Couples
Conditions
Brief summary
This study uses an RCT design with repeated measures to test the impact of two different delivery formats for the TYRO Couples curriculum. Eligible study participants are males or females who are at least 18 years of age and within 9 months of release from incarceration. Incarcerated participants randomly assigned to the treatment group receive the TYRO Couples curriculum in-person, whereas those assigned to the comparison group experience an on-demand format. Study results that show no discernable differences in outcomes between groups will make it easier to serve more participants because service delivery formats can accommodate different life circumstances and preferences.
Detailed description
The TYRO Couples curriculum Is based upon the Couples Communication curriculum, and was developed by a Christian, non-profit organization in Ohio called The RIDGE Project. The purpose of TYRO Couples is to provide training and opportunities for participants from families affected by the incarceration of a father to practice healthy relationship skills that build a foundation for healthy and successful marriages and lifelong partnerships. Curriculum components also address healthy financial and employment skills. Previous research suggests the TYRO Couples curriculum is efficacious in increasing skills related to: relationship building, couples communication, conflict resolution, and relationship satisfaction. Typically, TYRO Couples is delivered in-person in a classroom setting. Using an in-person format results in a more personal, organic experience for participants but it requires a commitment that is difficult for some of them are unable to make because of the time and effort that is necessary to meet in a specific place for a predetermined amount of time. On-line access does not offer the same experience as in-person service delivery, but it does offer greater accessibility for participants to learn at their own pace in a self-directed learning environment of their own choosing. In theory, both formats offer program participants different types of access to service delivery and it is not clear if there is a disparate impact on the educational outcomes that define program benefits, which are improved attitudes, expectations and behaviors that promote healthy family relationships and economic stability for their households. Testing the delivery format of TYRO Couples is important for several reasons. First, more research is needed to better understand which prison-based learning methods are more effective on marriage/intimate partner relationship and economic stability outcomes. Although there are some previous studies of best practices for prison-based learning, there are no studies, to our knowledge, that examine the effectiveness of on-demand learning on relationship and economic outcomes among couples affected by incarceration. Second, previous studies suggest that on-demand learning can be a helpful tool that empowers learners to digest the course material at their own pace. Learner control is a theory that derives from several motivational theory underpinnings, which includes attribution theory, motivation theory, and information processing theory. Previous research guided by learner control theory suggests that self-guided, on-demand learning is positively related to greater learner satisfaction and higher levels of learning compared with those who did not use this format. Therefore, it is important that effective, prison-based learning methods are identified and used so that program participants can experience the most robust relationships and economic stability outcomes. Informed by the self-efficacy and learner control theory, the purpose of this study is to assess the extent to which TYRO Couples training delivered in an on-demand format has a disparate impact compared to in-person services on marriage/intimate partner relationships and economic stability outcomes among couples facing incarceration.
Interventions
Treatment group participants receive TYRO Couples curriculum in an on-demand format that is delivered in five 2-hour weekly sessions for a total of 10 hours.
Control group participants receive TYRO Couples curriculum in a live format (virtual or in-person) that is delivered in five 2-hour weekly sessions for a total of 10 hours.
Sponsors
Study design
Intervention model description
Treatment vs. Control Group Standard services delivered as primary services to participants in both study groups under a shared condition are: 20 hours of TYRO Dads curricula and 6 hours of Core Communication curricula. Optional services available to both study groups by selecting 1-3 hours of coursework from menu of courses that address a variety of needs.
