assess the long-term effects of relationship education on marriage outcomes.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Couple relationship education in Australia. Halford, WK., Simons, M.[2019]

References

1. United States pubmed.ncbi.nlm.nih.gov

Impact of incorporating a patient-centered care model. [2018]

2. Canada pubmed.ncbi.nlm.nih.gov

The Leadership and Organizational Context Required to Support Patient Partnerships. [2019]

3. Switzerland pubmed.ncbi.nlm.nih.gov

[A relational approach to partnership between patients and professionals : design and implementation]. [2019]

4. United States pubmed.ncbi.nlm.nih.gov

Relationships building. Measure service quality across health care encounters. [2004]

5. Switzerland pubmed.ncbi.nlm.nih.gov

[Start to collaborate with partner patients : an evidence?] [2020]

6. United States pubmed.ncbi.nlm.nih.gov

Rebuilding Family Relationship Competencies as a Primary Health Intervention. [2023]

7. United States pubmed.ncbi.nlm.nih.gov

Connection at your fingertips: A first look at the Agapé app's contributions to healthy relationships. [2023]

8. Canada pubmed.ncbi.nlm.nih.gov

A Skills-Based HIV Serostatus Disclosure Intervention for Sexual Minority Men in South Africa: Protocol for Intervention Adaptation and a Pilot Randomized Controlled Trial. [2022]

9. United States pubmed.ncbi.nlm.nih.gov

The influence of relationship pattern labeling on intimacy, acceptance, and relationship satisfaction. [2023]

10. United States pubmed.ncbi.nlm.nih.gov

Couple relationship education in Australia. [2019]