Program ModalityNCT05580627
Evaluation Exploring How Course Modality Influences the Effectiveness of the R3 Academy for Couples
A study testing Livestream Modality (treatment) in people with Program Modality, run by Healthy Relationships California at 1 site in United States.
Trial summary
The REFRAME project is designed to offer the R3 Academy for Couples, a robust 24-hour program, to married adults ages 18 and over in the state of California. The R3 Academy is an evidence-based couple relationship education curriculum that helps couples strengthen their relationships with their child, with their… Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Program Modality
- What is being tested?
- Livestream Modality (treatment)
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 255 participants
- Where
- 1 siteUnited States
- Study dates
- 1 Sep 2022to 30 Sep 2025
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Adult over the age of 18 living in California and applying with their romantic partner
Who cannot join
- Domestic violence or child maltreatment is detected
- Active drug use
- Undiagnosed or untreated mental illness
- Anger management issues
- Pending legal action
Trial locations and contacts
1 site in 1 country.
United States1 site, 1 recruiting
- Recruiting
Healthy Relationships California
Leucadia, California, 92024
Braquel R Egginton, MS, 760-436-3960, braquel@relationshipsca.org
About this study
Official title: Relationships Education, Financial Resources, & Anger Management Essentials (REFRAME)
The REFRAME project is designed to offer the R3 Academy for Couples, a robust 24-hour program, to married adults ages 18 and over in the state of California. The R3 Academy is an evidence-based couple relationship education curriculum that helps couples strengthen their relationships with their child, with their spouse, and at work. The program also includes two evidence-based components that address economic stability and an innovative approach to Case Management that fosters client self-direction. The R3 Academy curricula will be delivered in both English and Spanish through two modalities: 1) live classes and 2) livestream classes via a video conferencing platform. The Local Evaluation will examine how modality, or in other words attending a live class versus a livestream class, influences the effectiveness of R3 Academy for Couples program when it comes to changes in couples' marital/relationship satisfaction, conflict management, support and affection, and commitment. The question of modality is a timely one. In the COVID-19 era, many programs have become exclusively online-but the potential impact on effectiveness is not well known. We address this issue by considering the impact on four relationship outcomes: marital/relationship satisfaction, conflict management, support and affection, and commitment. Moreover, one issue that many programs report is that couples have great difficulty finding time to be engaged in regularly scheduled, live, in-person classes. Our study will provide evidence about how the availability of materials in alternative formats, that may allow more couples to be involved and reduce issues around the ability to participate, may influence the efficacy of those programs.
RQ1: How do live in-person (control) and online livestream (treatment) Marriage and Relationship Education (MRE) workshops compare on marital/relationship satisfaction outcomes immediately after program completion? RQ2: How do live in-person and online livestream MRE workshops compare on conflict management outcomes immediately after program completion? RQ3: How do live in-person and online livestream MRE workshops compare on support and affection outcomes immediately after program completion? RQ4: How do live in-person and online livestream MRE workshops compare on commitment outcomes immediately after program completion? RQ5: Do program effects last beyond program completion?
Read the detailed description
Couples in this study are required to take an Eligibility survey. If they meet the required eligibility criteria, the survey will gather further information including screening factors associated with domestic violence and child maltreatment that, if checked, will be flagged for further assessment by personal contact with our Case Management Supervisor. This form will also enable the registrant to identify which class format he or she wishes to attend-a live R3 Academy or a livestream workshop via a video conferencing platform. For the purpose of this study, the live or in-person modality is considered the control group and the livestream workshop is considered the treatment group. The R3 Academy curriculum is the same for each group, only the modality of curriculum delivery is different. Courses are a total of 24 hours that stretch across 12 sessions. Incentives for program completion include a $50 gift card that is offered to those who complete at least 90% of the program. In addition to the Eligibility survey, participants are asked to take a pre-survey before starting the class, a post-survey immediately following class completion, and a 4-month follow-up survey. If participants complete all three surveys they are eligible for an additional $25 gift card which they can receive even if they did not reach 90% completion.
