Marni Kan

Establishing Family Foundations: Intervention Effects on Coparenting, Parent/Infant Well-Being, and Parent-Child Relations

This study investigated the ability of a theoretically driven, psychosocial prevention program implemented through childbirth education programs to enhance the coparental relationship, parental mental health, the parent-child relationship, and infant emotional and physiological regulation. A sample of 169 heterosexual, adult couples who were expecting their 1st child was randomized to intervention and control conditions. The intervention families participated in Family Foundations, a series of 8 classes, delivered before and after birth, that was designed as a universal prevention program (i.e., it was applicable to all couples, not just those at high risk). Intent-to-treat analyses indicated significant program effects on coparental support, maternal depression and anxiety, distress in the parent-child relationship, and several indicators of infant regulation. Intervention effects were not moderated by income, but greater positive impact of the program was found for lower educated parents and for families with a father who reported higher levels of insecure attachment in close relationships. These findings support the view that coparenting is a potentially malleable intervention target that may influence family relationships as well as parent and child well-being.

A Multi-Domain Self-Report Measure of Coparenting

Objectives . This study reports the psychometric properties of a multidomain measure of the coparenting relationship in dual-parent families. Method . A total of 152 couples participating in a transition to parenthood study completed the Coparenting Relationship Scale and additional measures during home visits at child age 6 months, 1 year, and 3 years. Results . Psychometric and construct validity assessments indicated the measure performed satisfactorily. The 35-item measure demonstrated good reliability and strong stability. Subscales measuring theoretically and empirically important aspects of coparenting (coparenting agreement, coparenting closeness, exposure of child to conflict, coparenting support, coparenting undermining, endorsement of partners parenting, and division of labor) demonstrated good reliability as well. A 14-item brief overall measure showed very strong associations with the overall measure. Relations of the full scale with a measure of social desirability were weak, and the full scale was positively associated with positive dimensions of the dyadic couple relationship (love, sex/romance, couple efficacy) and inversely associated with negative dimensions (conflict, ineffective arguing)—as expected. Conclusions . This initial examination of the Coparenting Relationship Scale suggests that it possesses good psychometric properties (reliability, stability, construct validity, and interrater agreement), can be flexibly administered in short and long forms, and is positioned to promote further conceptual and methodological progress in the study of coparenting.

Effects of family foundations on parents and children: 3.5 years after baseline.

This study investigated the ability of a psychosocial prevention program implemented through childbirth education programs to enhance the coparental and couple relationship, parental mental health, the parent-child relationship, and child outcomes. A sample of 169 heterosexual, adult couples expecting their first child was randomized to intervention and control conditions. The intervention families participated in Family Foundations, a series of eight classes delivered before and after birth, which was designed as a universal prevention program (i.e., applicable to all couples, not just those at high risk). Intent-to-treat analyses utilizing data collected from child age 6 months through 3 years indicated significant program effects on parental stress and self-efficacy, coparenting, harsh parenting, and childrens emotional adjustment among all families, and maternal depression among cohabiting couples. Among families of boys, program effects were found for child behavior problems and couple relationship quality. These results indicate that a universal prevention approach at the transition to parenthood focused on enhancing family relationships can have a significant and substantial positive impact on parent and child well-being.

Longitudinal Predictors of Change in Number of Sexual Partners across Adolescence and Early Adulthood

PURPOSE Although sexual risk behavior has negative consequences in adolescence and early adulthood, little is known about pathways of sexual risk across development and their correlates. Study goals were to examine trajectories of number of sexual partners across adolescence and into early adulthood, and to investigate hypothesized individual and family-level predictors. METHODS A subset of 8,707 white, black, and Mexican American participants in the National Longitudinal Study of Adolescent Health reported on their motivations to have sex, family warmth, and perceptions of maternal attitudes about sex at Wave 1 and on their sexual relationships at each year of age across the three waves of the study. RESULTS Multilevel growth curves of number of sexual partners between ages 11 and 27 showed increases in sexual risk across adolescence and deceleration in early adulthood, but differed somewhat as a function of demographic characteristics. As expected, adolescent motivations to have sex and perceptions of permissive maternal attitudes about sex predicted more sexual partners in adolescence, whereas family warmth predicted fewer sexual partners across gender and racial/ethnic groups. Predictors did not differentiate youth as strongly in early adulthood. Interactions between predictors supported a cumulative risk framework, such that perceived permissive maternal attitudes or low family warmth combined with high adolescent motivations to have sex predicted the highest number of sexual partners in adolescence. CONCLUSIONS This study advances our understanding of change in sexual behavior across development and the individual and contextual correlates of such change. Findings document the cumulative implications of individual cognitions, family experiences, and social contexts for adolescent and young adult sexual experiences.

