Empirically-Based Couple Interventions on the Web: Serving the Underserved
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About
Although several empirically-supported interventions to prevent and treat relationship distress have been developed, the majority of couples - especially high-risk couples - do not seek these face-to-face interventions. However, our pilot data indicate that large numbers of couples will seek self-administered assistance for their relationship. Additionally, unlike many in-person interventions, couples seeking self-help resources tend to have higher levels of relationship distress. Thus, to improve the reach of couple interventions, this project will translate a leading empirically-supported intervention targeting early signs of relationship distress into a Web-based format. This intervention will consist of individualized feedback and professionally-filmed video clips tailored to a couple's specific needs. By intervening effectively with a large number of couples, the resulting Web-based intervention has the potential to have a population-level impact on relationship distress, divorce, and resulting child difficulties.
In the proposed project, building off our previous pilot studies, effective translation of this in-person intervention into a Web-based format will be ensured by conducting two additional intensive pilot studies. Once final changes have been made to the website and Web-based intervention, 300 couples will be randomly assigned to a wait-list control group or an online intervention. All couples will be assessed for the initial two months; intervention couples will be assessed for one year. This project will: 1) demonstrate that couples randomly assigned to the online intervention will report higher levels of individual, child, and relationship functioning than those in the wait-list control group; 2) document the mechanisms of both active conditions; and 3) show that initial gains in those assigned to the intervention are largely maintained through one-year follow-up.
Enrollment
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Inclusion criteria
- Currently in a heterosexual relationship
- Currently married, engaged, or cohabiting for at least 6 months
- At least one partner scoring in distressed range of relationship satisfaction (or both partners > 0.5 SD of population mean of distress).
- Living in the United States
- Both partners ages 21-64 (inclusive)
Exclusion criteria
- Severe Intimate Partner Violence in last 3 months
- Moderate to severe suicidal ideation in last 3 months
- Concrete plans to divorce
- Ongoing affair
- Ongoing couple therapy (or refusal to seek couple therapy for 3 months)
Trial design
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Interventional model
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600 participants in 2 patient groups
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Data sourced from clinicaltrials.gov
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