Eligibility
Inclusion criteria
* Male or Female Adult (age 18 and older) * Incarcerated * Within 9 months of release in OH
Exclusion criteria
* Minor (under the age of 18) * Not incarcerated * Incarcerated but not within 9 months of release in OH
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Primary Outcome Measure 1: Employment Attitudes | baseline to 6-month follow-up | What is the impact of on-demand delivery (treatment) compared to in-person delivery of the TYRO Couples curriculum (control) on employment attitudes six-months after enrollment? * 4 survey items independently measure the reported frequency of agreement with key co-parenting behaviors using categories on a 5-point scale (1 'Strongly Disagree', 2 'Disagree', 3 'Neither Agree nor Disagree', 4 'Agree', 5 'Strongly Agree'). * Higher scores on 4 items indicate better outcomes (ex. - I can overcome almost any challenge to get a decent job.) Subscales were formed to add the four survey items together and were divided by four. The subscale ranges from 1-5 (the lowest someone can score is 1, the highest someone can score is 5-which is most favorable. |
| Primary Outcome Measure 2: Healthy Financial Attitudes | baseline to 6-month follow-up | What is the impact of on-demand delivery (treatment) compared to in-person delivery of the TYRO Couples curriculum (control) on financial attitudes six months after enrollment? * 3 survey items measure the reported agreement for key financial attitudes using categories on a 5-point employment attitudes scale (1 'Strongly Disagree', 2 'Disagree', 3 'Neither Agree Nor Disagree', 4 'Agree', 5 'Strongly Agree'). * Higher scores on 3 items are negative (ex. - I am overwhelmed when I think about my financial situation.) Subscales were formed to add the three survey items together and were divided by three. The subscale ranges from 1-5 (the lowest someone can score is 1-which is most favorable, the highest someone can score is 5. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Secondary Outcome Measure 1: Partner Relationship Attitudes | baseline to immediately after program completion, up to 5 weeks | What is the impact of on-demand delivery (treatment) compared to in-person delivery of TYRO Couples curriculum (control) on partner relationship attitudes and expectations immediately after program completion? * 8 survey items measure the reported frequency of agreement with healthy partner relationship attitudes on a 5-point partner relationship attitudes scale (1 'Strongly Disagree', 2 'Disagree', 3 'Neither Agree Nor Disagree', 4 'Agree', 5 'Strongly Agree'). * Higher scores on all items are positive (ex. - I want to grow old with my partner.) Subscales were formed to add the eight survey items together and were divided by eight. The subscale ranges from 1-5 (the lowest someone can score is 1, the highest someone can score is 5-which is most favorable). |
| Primary Outcome Measure 2: Relationship With Partner Behaviors | baseline to 6-month follow-up | What is the impact of on-demand delivery (treatment) compared to in-person delivery of the TYRO Couples curriculum (control) on partner relationship behaviors six months after enrollment? * 7 survey items measure the reported frequency the respondent engaged in a series of healthy behaviors with a partner using categories on a 7-point partner relationship behavior scale (1 'Never', 2 'Rarely', 3 'Sometimes', 4 'Often', 5 'Always'). * Lower scores on all items are positive (ex. - How often do you and your partner disagree about religious matters?) Subscales were formed to add the seven survey items together and were divided by seven. The subscale ranges from 1-5 (the lowest someone can score is 1, the highest someone can score is 5-which is most favorable). |
Countries
United States
Participant flow
Recruitment details
Participants were recruited from prisons within the Ohio Department of Rehabilitation and Corrections (ODRC). Enrollment took place between April 11, 2023, and continued through November 30, 2024
Pre-assignment details
The only reason a participant would be excluded from the study after enrollment but before study assignment was if he/she did not provide consent to participate in the evaluation. Or, if he/she provided consent, then decided to revoke consent.
Participants by arm
| Arm | Count |
|---|---|
| Treatment-On Demand Format Treatment group participants receive TYRO Couples curriculum in an on-demand format that is delivered in five 2-hour weekly sessions for a total of 10 hours.
Intervention #1: Treatment Group Receiving On-Demand TYRO Services: Treatment group participants receive TYRO Couples curriculum in an on-demand format that is delivered in five 2-hour weekly sessions for a total of 10 hours. | 403 |
| Control-Virtual or In-Person Format Control group participants receive TYRO Couples curriculum in a live format (virtual or in-person) that is delivered in five 2-hour weekly sessions for a total of 10 hours.
Intervention #2: Control Group Receiving In-Person TYRO Services: Control group participants receive TYRO Couples curriculum in a live format (virtual or in-person) that is delivered in five 2-hour weekly sessions for a total of 10 hours. | 417 |
| Total | 820 |
Baseline characteristics
| Characteristic | Control-Virtual or In-Person Format | Total | Treatment-On Demand Format |
|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 2 Participants | 2 Participants | 0 Participants |
| Age, Categorical Between 18 and 65 years | 415 Participants | 818 Participants | 403 Participants |
| Age, Continuous | 36 years | 36 years | 36 years |
| Race (NIH/OMB) American Indian or Alaska Native | 22 Participants | 37 Participants | 15 Participants |
| Race (NIH/OMB) Asian | 4 Participants | 6 Participants | 2 Participants |
| Race (NIH/OMB) Black or African American | 178 Participants | 347 Participants | 169 Participants |
| Race (NIH/OMB) More than one race | 8 Participants | 19 Participants | 11 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 11 Participants | 37 Participants | 26 Participants |
| Race (NIH/OMB) White | 194 Participants | 374 Participants | 180 Participants |
| Region of Enrollment United States | 417 Participants | 820 Participants | 403 Participants |
| Sex: Female, Male Female | 43 Participants | 61 Participants | 18 Participants |
| Sex: Female, Male Male | 374 Participants | 759 Participants | 385 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 820 | 0 / 820 |
| other Total, other adverse events | 0 / 820 | 0 / 820 |
| serious Total, serious adverse events | 0 / 820 | 0 / 820 |
Outcome results
Primary Outcome Measure 1: Employment Attitudes
What is the impact of on-demand delivery (treatment) compared to in-person delivery of the TYRO Couples curriculum (control) on employment attitudes six-months after enrollment? * 4 survey items independently measure the reported frequency of agreement with key co-parenting behaviors using categories on a 5-point scale (1 'Strongly Disagree', 2 'Disagree', 3 'Neither Agree nor Disagree', 4 'Agree', 5 'Strongly Agree'). * Higher scores on 4 items indicate better outcomes (ex. - I can overcome almost any challenge to get a decent job.) Subscales were formed to add the four survey items together and were divided by four. The subscale ranges from 1-5 (the lowest someone can score is 1, the highest someone can score is 5-which is most favorable.
