Evaluation of a Healthy Relationship Smartphone App With Indigenous Young People: Protocol for a Co-designed Stepped Wedge Randomized Trial

Background We co-designed a smartphone app, Harmonised, with taitamariki (young people aged 13-17 years) to promote healthy intimate partner relationships. The app also provides a pathway for friends and family, or whānau (indigenous Māori extended family networks), to learn how to offer better support to taitamariki. Objective The aim of our taitamariki- and Māori-centered study is to evaluate the implementation of the app in secondary schools. The study tests the effectiveness of the app in promoting taitamariki partner relationship self-efficacy (primary outcome). Methods We co-designed a pragmatic, randomized, stepped wedge trial (retrospectively registered on September 12, 2019) for 8 Aotearoa, New Zealand, secondary schools (years 9 through 13). The schools were randomly assigned to implement the app in 1 of the 2 school terms. A well-established evaluation framework (RE-AIM [Reach, Effectiveness, Adoption, Implementation, Maintenance]) guided the selection of mixed data collection methods. Our target sample size is 600 taitamariki enrolled across the 8 schools. Taitamariki will participate by completing 5 web-based surveys over a 15-month trial period. Taitamariki partner relationship self-efficacy (primary outcome) and well-being, general health, cybersafety management, and connectedness (secondary outcomes) will be assessed with each survey. The general effectiveness hypotheses will be tested by using a linear mixed model with nested participant, year-group, and school random effects. The primary analysis will also include testing effectiveness in the Māori subgroup. Results The study was funded by the New Zealand Ministry of Business, Innovation, and Employment in October 2015 and approved by the Auckland University of Technology Ethics Committee on May 3, 2017 (application number: 17/71). Conclusions This study will generate robust evidence evaluating the impact of introducing a healthy relationship app in secondary schools on taitamariki partner relationship self-efficacy, well-being, general health, cybersafety management, and connectedness. This taitamariki- and indigenous Māori–centered research fills an important gap in developing and testing strengths-based mobile health interventions in secondary schools. Trial Registration Australian New Zealand Clinical Trials Registry ACTRN12619001262190; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=377584 International Registered Report Identifier (IRRID) RR1-10.2196/24792

Communication Breakdown: Differing Relationship Wellbeing Effects of Positive and Negative Spin in Communication Behaviour

<p>Romantic couples must regularly navigate interactions to maintain satisfying relationships, but it is unclear how people’s variability in communication behaviour is linked to relationship wellbeing. Varying communication behaviours may display responsiveness to a partner’s needs by adjusting behaviour appropriately. Or else, inconsistent behaviour may undermine partner trust by fuelling uncertainties about commitment. Across two studies, we investigated how a person’s variability of communication behaviour was associated with their own wellbeing and their partner’s wellbeing. Specifically, we assessed spin, a measure of how often a person switches between communication behaviours. We predicted that switching between positive behaviours would be linked with higher relationship wellbeing but, conversely, switching between negative communication behaviours would be linked with lower wellbeing. We assessed spin in positive and negative forms of relationship behaviour over three weeks (Study 1; 78 couples) and over a single interaction (Study 2; 112 couples). Effects for spin in positivity emerged only in Study 1. For women, switching daily positive behaviour over three weeks was associated with higher partner relationship wellbeing but unexpectedly lower wellbeing for women (controlling for mean-level positivity). This suggests that, for women, being responsive to partners in diverse ways is beneficial for the partner but comes at a personal cost. Effects for spin in negativity emerged in both studies. Switching negative behaviour was linked with lower partner wellbeing in both studies, indicating that use of different negative behaviours is more dysfunctional than the sum of individual relationship behaviours. Across both studies, additional tests illustrated that these effects were independent and not due to variability in the magnitude of behaviours. Our findings show variable behaviour may benefit partner wellbeing when behaviour is positive, but inconsistent negativity interrupts intimacy processes to undermine wellbeing. Our research highlights the importance of considering behavioural variability when studying relationship maintenance processes over time.</p>

Communication Breakdown: Differing Relationship Wellbeing Effects of Positive and Negative Spin in Communication Behaviour

