Empirically-Based Couple Interventions on the Web: Serving the Underserved
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Relationship, Marital
- Sponsor
- University of Miami
- Enrollment
- 600
- Primary Endpoint
- Relationship Satisfaction
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
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.
Investigators
Brian Doss
Associate Professor
University of Miami
Eligibility Criteria
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)
Outcomes
Primary Outcomes
Relationship Satisfaction
Time Frame: Pre (0 weeks), Mid (3 weeks), and Post (approximately 6 weeks)
Relationship satisfaction as measured by the total scale on the four-item version of the Couple Satisfaction Index (Funk \& Rogge, 2007; doi: 10.1037/0893-3200.21.4.572). Scores on this measure range from 0-21, with higher scores indicating greater satisfaction.
Secondary Outcomes
- Depressive Symptoms(Pre (0 weeks) and Post (approximately 6 weeks))
- Relationship Confidence(Pre (0 weeks), Mid (3 weeks), and Post (approximately 6 weeks))
- Anxiety Symptoms(Pre (0 weeks) and Post (approximately 6 weeks))