Bulling Lisanne J, Baucom Katherine J W, Heyman Richard E, Smith Slep Amy M, Mitnick Danielle M, Lorber Michael F
New York University.
J Fam Soc Work. 2020;23(3):234-256. doi: 10.1080/10522158.2019.1681337. Epub 2019 Oct 24.
Participation rates in couple relationship education (CRE) programs for low-income couples are typically low. We examined predictors of session attendance and early dropout (i.e., dropout after 1 session) among a sample of low-income, unmarried parents of a newborn ( = 467 couples) enrolled in an evidence-based CRE program. Predictors included demographics and socioeconomic status, as well as baseline indicators of relationship commitment, family and individual functioning, infant health, preventive health care utilization, and CRE coach perceptions of participant engagement and alliance in the first session of the program. Couples attended an average of 4.4 ( = 2.5) of the 7 sessions, with nearly a quarter of couples dropping out after the first session. Attendance at fewer sessions was predicted by younger age. Early dropout was predicted by lower ratings of females' engagement and both partners' therapeutic alliance and, unexpectedly, by commitment. We discuss considerations for engaging low-income couples in CRE.
针对低收入夫妻的伴侣关系教育（CRE）项目的参与率通常较低。我们调查了参加一项循证CRE项目的低收入未婚新生儿父母样本（n = 467对夫妻）中课程出席率和早期退出（即参加1次课程后退出）的预测因素。预测因素包括人口统计学和社会经济状况，以及关系承诺、家庭和个人功能、婴儿健康、预防性医疗保健利用的基线指标，以及CRE教练对项目第一期参与者参与度和联盟的看法。夫妻们平均参加了7次课程中的4.4次（标准差 = 2.5），近四分之一的夫妻在第一次课程后退出。年龄较小预测了参加课程次数较少。女性参与度、双方治疗联盟评分较低，以及出乎意料的承诺较低，预测了早期退出。我们讨论了让低收入夫妻参与CRE的相关考量因素。
