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An Implementation Study of Relationship Checkups as Home Visitations for Low‐Income At‐Risk Couples
Abstract
Couples with the greatest need for relationship health maintenance and intervention are often least able to afford and access it; therefore, accessible, affordable, effective, and brief interventions are needed to improve relationship health for those who need it most. Consequently, this paper examined whether a brief relationship intervention could be effectively implemented with a low‐income, underserved population. All enrolled participants (N = 1,312) received the Relationship Checkup, which consists of an assessment and a feedback session delivered in their homes or at a local clinic at their request. Measures assessed relationship satisfaction, communication, psychological and physical aggression, and intimacy at baseline and 1‐month follow‐up, and program and relationship satisfaction at 6‐month follow‐up. All participants reported significant improvements on all outcomes with small effect sizes. However, moderation analyses suggested that distressed couples reported significantly larger effects across the board. Overall, participants reported that they were highly satisfied with the intervention both immediately after its delivery and 6 months later. Findings provide preliminary support for the effectiveness of this brief checkup and point to the utility of offering these kinds of low‐cost brief interventions in flexible formats for those who might have the most difficulty accessing them.
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The Marriage Checkup (MC) has demonstrated efficacy in reducing both relationship distress and depressive symptoms and is not limited to use with married couples.
“Importantly, the MC has demonstrated efficacy in reducing both relationship distress and depressive symptoms [100] and is not limited to use with married couples [101].”
From Trajectories of Maternal and Paternal Internalizing Symptoms from Pregnancy to 2 Years Postpartum: Identifying Modifiable Risk and Protective Factors (2024) · cites this paper as [101]
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Metadata
- Authors
- Coop Gordon, K., Cordova, J. V., Roberson, P. N. E., Miller, M., Gray, T., Lenger, K. A., Hawrilenko, M., & Martin, K.
- Affiliations
- Psychology Department University of Tennessee Knoxville TN
- Francis L. Hiatt Department of Psychology Clark University Worcester MA
- University of California, Davis (US)
- University of Tennessee at Knoxville (US)
- Clark University (US)
- Venue
- Family Process
- Publisher
- Wiley
- Published
- 2018-10-11
- Volume
- 58
- Issue
- 1
- Pages
- 247-265
- ISSN
- 0014-7370 (ISSN-L)
- 1545-5300
- OpenAlex
- W2896631869
- Cited by
- 39
- References
- 49
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 4 · 2023: 11 · 2022: 7 · 2021: 6 · 2020: 3 · 2019: 2 · 2018: 1
- FWCI
- 4.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Family Process (publishedVersion)
- PubMed (publishedVersion)
- Clark Digital Commons (Clark University) (submittedVersion)
- Funders
- U.S. Department of Health and Human Services
- Administration for Children and Families
- Office of Family Assistance (#90FM0022)
- Topics
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Social Sciences › Psychology › Clinical Psychology › Counseling, Therapy, and Family Dynamics
- Social Sciences › Health › Intimate Partner and Family Violence
- Keywords
- home visits, at-risk couples, low-income couples, relationship satisfaction, couple communication, psychological aggression, physical aggression, intimacy, relationship distress, intervention implementation, underserved populations
- MeSH terms
- Adult, Communication, Female, Health Plan Implementation, House Calls, Humans, Interpersonal Relations, Male, Poverty, Psychotherapy, Brief, Sexual Partners, Patient Satisfaction, Couples Therapy
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