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Studies on the effectiveness of PREP find that couples that have participated in PREP are less likely to get divorced and have significantly higher levels of marital satisfaction.The studies indicated that couples who interacted more negatively than other couples had marriages that that were in trouble or predicted future marital distress.Negative interaction is considered a dynamic behavior factor that couples can change to improve their odds of staying together.PAIRS also has a program taught by healthcare workers to populations needing the restorative power of a healthy and healing relationship.
PAIRS is currently developing programs and program delivery systems for disadvantaged youth, unmarried families, single parents, domestic violence, prison parolees, and related groups who can benefit from relationship skills training.
The PREP program is successfully being used around the world with married and soon-to-be married couples. Markman and Scott Stanley, Ph D, the other co-director of the Center for Marital and Family Studies at the University of Denver, have created three corporations to provide vehicles for the dissemination of training and products based on PREP and empirical marital research.