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Completed

NCT Number: NCT06564532

Evaluative Conditioning and Relationship Satisfaction

The overall objective is to evaluate the efficacy of a novel computerized learning procedure to enhance marital well-being among military members and their partners.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Florida State University

Tallahassee, Florida, 32306, United States

About this study

Large bodies of research indicate that people's health, occupational performance, and job satisfaction depend critically on their marital well-being. Nevertheless, several challenges associated with military service, such as increased stress and physical separation from one's partner, can threaten marital well-being. Prior research by our team highlights the important marital implications of automatic partner attitudes, or the immediate affective reactions experienced when thinking about or interacting with one's partner. Most couples strengthen these partner attitudes through enjoyable experiences together, but servicemembers who are separated from their partners must forego such activities, and job-related stress can minimize the positivity of any joint activities that do occur. Evaluative Conditioning (EC) offers a way to strengthen automatic partner attitudes without direct experience with the partner through simple pairings of photos of the partner with positive words and images. Our pilot study of civilian couples demonstrated that couples randomly assigned to view photos of their partners paired with positive stimuli for 6-7 minutes every three days for six weeks experienced enhanced automatic partner attitudes and thus marital satisfaction over eight weeks relative to control couples.

The proposed research would use a RCT to test (a) the feasibility and efficacy of EC procedure among active duty servicemembers and (b) whether there is an additional benefit to having the partner also complete the EC procedure. Regarding the first objective, the investigators predict that people who view their partner paired with positive stimuli will demonstrate enhanced automatic partner attitudes and therefore higher levels of marital satisfaction and more positive relationship behaviors relative to people who view their partner paired with neutral stimuli. Regarding the second objective, the investigators expect that EC will be more effective when the partner also completes it, though the investigators suspect it will be effective even among servicemembers whose partners do not complete the procedure.

The aim of the proposed research is to conduct an RCT to determine (a) whether evaluative conditioning can enhance automatic partner attitudes and thereby marital satisfaction and behavior in a sample of active duty servicemembers and (b) whether any benefits of EC depend on whether one or both members of the couple complete the procedure.

The investigators will recruit a sample of 500 active-duty servicemembers and their partners from Naval Medical Center at Portsmouth, VA. Half of all servicemembers will be randomly assigned to complete our EC procedure that pairs their partner with positive stimuli whereas the other half will be randomly assigned to complete a control procedure in which their partner is paired with neutral stimuli. Crossed with this manipulation, and also by random assignment, the partners of half the servicemembers will complete our EC procedure whereas the partners of the other half will complete the control procedure. Both members of the couple will complete assessments of automatic partner attitudes and marital satisfaction at baseline and then again every two weeks for eight weeks. Couples will also engage in recorded marital discussions at baseline and the 8-week follow-up to assess behavior.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • one member of the couple is active-duty US military
  • couple is married
  • both couple members are at least 18 years old
  • both couple members are proficient readers and speakers of English

Exclusion criteria

-

Treatment and study plan

Evaluatively conditioning participant to like partner

Behavioral

The intervention is a computerized learning task that leads the participant to associate the partner with positive stimuli

Evaluatively conditioning partner to like participant

Behavioral

The intervention is a computerized learning task that leads the partner to associate the participant with positive stimuli

Primary outcomes

  1. Partner Evaluative Priming Procedure (McNulty et al., 2013)

    Time frame: Every two weeks for eight weeks

    Modeled after the evaluative priming task developed by Fazio et al. (1995), the task implicitly measures participants' automatically activated partner attitudes by measuring RTs to positive and negative words following exposure to primes of the partner. Primes will be photos primes of the partner appearing in one of four orientations in each photo: (a) a frontal view of the face, (b) a profile view of the face, (c) a frontal view of the entire body while standing, and (d) a frontal view of the entire body while sitting.

  2. Couples Satisfaction Index (Funk & Rogge, 2007)

    Time frame: Every two weeks for eight weeks

    Questionnaire to assess self-reported satisfaction with the relationship

  3. Verbal Tactics Coding Scheme (Sillars, 1982)

    Time frame: Eight weeks

    Qualitative coding scheme designed to identify direct and indirect oppositional statements during problem-solving discussions

  4. Suicidality subscale of the Depressive Symptom Index (Metalsky & Joiner, 1997

    Time frame: Every two weeks for eight weeks

    a well-validated measure that assesses the fre- quency and controllability of suicidal thoughts as agreement with four sets of four statements that increase in severity

Sponsors and collaborators

Lead sponsor

Florida State University

Other

Collaborators

  • United States Naval Medical Center, Portsmouth

Registry information

Official study title

Evaluating the Efficacy of a Marital Enhancement Application

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Aug 21, 2024
Registry last updated
Sep 15, 2025

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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