As stated previously, entry into treatment or control groups is determined at enrollment. At the time of the impact analysis, propensity score matching (PSM) comparison groups will be formed-this statistical analysis will match up similar participants from each group to allow for comparison across conditions. PSM allows researchers to estimate differences between treatment and control groups in non-randomized samples. PSM will allow us to directly compare matched cases-meaning that the treatment and control groups will have a similar distribution of sociodemographic and sociocultural characteristics. This allows us to consider how outcomes vary between treatment and control groups, while accounting for the potential self-selection into different program groups. Participants will be matched across multiple metrics, including: racial/ethnic identity, sex/gender, income, education level, language of instruction, number of children, employment status, age, marital status, residential status, child sex, and child age. As clients may choose one program delivery modality over another due to work, childcare availability, or time, measures will be included for work schedule, availability of social support, work flexibility, and work-family stress.
- Conditions
- Program Modality
- Being tested
- Livestream Modality (treatment), Live Modality (control)
- Keywords
- couple relationship education, modality, evaluation, couple, comparison, propensity score matching, live, in-person, livestream, online
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Livestream Modality (treatment)Other
For this evaluation, the livestream modality is considered the treatment group.
Live Modality (control)Other
For this evaluation, the live modality is considered the control group.
| Study group | Role | What they receive |
|---|---|---|
| Livestream Modality | Experimental | The livestream modality is considered the treatment group for the purpose of this quasi-experimental study. Receives: Other: Livestream Modality (treatment) |
| Live Modality | Experimental | The live modality is considered the control group for the purpose of this quasi-experimental study. Receives: Other: Live Modality (control) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Marital/Relationships Satisfaction after program completion and 4 months following program completion
Single item inquiring how satisfied the individual is with their relationships. Responses are given on a Likert scale from 1=very satisfied and 3=not satisfied.
Measured: Data is collected at three time points: (1) before attending the class, (2) immediately after class completion, and (3) 4 months after course completion.
Change in Conflict Management after program completion and 4 months following program completion
2 subscales and one single question exploring difficulty with working out differences, respect during disagreements, and satisfaction with conflict resolution. The first 2 are multiple item scales presented on a scales inquiring how frequently example interaction occur with responses given on a Likert scale ranging from 1=Never to 4=Often. Satisfaction with conflict resolution is based on a single question asking how satisfied the individual is with their conflict management. Responses are given on a Likert scale ranging from 1=Very satisfied to 3=Not at all satisfied.
Measured: Data is collected at three time points: (1) before attending the class, (2) immediately after class completion, and (3) 4 months after course completion.
Change in Partner Support after program completion and 4 months following program completion
This is based on a 5-item measure inquiring how much participants agree or disagree with a list of statements related to their partner's supportiveness. Responses are given on a Likert scale ranging from 1=Strongly agree to 4=Strongly disagree.
Measured: Data is collected at three time points: (1) before attending the class, (2) immediately after class completion, and (3) 4 months after course completion.
Change in Relationship Commitment after program completion and 4 months following program completion
This outcome is measured with a single item inquiring how much participants agree or disagree with the statement: I view our relationships as being life-long. Responses are given on a Likert scale ranging from 1=Strongly agree to 4=Strongly disagree.
Measured: Data is collected at three time points: (1) before attending the class, (2) immediately after class completion, and (3) 4 months after course completion.
Change in Partner Affection after program completion and 4 months following program completion
This scale explored how frequently participants experience a list of 3 interactions with their partners. Responses are given on a Likert scale ranging from 1=Almost every day to 4=Less often.
Measured: Data is collected at three time points: (1) before attending the class, (2) immediately after class completion, and (3) 4 months after course completion.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Oct 2022
- Study start1 Sep 2022
- Primary completion30 Sep 2025 (estimated)
- Study completion30 Sep 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Program ModalityStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Model description
- In our quasi-experimental design, we allow participants to select whether they want to participate in a live or livestream program modality. The couples curriculum is the same for both, only the mode of delivery is different.
- Masking
- None (open label)
- Enrolment
- 255 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Healthy Relationships California
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Kevin Shafer, PhD, Principal investigator, Brigham Young UniversityJason Krafsky, Study director, Healthy Relationships CaliforniaPatty Howell, Study chair, Healthy Relationships CaliforniaDyann Collins, Study chair, Healthy Relationships California
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05580627
- Sponsor's protocol ID
- 90ZB0026
- Status last verified
- Oct 2022
- First submitted
- 12 Sep 2022
- Last updated
- 14 Oct 2022
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: Anonymized data will be archived with the Inter-university Consortium for Political and Social Research (ICPSR) after we complete our research. The data will not include the participant's name, address, date of birth, phone number, or any other personal information or ID numbers that could identify the participant. Archiving this data provides other researchers with the opportunity to learn about how relationship education benefits people. Information about data archival will be provided on the consent form.
