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OpenTrials
Completed

NCT Number: NCT03292692

Empirically-Based Couple Interventions on the Web: Serving the Underserved

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.

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Key information

Age range

21 year–64 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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)

Treatment and study plan

OurRelationship

Behavioral

Online intervention with coach support

Other names: OurRelationship.com

Primary outcomes

  1. 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

  1. Relationship Confidence

    Time frame: Pre (0 weeks), Mid (3 weeks), and Post (approximately 6 weeks)

    Relationship confidence as measured by 2 items from the Confidence Scale ("I believe we can handle whatever conflicts will arise in the future" and "I feel good about our prospects to make this relationship work"). Scored ranged from 0 to 12, with higher scores indicate more confidence.Cronbach's alpha = .88. These two items have been used in previous studies of couples to assess change (e.g., http://dx.doi .org/10.1177/0192513X08324388).

  2. Depressive Symptoms

    Time frame: Pre (0 weeks) and Post (approximately 6 weeks)

    Depressive symptoms as measured by the 10-item Center for Epidemiologic Studies-Depression (CES-D) Scale (Cole, Rabin, Smith, & Kaufman, 2004). The total score was used, with possible scores ranging from 0-30. Higher scores on this measure indicate greater depressive symptoms.

  3. Anxiety Symptoms

    Time frame: Pre (0 weeks) and Post (approximately 6 weeks)

    Anxiety symptoms as measured by the Generalized Anxiety Disorder 7-item scale (GAD-7; Spitzer, Kroenke, Williams, & Löwe, 2006). The range of the measure is 0 to 49, with higher scores indicating greater anxiety symptoms. Cronbach's alpha in the present sample was .91.

Sponsors and collaborators

Lead sponsor

University of Miami

Other

Collaborators

  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
  • University of California, Los Angeles
  • University of Washington

Registry information

Important dates

Study start
2013
Primary completion
2014
Study completion
2014
First posted
Sep 25, 2017
Registry last updated
Feb 12, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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