To evaluate the effective components of couple relationship education, 59 newlywed couples were randomly assigned to one of two couple relationship programs (CRE): (1) RELATE, which involved receiving feedback on their relationship based on the on-line RELATE assessment; or (2) RELATE + Couple CARE, which was RELATE plus completing the 6 unit Couple CARE relationship skill training program. Relative to RELATE, RELATE + Couple CARE produced more improvement in couple communication, and high relationship satisfaction across the next 12 months in women. Men sustained high and similar relationship satisfaction in either condition. Skill training CRE has additional benefits for couples beyond assessment and feedback.

The current study assessed if childhood sexual abuse (CSA) can be meaningfully classified into classes, based on the assumption that abuse by a close family member differs in important ways from other abuse, and whether abuse classes were differentially associated with couple relationship problems. The childhood experiences and adult relationships of 1335 Australian women (18-41 years) were assessed. Latent class analysis identified three classes of CSA: that perpetrated by a family member, friend, or stranger, which differed markedly on most aspects of the abuse. Family abuse was associated with the highest risk for adult relationship problems, with other classes of CSA having a significant but weaker association with adult relationship problems. CSA is heterogeneous with respect the long-term consequences for adult relationship functioning.

This article explores attitudes towards immunisation and immunisation communication materials among parents and caregivers currently facing immunisation decisions in Aotearoa New Zealand. The research aimed to discover, from an open-ended qualitative investigation, new ways to conceptualise and explain immunisation decision-making, and identify participants' own views on approaches worth trialling as ways to increase immunisation rates. The research used communication artefacts as talking points, and an action research process to modify these to reflect participants' design suggestions, but was primarily exploratory. It started a broad conversation with participants about their decision-making influences rather than being designed to test any particular attributes of the immunisation communication process. From a qualitative analysis of transcripts of focus-group and in-depth interviews with 107 immunisation decision-makers, themes were drawn. Applying an emic process enabled identification of participants' own ideas that have now broadened the range of possible approaches currently being considered for immunisation communication in Aotearoa New Zealand. Given that immunisation decline is a problem internationally, these participant-driven ideas may also be worth testing in other contexts.

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