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| Name | Class |
|---|---|
| Avance Clinical Pty Ltd. | INDUSTRY |
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AVANCE-Houston seeks to understand whether a standard or compressed schedule format for delivering the Survival Skills for Healthy Families curriculum better meets the needs of low-income adults to improve skill retention and, ultimately, to promote better outcomes for healthy family relationships and economic stability.
AVANCE-Houston's FRAMEWorks (Family, Relationship, and Marriage Education Works) Project seeks to promote healthy family relationships and economic stability by providing the Survival Skills for Healthy Families (SSHF) curriculum to cohorts of low-income adults. Developed by Family Wellness Associates, SSHF is an evidence-based curriculum delivered through a series of workshops that focus on communication skills, conflict resolution, knowledge of the benefits of marriage, stress and anger management, parenting skills, financial literacy, job and career advancement, and relationship skills to improve family and economic stability. In the past, AVANCE has offered two curriculum delivery models: recurring weekly workshops (standard schedule format) and intensive weekend retreats (compressed schedule format). Each model meets the needs of the target population in different ways, and participants consider factors such as childcare, work/school schedules, weekend availability, and geographic location when choosing their preferred model.
The key goal of this descriptive evaluation is to assess the extent that attitudes and behaviors related to parenting, partner relationships, and financial and job readiness change after participation in the SSHF curriculum. Though the program offers support services and economic stability resources, our analysis will only include outcome changes based on surveys taken at program enrollment, program completion, and one-year post-enrollment. Additionally, a secondary analysis will focus on the ancillary question of whether differences in outcomes exist between in-person and virtual format group participants, and subgroup analyses will be conducted.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AVANCE-Houston FRAMEWorks Program Weekly Workshop Format | Experimental | A trained facilitator, supported by Career and Family Coaches, leads every HMRE parenting workshop for adults via multiple delivery models: in recurring weekly workshops (2 hours each workshop for 7 weeks) and intensive weekend retreats (totaling 16 hours). Additionally, AVANCE offers the weekly workshops either virtually via Zoom or in-person. All workshop models were offered to program participants who were able to choose whether the weekly (either in-person or virtually) or the weekend (in-person only) format worked best for them. Curriculum content is consistent across all delivery methods and target hours for all participants is 14 hours. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Descriptive Intervention | Other | A trained facilitator, supported by Career and Family Coaches, leads every HMRE parenting workshop for adults via multiple delivery models: in recurring weekly workshops (2 hours each workshop for 7 weeks) and intensive weekend retreats (totaling 16 hours). Additionally, AVANCE offers the weekly workshops either virtually via Zoom or in-person. All workshop models were offered to program participants who were able to choose whether the weekly (either in-person or virtually) or the weekend (in-person only) format worked best for them. Curriculum content is consistent across all delivery methods and target hours for all participants is 14 hours. |
| Measure | Description | Time Frame |
|---|---|---|
| Parenting Behavior Measurement #1 | How did parenting behavior outcomes change from program enrollment to 1 year after enrollment? Items measured include: Parenting behavior measured with: 4 items - frequency of support for child (4-point scale) Measured on the parenting behavior scale #1 as: 1 = Never, 2 = Hardly ever, 3 = Sometimes, 4 = Often The higher the rating, the better the score. The 4 items are measured as a construct. All items are added together and divided by 4 to create the construct score. The higher the score, the better the outcome. maximum score of 4.0, minimum score of 1.0 | Change from baseline in parenting behavior (frequency of support for child) at 12 months from enrollment. |
| Partner Relationship Behavior Measurement #1 | How did partner relationship behavior outcomes change from program enrollment to 1 year after enrollment? Items measured include: Partner relationship behavior measured with: 3 items - frequency of key relationship behaviors (4-point scale) Measured on the partner relationship behavior scale #1 as: 1 = Never, 2 = Hardly ever, 3 = Sometimes, 4 = Often The 3 items are measured as a construct. All items are added together and divided by 3 to create the construct score. The higher the score, the better the outcome. maximum score of 4, minimum score of 1.0 | Change from baseline in partner relationship behavior (frequency of key relationship behaviors) at 12 months from enrollment. |
| Financial Readiness Measurement #1 | How did financial readiness behavior outcomes change from program enrollment to 1 year after enrollment? Items measured include: Financial readiness measured with: 2 items - presence of a savings account and checking account (dichotomous) 1 = Yes, 0 = No, so the higher the rating, the better the score. | Change from baseline in financial readiness (presence of savings and checking accounts) at 12 months from enrollment. |
| Measure | Description | Time Frame |
|---|---|---|
| Parenting Attitudes Measurement #1 | 4A) How did parenting attitude outcomes change from program enrollment to program completion? Items measured include: Parenting attitudes measured with: 4 items - frequency of supportive feelings toward child (5-point scale) Measured on the parenting attitudes scale #1 as: 1 = Never, 2 = Hardly ever, 3 = Sometimes, 4 = Often, 5=always The 4 items are measured as a construct. All items are added together and divided by 4 to create the construct score. The higher the score, the better the outcome. maximum score of 5.0, minimum score of 1.0 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Matt D Shepherd, PhD | Midwest Evaluation & Research | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| AVANCE-Houston | Houston | Texas | 77092 | United States |
All participant data will be confidential and aggregated. No individual participant data will be released unless requested by the courts. This study looks at data as a whole.
