Department of Women's and Children's Health, Uppsala University, Samariterhemmets vårdcentrum, Box 609, 751 25 Uppsala, Sweden.
Offering Relationship Education (PREP) for Couples During Pregnancy: Self-Selection Patterns
Article first published online: 24 AUG 2013
© 2013 by the National Council on Family Relations
Volume 62, Issue 4, pages 676–685, October 2013
How to Cite
Engsheden, N., Fabian, H. and Sarkadi, A. (2013), Offering Relationship Education (PREP) for Couples During Pregnancy: Self-Selection Patterns. Family Relations, 62: 676–685. doi: 10.1111/fare.12032
- Issue published online: 24 AUG 2013
- Article first published online: 24 AUG 2013
- couple relationship;
- preventing marital distress;
- transition to parenthood
The aim of the study was to investigate patterns of self-selection into the Prevention and Relationship Education Program (PREP) as it was offered universally to expectant couples attending maternity services in a Swedish town. The baseline questionnaire was answered by 141 couples, of whom 63% later participated in PREP, and 37% served as a comparison group. The results showed that couples who chose to participate in PREP had a shorter relationship, were more often unmarried first-time parents, and reported lower levels of relationship adjustment. PREP participants also had higher scores of depressive symptoms and poorer self-rated health. It seems that expectant couples are interested in preventive relationship education and that couples with more risk factors for vulnerable relationships self-selected into PREP when the program was offered universally during pregnancy. The selection pattern into PREP has interesting implications for public health interventions and their dissemination.