Time frame: baseline to 6-month follow-up
Population: 111 participants completed the required survey items for this measure in the treatment group; 114 in the control group.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment-On Demand Format | Primary Outcome Measure 1: Employment Attitudes | 4.16 score on subscale | Standard Deviation 0.57 |
| Control-Virtual or In-Person Format | Primary Outcome Measure 1: Employment Attitudes | 4.13 score on subscale | Standard Deviation 0.59 |
Primary Outcome Measure 2: Healthy Financial Attitudes
What is the impact of on-demand delivery (treatment) compared to in-person delivery of the TYRO Couples curriculum (control) on financial attitudes six months after enrollment? * 3 survey items measure the reported agreement for key financial attitudes using categories on a 5-point employment attitudes scale (1 'Strongly Disagree', 2 'Disagree', 3 'Neither Agree Nor Disagree', 4 'Agree', 5 'Strongly Agree'). * Higher scores on 3 items are negative (ex. - I am overwhelmed when I think about my financial situation.) Subscales were formed to add the three survey items together and were divided by three. The subscale ranges from 1-5 (the lowest someone can score is 1-which is most favorable, the highest someone can score is 5.
Time frame: baseline to 6-month follow-up
Population: 114 participants in the treatment group responded to the survey items for this measure; 96 in the control group.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment-On Demand Format | Primary Outcome Measure 2: Healthy Financial Attitudes | 3.76 score on scale | Standard Deviation 0.63 |
| Control-Virtual or In-Person Format | Primary Outcome Measure 2: Healthy Financial Attitudes | 3.78 score on scale | Standard Deviation 0.68 |
Primary Outcome Measure 2: Relationship With Partner Behaviors
What is the impact of on-demand delivery (treatment) compared to in-person delivery of the TYRO Couples curriculum (control) on partner relationship behaviors six months after enrollment? * 7 survey items measure the reported frequency the respondent engaged in a series of healthy behaviors with a partner using categories on a 7-point partner relationship behavior scale (1 'Never', 2 'Rarely', 3 'Sometimes', 4 'Often', 5 'Always'). * Lower scores on all items are positive (ex. - How often do you and your partner disagree about religious matters?) Subscales were formed to add the seven survey items together and were divided by seven. The subscale ranges from 1-5 (the lowest someone can score is 1, the highest someone can score is 5-which is most favorable).
Time frame: baseline to 6-month follow-up
Population: 44 participants in the treatment group responded to survey items in this measure; 47 in the control group. It was not required to be in a relationship to be in the study, so there was a very low completion rate for this measure.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment-On Demand Format | Primary Outcome Measure 2: Relationship With Partner Behaviors | 3.39 score on a scale | Standard Deviation 0.417 |
| Control-Virtual or In-Person Format | Primary Outcome Measure 2: Relationship With Partner Behaviors | 3.28 score on a scale | Standard Deviation 0.471 |
Secondary Outcome Measure 1: Partner Relationship Attitudes
What is the impact of on-demand delivery (treatment) compared to in-person delivery of TYRO Couples curriculum (control) on partner relationship attitudes and expectations immediately after program completion? * 8 survey items measure the reported frequency of agreement with healthy partner relationship attitudes on a 5-point partner relationship attitudes scale (1 'Strongly Disagree', 2 'Disagree', 3 'Neither Agree Nor Disagree', 4 'Agree', 5 'Strongly Agree'). * Higher scores on all items are positive (ex. - I want to grow old with my partner.) Subscales were formed to add the eight survey items together and were divided by eight. The subscale ranges from 1-5 (the lowest someone can score is 1, the highest someone can score is 5-which is most favorable).
Time frame: baseline to immediately after program completion, up to 5 weeks
Population: 27 participants in the treatment group responded to the survey items for this measure; 25 in the control group.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment-On Demand Format | Secondary Outcome Measure 1: Partner Relationship Attitudes | 4.35 score on scale | Standard Deviation 0.824 |
| Control-Virtual or In-Person Format | Secondary Outcome Measure 1: Partner Relationship Attitudes | 4.15 score on scale | Standard Deviation 1.113 |