<p>Romantic couples must regularly navigate interactions to maintain satisfying relationships, but it is unclear how people’s variability in communication behaviour is linked to relationship wellbeing. Varying communication behaviours may display responsiveness to a partner’s needs by adjusting behaviour appropriately. Or else, inconsistent behaviour may undermine partner trust by fuelling uncertainties about commitment. Across two studies, we investigated how a person’s variability of communication behaviour was associated with their own wellbeing and their partner’s wellbeing. Specifically, we assessed spin, a measure of how often a person switches between communication behaviours. We predicted that switching between positive behaviours would be linked with higher relationship wellbeing but, conversely, switching between negative communication behaviours would be linked with lower wellbeing. We assessed spin in positive and negative forms of relationship behaviour over three weeks (Study 1; 78 couples) and over a single interaction (Study 2; 112 couples). Effects for spin in positivity emerged only in Study 1. For women, switching daily positive behaviour over three weeks was associated with higher partner relationship wellbeing but unexpectedly lower wellbeing for women (controlling for mean-level positivity). This suggests that, for women, being responsive to partners in diverse ways is beneficial for the partner but comes at a personal cost. Effects for spin in negativity emerged in both studies. Switching negative behaviour was linked with lower partner wellbeing in both studies, indicating that use of different negative behaviours is more dysfunctional than the sum of individual relationship behaviours. Across both studies, additional tests illustrated that these effects were independent and not due to variability in the magnitude of behaviours. Our findings show variable behaviour may benefit partner wellbeing when behaviour is positive, but inconsistent negativity interrupts intimacy processes to undermine wellbeing. Our research highlights the importance of considering behavioural variability when studying relationship maintenance processes over time.</p>

Autisme binnen de opvoeding

This study investigates the relationship between the perceived stress of parents with a child with (characteristics of) an autism spectrum disorder (ASD) and the degree of ASD characteristics within parents. Data from 222 children (mean age 7.8 years) and their primary caregivers, previously collected as part of the Social Spectrum Study, were analyzed. Linear regression analyses were used to investigate the association between experienced parenting stress and the influence of parents’ own ASD characteristics, taking into account relevant covariates. This study shows that the experienced parenting stress does not show a significant relationship with the ASD characteristics of parents when relevant covariates (such as own psychiatric problems, ASD characteristics of the child and the partner relationship) are added. This study finds indications that parenting stress in parents of children with ASD appears to be more strongly related to their general perceived psychopathology than to their specific ASD characteristics. Further replication is warranted, and we advise research into interventions for parents that possibly prevent (further) stress associated with raising a child with ASD (characteristics).

Alternative Constructions of Partner Relationships in Chronic Illness: A Qualitative Study Exploring Concurrent Relationships

Chronic illness can have a profound impact on couples’ relationships. In dealing with relational changes, new constructions and forms of relationships may arise. In the context of a larger grounded theory study on relational processes and practices in couples faced with chronic illness, this article focuses on concurrent relationships as an alternative form of relationship construction which embodies an additional relationship existing parallel to that of the couple confronted with chronic illness. Based on qualitative interviews with a subsample of five persons within the larger study, conditions for the development and characteristics of concurrent relationships are presented. From an individual and shared life questioned by chronic illness, concurrent relationships are formed in the attempt to be able to live on together in a new partner relationship and a continued care relationship. This can lead to new constructions of relationships, family life, and social relations in everyday life.

The Effects of the Stakeholders Relationship Management on Organization Performance

Partner management, partner relationship management examines have a significant spot in writing. We looked for their effect on organization performance through the Employee and Social parts of Company Evaluation interceding factors. Laborers were chosen to accomplish the objectives of the examination. Employees hold and as they are the internal stakeholders. Thus, it becomes necessary to explore their effect in stakeholder relationship management on organizational efficiency, which is highly competitive. The staff was essential to cover the organization's accomplishments. If they functioned as a gathering, the impact might be exceptional. The organization's management would comprehend the workers' prerequisites and aspirations, and a management style of advanced organization systems was resolved. It was found from the investigation that inside partner relationship management framework is organizational performance. Via the eyes of European multinational organizations, the thesis examines the relationship between corporate social responsibility (CSR) and organizational success. Furthermore, the study investigates the role of corporate reputation as a moderator in the CSR-organizational performance linkages. The final data set included 340 responses from senior executives/managers at European multinational corporations.

Family Relationships and Their Associations With Perceptions of Family Functioning in Mothers of Children With Intellectual Disability

We explored whether reports of three dyadic relationships (marital/partner, parent-child, sibling) were related to perceptions of family functioning in 467 mothers of children with intellectual disability aged 4–15 years. Structural equation models were fitted to examine associations between relationship indicators and family functioning. The final structural model showed that partner relationship satisfaction, partner disagreement, child-parent conflict, and sibling relationship warmth accounted for the most variance in family functioning, with partner relationship satisfaction having the strongest positive association. Dimensions of dyadic relationships appear to be associated with broader constructs of family functioning in this sample of mothers, signifying the potential for systemic intervention.