Study at a glance
From the registry record, last updated by the sponsor on 14 Oct 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Relationships Education, Financial Resources, & Anger Management Essentials (REFRAME)
- ClinicalTrials.gov ID
- NCT05580627
- Acronym / sponsor ID
- 90ZB0026
- Conditions
- Program Modality
- Keywords
- couple relationship education, modality, evaluation, couple, comparison, propensity score matching, live, in-person
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 255 participants (estimated)
- Lead sponsor
- Healthy Relationships CaliforniaUniversity, hospital or other
- Study start
- 1 Sep 2022 (actual)
- Primary completion
- 30 Sep 2025 (estimated)
- Study completion
- 30 Sep 2025 (estimated)
- First posted
- 14 Oct 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The REFRAME project is designed to offer the R3 Academy for Couples, a robust 24-hour program, to married adults ages 18 and over in the state of California. The R3 Academy is an evidence-based couple relationship education curriculum that helps couples strengthen their relationships with their child, with their spouse, and at work. The program also includes two evidence-based components that address economic stability and an innovative approach to Case Management that fosters client self-direction. The R3 Academy curricula will be delivered in both English and Spanish through two modalities: 1) live classes and 2) livestream classes via a video conferencing platform. The Local Evaluation will examine how modality, or in other words attending a live class versus a livestream class, influences the effectiveness of R3 Academy for Couples program when it comes to changes in couples' marital/relationship satisfaction, conflict management, support and affection, and commitment. The question of modality is a timely one. In the COVID-19 era, many programs have become exclusively online-but the potential impact on effectiveness is not well known. We address this issue by considering the impact on four relationship outcomes: marital/relationship satisfaction, conflict management, support and affection, and commitment. Moreover, one issue that many programs report is that couples have great difficulty finding time to be engaged in regularly scheduled, live, in-person classes. Our study will provide evidence about how the availability of materials in alternative formats, that may allow more couples to be involved and reduce issues around the ability to participate, may influence the efficacy of those programs.
RQ1: How do live in-person (control) and online livestream (treatment) Marriage and Relationship Education (MRE) workshops compare on marital/relationship satisfaction outcomes immediately after program completion? RQ2: How do live in-person and online livestream MRE workshops compare on conflict management outcomes immediately after program completion? RQ3: How do live in-person and online livestream MRE workshops compare on support and affection outcomes immediately after program completion? RQ4: How do live in-person and online livestream MRE workshops compare on commitment outcomes immediately after program completion? RQ5: Do program effects last beyond program completion?
Detailed description
Couples in this study are required to take an Eligibility survey. If they meet the required eligibility criteria, the survey will gather further information including screening factors associated with domestic violence and child maltreatment that, if checked, will be flagged for further assessment by personal contact with our Case Management Supervisor. This form will also enable the registrant to identify which class format he or she wishes to attend-a live R3 Academy or a livestream workshop via a video conferencing platform. For the purpose of this study, the live or in-person modality is considered the control group and the livestream workshop is considered the treatment group. The R3 Academy curriculum is the same for each group, only the modality of curriculum delivery is different. Courses are a total of 24 hours that stretch across 12 sessions. Incentives for program completion include a $50 gift card that is offered to those who complete at least 90% of the program. In addition to the Eligibility survey, participants are asked to take a pre-survey before starting the class, a post-survey immediately following class completion, and a 4-month follow-up survey. If participants complete all three surveys they are eligible for an additional $25 gift card which they can receive even if they did not reach 90% completion.
As stated previously, entry into treatment or control groups is determined at enrollment. At the time of the impact analysis, propensity score matching (PSM) comparison groups will be formed-this statistical analysis will match up similar participants from each group to allow for comparison across conditions. PSM allows researchers to estimate differences between treatment and control groups in non-randomized samples. PSM will allow us to directly compare matched cases-meaning that the treatment and control groups will have a similar distribution of sociodemographic and sociocultural characteristics. This allows us to consider how outcomes vary between treatment and control groups, while accounting for the potential self-selection into different program groups. Participants will be matched across multiple metrics, including: racial/ethnic identity, sex/gender, income, education level, language of instruction, number of children, employment status, age, marital status, residential status, child sex, and child age. As clients may choose one program delivery modality over another due to work, childcare availability, or time, measures will be included for work schedule, availability of social support, work flexibility, and work-family stress.
