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Other concerns
Generalizability— The programs evaluated may be not representative of the programs operating in the field for a few reasons. First, the sample of studies is very small— 39 studies. Also, the majority of these studies were evaluated in a clinical setting. These studies are more likely to be evaluated because the providers of the treatment have careers in research, as well.
Income of the sample— The reviewers are also concerned that the clients of the evaluated programs are rarely low-income. ACF is interested in knowing how these programs will help the low-income population, and this review falls short of informing this specific issue because the studies included do not specifically target low-income couples. There is one study available that includes “low-income” couples, defined as couples that score as low-income on the SES scale, but reviewers eliminated this study from the sample of studies because authors did not demonstrate a low attrition rate.
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