Despite the potential of parent training as a prevention and behavioral family intervention strategy, there are a number of important issues related to implementation (e.g., recruitment and retention of families). This paper presents recruitment and retention data from families enrolling in a randomized controlled universal prevention trial for child behavior problems conducted in Germany. The recruitment rate averaged 31% (general project participation), with families of lower socioeconomic status (SES) participating at a lower rate. Project-declining families most often reported intrusion of privacy as their primary concern. In contrast, once parents were enrolled in the project, participation among those randomized to the parent training group averaged 77% (program/intervention participation); non-participation was mostly due to logistical issues. Parents accepting the offer of parent training were more likely to report child behavior problems than did declining parents. Although parents from more disadvantaged areas had a lower overall level of participation in the project once recruited, parents with children having higher levels of behavior problems indeed were more likely to participate in the intervention. Different recruitment methods may be required to engage high-risk families from socioeconomically disadvantaged areas to further improve community-level impact on child mental health.

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This article uses meta-analyses to determine the effectiveness of behavioral marital therapy (BMT) and premarital intervention (BPI) studies. The effect size for the 17 BMT studies was .95 and for the 7 BPI studies was .79, and these gains were generally maintained over time. Cross-cultural comparisons of BMT indicated equal benefits for couples in Europe and the United States. For BMT, effect sizes were higher for comparisons with no treatment versus placebo control groups, whereas the reverse was true for BPI. For BMT, effect sizes were similar for observational and self-report measures, whereas for BPI, effect sizes were larger for observational versus self-report measures.

This article reports on the development and long-term evaluation of a marital distress prevention program for German couples, the Ein Partnerschaftliches Lernprogramm (EPL, A Couple's Learning Program). The EPL is a 6-session program designed to teach couples effective communication and problem-solving skills. In the current article, the EPL is evaluated in a prospective, quasi-experimental, controlled trial. The results of the 3-year follow-up are reported, contrasting 55 EPL couples with a control group of 17 couples. Significant diiferences emerged with regard to the couples' dissolution rates, relationship satisfaction, and positive and negative communication behavior favoring the EPL couples. These results demonstrate the utility of the EPL program in assisting happy couples who are preparing for marriage. The implications of the findings for prevention research and for the dissemination of prevention programs are discussed.As highlighted in a recent National Institute of Mental Health report on prevention, marital distress and destructive marital conflict (rather than divorce, per se) are major generic risk factors for many forms of dysfunction and

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