Study design
- Primary purpose
- Other
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- In our quasi-experimental design, we allow participants to select whether they want to participate in a live or livestream program modality. The couples curriculum is the same for both, only the mode of delivery is different.
| Arm | Type | Receives |
|---|---|---|
| Livestream Modality | Experimental | Other: Livestream Modality (treatment)The livestream modality is considered the treatment group for the purpose of this quasi-experimental study. |
| Live Modality | Experimental | Other: Live Modality (control)The live modality is considered the control group for the purpose of this quasi-experimental study. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- Adult over the age of 18 living in California and applying with their romantic partner
Key exclusion criteria (5 listed)
- Domestic violence or child maltreatment is detected
- Active drug use
- Undiagnosed or untreated mental illness
- Anger management issues
- Pending legal action
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Livestream Modality (treatment)For this evaluation, the livestream modality is considered the treatment group. | Other | Livestream Modality |
| Live Modality (control)For this evaluation, the live modality is considered the control group. | Other | Live Modality |
Primary outcome
Change in Marital/Relationships Satisfaction after program completion and 4 months following program completion
Time frame: Data is collected at three time points: (1) before attending the class, (2) immediately after class completion, and (3) 4 months after course completion.
Single item inquiring how satisfied the individual is with their relationships. Responses are given on a Likert scale from 1=very satisfied and 3=not satisfied.
Change in Conflict Management after program completion and 4 months following program completion
Time frame: Data is collected at three time points: (1) before attending the class, (2) immediately after class completion, and (3) 4 months after course completion.
2 subscales and one single question exploring difficulty with working out differences, respect during disagreements, and satisfaction with conflict resolution. The first 2 are multiple item scales presented on a scales inquiring how frequently example interaction occur with responses given on a Likert scale ranging from 1=Never to 4=Often. Satisfaction with conflict resolution is based on a single question asking how satisfied the individual is with their conflict management. Responses are given on a Likert scale ranging from 1=Very satisfied to 3=Not at all satisfied.
Change in Partner Support after program completion and 4 months following program completion
Time frame: Data is collected at three time points: (1) before attending the class, (2) immediately after class completion, and (3) 4 months after course completion.
This is based on a 5-item measure inquiring how much participants agree or disagree with a list of statements related to their partner's supportiveness. Responses are given on a Likert scale ranging from 1=Strongly agree to 4=Strongly disagree.
Change in Relationship Commitment after program completion and 4 months following program completion
Time frame: Data is collected at three time points: (1) before attending the class, (2) immediately after class completion, and (3) 4 months after course completion.
This outcome is measured with a single item inquiring how much participants agree or disagree with the statement: I view our relationships as being life-long. Responses are given on a Likert scale ranging from 1=Strongly agree to 4=Strongly disagree.
Change in Partner Affection after program completion and 4 months following program completion
Time frame: Data is collected at three time points: (1) before attending the class, (2) immediately after class completion, and (3) 4 months after course completion.
This scale explored how frequently participants experience a list of 3 interactions with their partners. Responses are given on a Likert scale ranging from 1=Almost every day to 4=Less often.
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Oct 2022.
- Individual participant dataSharing planned: Yes. Anonymized data will be archived with the Inter-university Consortium for Political and Social Research (ICPSR) after we complete our research. The data will not include the participant's name, address, date of birth, phone number, or any other personal information or ID numbers that could identify the participant. Archiving this data provides other researchers with the opportunity to learn about how relationship education benefits people. Information about data archival will be provided on the consent form.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Kevin Shafer, PhD principal investigator
Brigham Young University
Jason Krafsky study director
Healthy Relationships California
Patty Howell study chair
Healthy Relationships California
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Livestream Modality (treatment) in people with Program Modality, run by Healthy Relationships California at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 14 Oct 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Braquel R Egginton, MS (760-436-3960, braquel@relationshipsca.org), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in Marital/Relationships Satisfaction after program completion and 4 months following program completion (time frame: Data is collected at three time points: (1) before attending the class, (2) immediately after class completion, and (3) 4 months after course completion.). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Oct 2022.