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All types of workshop completions (virtually completing across 7 weeks, completing in person across 7 weeks, completing the weekend format in person, completing the weekend format virtually) were analyzed as one arm. Originally, the study was designed to be an RCT where researchers would look for differences among groups. But funding was downgraded to a descriptive study, mostly due to COVID highly affecting the program when it started out.
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| ID | Title | Description |
|---|---|---|
| FG000 | AVANCE-Houston FRAMEWorks Program Weekly Workshop Format | A trained facilitator, supported by Career and Family Coaches, leads every HMRE parenting workshop for adults via multiple delivery models: in recurring weekly workshops (2 hours each workshop for 7 weeks) and intensive weekend retreats (totaling 16 hours). Additionally, AVANCE offers the weekly workshops either virtually via Zoom or in-person. All workshop models were offered to program participants who were able to choose whether the weekly (either in-person or virtually) or the weekend (in-person only) format worked best for them. Curriculum content is consistent across all delivery methods and target hours for all participants is 14 hours. Descriptive Intervention: A trained facilitator, supported by Career and Family Coaches, leads every HMRE parenting workshop for adults via multiple delivery models: in recurring weekly workshops (2 hours each workshop for 7 weeks) and intensive weekend retreats (totaling 16 hours). Additionally, AVANCE offers the weekly workshops either virtually via Zoom or in-person. All workshop models were offered to program participants who were able to choose whether the weekly (either in-person or virtually) or the weekend (in-person only) format worked best for them. Curriculum content is consistent across all delivery methods and target hours for all participants is 14 hours. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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| ID | Title | Description |
|---|---|---|
| BG000 | AVANCE-Houston FRAMEWorks Program-All Formats | A trained facilitator, supported by Career and Family Coaches, leads every HMRE parenting workshop for adults via multiple delivery models: in recurring weekly workshops (2 hours each workshop for 7 weeks) and intensive weekend retreats (totaling 16 hours). Additionally, AVANCE offers the weekly workshops either virtually via Zoom or in-person. All workshop models were offered to program participants who were able to choose whether the weekly (either in-person or virtually) or the weekend (in-person only) format worked best for them. Curriculum content is consistent across all delivery methods and target hours for all participants is 14 hours. Descriptive Intervention: A trained facilitator, supported by Career and Family Coaches, leads every HMRE parenting workshop for adults via multiple delivery models: in recurring weekly workshops (2 hours each workshop for 7 weeks) and intensive weekend retreats (totaling 16 hours). Additionally, AVANCE offers the weekly workshops either virtually via Zoom or in-person. All workshop models were offered to program participants who were able to choose whether the weekly (either in-person or virtually) or the weekend (in-person only) format worked best for them. Curriculum content is consistent across all delivery methods and target hours for all participants is 14 hours. |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Parenting Behavior Measurement #1 | How did parenting behavior outcomes change from program enrollment to 1 year after enrollment? Items measured include: Parenting behavior measured with: 4 items - frequency of support for child (4-point scale) Measured on the parenting behavior scale #1 as: 1 = Never, 2 = Hardly ever, 3 = Sometimes, 4 = Often The higher the rating, the better the score. The 4 items are measured as a construct. All items are added together and divided by 4 to create the construct score. The higher the score, the better the outcome. maximum score of 4.0, minimum score of 1.0 | Posted | Mean | Standard Deviation | score on a scale | Change from baseline in parenting behavior (frequency of support for child) at 12 months from enrollment. |
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1 year through study completion
The definitions of adverse events do not differ from the clinicaltrials.gov definitions.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | AVANCE-Houston FRAMEWorks Program-All Formats of Delivery | A trained facilitator, supported by Career and Family Coaches, leads every HMRE parenting workshop for adults via multiple delivery models: in recurring weekly workshops (2 hours each workshop for 7 weeks) and intensive weekend retreats (totaling 16 hours). Additionally, AVANCE offers the weekly workshops either virtually via Zoom or in-person. All workshop models were offered to program participants who were able to choose whether the weekly (either in-person or virtually) or the weekend (in-person only) format worked best for them. Curriculum content is consistent across all delivery methods and target hours for all participants is 14 hours. Descriptive Intervention: A trained facilitator, supported by Career and Family Coaches, leads every HMRE parenting workshop for adults via multiple delivery models: in recurring weekly workshops (2 hours each workshop for 7 weeks) and intensive weekend retreats (totaling 16 hours). Additionally, AVANCE offers the weekly workshops either virtually via Zoom or in-person. All workshop models were offered to program participants who were able to choose whether the weekly (either in-person or virtually) or the weekend (in-person only) format worked best for them. Curriculum content is consistent across all delivery methods and target hours for all participants is 14 hours. |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Matthew Shepherd | Midwest Evaluation and Research | 8336439377 | matt.shepherd@midwestevaluation.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Feb 6, 2024 | Oct 3, 2025 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Feb 6, 2024 | Oct 3, 2025 | SAP_001.pdf |
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Participants choose between two workshop options:
receive 14 hours of Survival Skills for Healthy Families curricula over 7 weeks.
