Strengthening couples during the transition to parenthood: a randomized controlled study

Abstract

This study aims at evaluating the effects of the Couple Care and Training Program (CCC-P), which is based on two evidence-based programs and designed to support couples during and after the transition state to first parenthood. CCC-P will be compared to two other conditions: a self-directed learning approach where parents use a DVD to learn knowledge and skills needed to adapt to parenthood and treatment as usual (TAU). 210 couples will be randomly assigned to one of the three conditions. Assessments by questionnaire and videotaped interaction will take place several times during the study. CCC-P should, relative to the other two conditions, produce positive changes in attitudes, role division and relationship skills. These changes are expected to mediate better couple relationship satisfaction, child and parents’ well-being. Self-directed learning should yield better results than TAU. In the recruitment stage, more than 200 couples (98% of a telephone screening) were willing to participate. However, drop-out after birth remains a challenge. The study design seems nevertheless feasible. Results will produce a deepened insight in how to optimize support to couples who become parents.