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Enhancing relationship functioning during the transition to parenthood: a cluster-randomised controlled trial.

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A new antenatal intervention improved relationship satisfaction for women and couple communication for men during the transition to parenthood. This feasible program also reduced psychological distress for men, supporting future research.

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Area of Science:

  • Psychology
  • Public Health
  • Family Studies

Background:

  • The transition to parenthood presents challenges to couple relationships.
  • Existing antenatal support often lacks specific focus on relationship functioning.
  • Low-intensity interventions may offer a feasible approach to support couples.

Purpose of the Study:

  • To examine the feasibility and acceptability of a novel psycho-educational antenatal intervention for couples.
  • To preliminarily assess the intervention's effectiveness in enhancing relationship satisfaction, couple communication, and psychological distress.

Main Methods:

  • A cluster randomised controlled trial design was employed, allocating antenatal classes to the intervention or control condition.
  • The intervention comprised a 2-hour psycho-educational program delivered adjunct to National Health Service antenatal classes.
  • Feasibility was assessed via pragmatic delivery and participant acceptability; effectiveness was measured using relationship satisfaction, communication, and distress outcomes.

Main Results:

  • The intervention demonstrated feasibility in terms of delivery, uptake, and attendance.
  • Participant feedback indicated satisfaction and willingness to recommend the program.
  • Significant positive effects were observed: women reported less deterioration in relationship satisfaction, men reported less deterioration in communication, and men experienced reduced psychological distress.

Conclusions:

  • The low-intensity antenatal intervention is feasible and acceptable for couples transitioning to parenthood.
  • Preliminary findings suggest the intervention positively impacts relationship satisfaction, communication, and psychological distress.
  • The results support further large-scale investigation into this novel approach to supporting families.