receive 14 hours of Survival Skills for Healthy Families in a compressed format during a 16-hour weekend retreat, followed by a 2-hour reflections workshop two weeks later.
Participants (regardless of how they participate) also receive employment supports and case management services.
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| Change from baseline in parenting attitudes (frequency of supportive feelings toward child) immediately after program completion (7 weeks) |
| Partner Relationship Attitudes Measurement #1 | 5) How did partner relationship attitude outcomes change from program enrollment to program completion? Items measured include: Partner relationship attitudes measured with: 5 items - level of agreement with how supportive partner is (5-point scale) Measured on the partner relationship attitudes scale #1 as: 1 = Strongly agree, 2 = Agree, 3 = Disagree, 4 = Strongly disagree, 5 = Not applicable The lower the rating, the better the score. The 5 items are measured as a construct. All items are added together and divided by 5 to create the construct score. maximum score of 5.0, minimum score of 1.0 | Change from baseline in parenting attitudes (level of agreement with how supportive partner is) immediately after program completion (7 weeks). |
| Participants |
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| Age, Continuous | Mean | Full Range | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Primary | Partner Relationship Behavior Measurement #1 | How did partner relationship behavior outcomes change from program enrollment to 1 year after enrollment? Items measured include: Partner relationship behavior measured with: 3 items - frequency of key relationship behaviors (4-point scale) Measured on the partner relationship behavior scale #1 as: 1 = Never, 2 = Hardly ever, 3 = Sometimes, 4 = Often The 3 items are measured as a construct. All items are added together and divided by 3 to create the construct score. The higher the score, the better the outcome. maximum score of 4, minimum score of 1.0 | Posted | Mean | Standard Deviation | score on a scale | Change from baseline in partner relationship behavior (frequency of key relationship behaviors) at 12 months from enrollment. |
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| Primary | Financial Readiness Measurement #1 | How did financial readiness behavior outcomes change from program enrollment to 1 year after enrollment? Items measured include: Financial readiness measured with: 2 items - presence of a savings account and checking account (dichotomous) 1 = Yes, 0 = No, so the higher the rating, the better the score. | Posted | Count of Participants | Participants | No | Change from baseline in financial readiness (presence of savings and checking accounts) at 12 months from enrollment. |
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| Secondary | Parenting Attitudes Measurement #1 | 4A) How did parenting attitude outcomes change from program enrollment to program completion? Items measured include: Parenting attitudes measured with: 4 items - frequency of supportive feelings toward child (5-point scale) Measured on the parenting attitudes scale #1 as: 1 = Never, 2 = Hardly ever, 3 = Sometimes, 4 = Often, 5=always The 4 items are measured as a construct. All items are added together and divided by 4 to create the construct score. The higher the score, the better the outcome. maximum score of 5.0, minimum score of 1.0 | Posted | Mean | Standard Deviation | score on a scale | Change from baseline in parenting attitudes (frequency of supportive feelings toward child) immediately after program completion (7 weeks) |
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| Secondary | Partner Relationship Attitudes Measurement #1 | 5) How did partner relationship attitude outcomes change from program enrollment to program completion? Items measured include: Partner relationship attitudes measured with: 5 items - level of agreement with how supportive partner is (5-point scale) Measured on the partner relationship attitudes scale #1 as: 1 = Strongly agree, 2 = Agree, 3 = Disagree, 4 = Strongly disagree, 5 = Not applicable The lower the rating, the better the score. The 5 items are measured as a construct. All items are added together and divided by 5 to create the construct score. maximum score of 5.0, minimum score of 1.0 | Posted | Mean | Standard Deviation | score on a scale | Change from baseline in parenting attitudes (level of agreement with how supportive partner is) immediately after program completion (7 weeks). |
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| 1,403 |
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| 1,403 |
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| 1,403 |
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| have checking account at follow-up |
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