Sleep in Mexican-American Adolescents: Social Ecological and Well-Being Correlates

A burgeoning body of research documents links between sleep and adjustment in adolescence, but little is known about the role of the social ecology in promoting healthful sleeping habits. This study was aimed at identifying the socio-cultural correlates of adolescents’ sleep, including average nighttime sleep duration, average daytime napping, and night-to-night variability in sleep duration and assessing the links between these dimensions of sleep and adjustment in Mexican-American youth. Participants were 469 Mexican-American adolescents (50.5% female) and their mothers and fathers. Data on family socio-cultural characteristics and youth adjustment were collected in home interviews with youth, mothers, and fathers, and, during 7 evening telephone interviews, adolescents reported on nighttime sleep and daytime napping for the prior 24-h period. Night-to night variability and napping were more strongly linked to youth depressive symptoms and risky behavior than was average nighttime sleep, whereas nighttime sleep predicted lower body mass index. Lower parental acculturation and fathers’ familism values predicted more healthful sleep, and higher levels of family income, parental education and neighborhood crime predicted less healthful sleep. In addition to illuminating the significance of socio-cultural influences on youths’ sleep, this study contributes to the literature by documenting the multidimensionality of sleep patterns and their links with adjustment in an understudied population.

Moderation of the association between parent and adolescent cigarette smoking by selected sociodemographic variables

This study examines variation in the associations between cigarette smoking by mother or father and adolescent cigarette smoking by selected sociodemographic characteristics. The study data are from nationally representative samples of adolescents aged 12 to 17 living with their mothers (n=4734) and/or fathers (n=3176). Mother cigarette smoking was more strongly associated with cigarette smoking by daughters than sons. The association between father cigarette smoking and adolescent cigarette smoking did not vary by adolescent gender. The association between mother or father cigarette smoking and adolescent cigarette smoking did not vary by parents education, family structure, or adolescent age or race/ethnicity.

Intimate Partner Violence and Coparenting Across the Transition to Parenthood

Intimate partner violence (IPV) between parents has been linked to negative parenting and child maladjustment, yet the mechanisms underlying this association are not fully understood. Based on a theory that violence among parents disrupts the coparental alliance—which has been linked to parenting quality and child adjustment—the authors examined the effect of prebirth violence on coparenting across the transition to parenthood. A community sample of 156 couples reported on IPV prior to the birth of their first child and on coparenting at child age 1 year. Both men and women’s violence perpetration were related to coparenting quality. Couple relationship quality and parent mental health problems accounted for the links between prenatal IPV and coparenting. This study adds to an understanding of the associations between IPV and family functioning across the transition to parenthood, and has important implications for preventive intervention.

The Adolescent Family Life Program: A Multisite Evaluation of Federally Funded Projects Serving Pregnant and Parenting Adolescents

OBJECTIVES We evaluated the effectiveness of care demonstration projects supported by the Title XX Adolescent Family Life (AFL) program, which serves pregnant and parenting adolescents in an effort to mitigate the risks associated with adolescent childbearing. METHODS This cross-site evaluation involved 12 projects and 1038 adolescents who received either enhanced services funded by the AFL program or usual care. We examined the effects of enhanced services on health, educational, and child care outcomes approximately 6 months to 2 years after intake and explored moderation of program effects by time since intake and project characteristics associated with outcomes. RESULTS The odds of using long-acting reversible contraception (odds ratio [OR] = 1.58) and receiving regular child care (OR = 1.50) in the past month were higher in the intervention group than in the comparison group. Odds of a repeat pregnancy were lower (OR = 0.39) among intervention group adolescents than among comparison group adolescents within 12 months of intake. Several project characteristics were associated with adolescent health outcomes. CONCLUSIONS These projects show promise in improving effective contraceptive use, increasing routine child care, and yielding short-term decreases in repeat pregnancy.

Can a Family-Focused, Transition-to-Parenthood Program Prevent Parent and Partner Aggression among Couples with Young Children?

The need for prevention of children’s exposure to family aggression is clear, yet studies have not examined effects of family based programs on both partner and parent–child aggression. This study examined moderated effects of an 8-session psychoeducational program for couples on partner psychological aggression and parent–child physical aggression when the child was 3 years old. A community sample of 169 expectant couples was randomized to intervention and control conditions. Significant program effects indicated reduced partner psychological aggression by fathers and reduced parent–child physical aggression by mothers for couples with frequent preprogram partner psychological aggression and reduced partner psychological aggression by fathers for couples with severe preprogram partner physical aggression. Efforts to prevent children’s exposure to family aggression may most benefit couples exhibiting preprogram relationship risk.

Measurement and correlates of intimate partner violence among expectant first-time parents.

Research on the implications of varying measurement strategies for estimating levels and correlates of intimate partner violence (IPV) has been limited. This study explored measurement and correlates of IPV using a community sample of 168 couples who were expecting their first child. In line with prior research, couple agreement regarding the presence of violence was low, and maximum reported estimates revealed substantial IPV perpetrated by both expectant mothers and fathers. Different types of IPV scores predicted unique variance in mental health problems and couple relationship distress among both the whole sample and the subsamples who perpetrated any violence. Discussion focuses on the methodological and substantive implications of these findings for the study of IPV during the transition to parenthood.