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NCT Number: NCT07096271

Get Better Together: Relationship Education For Military Couples

This study is testing a program called Get Better Together, a relationship education program designed to help military couples effectively navigate life stressors as a team. The goal is to find out if attending Get Better Together improves mental health and relationship skills, and reduces problems like alcohol misuse, aggression, and suicide risk. Couples who join the study will be randomly placed into one of two groups. One group will attend Get Better Together at a weekend retreat. The other group will continue their usual activities and later receive access to an online relationship education program. All participants will complete surveys before the retreat and again 2, 4, and 6 months later.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Uniformed Services University of the Health Sciences

Bethesda, Maryland, 20814, United States

Location status: Recruiting

Location contact

Sarah Carter, Ph.D

CONTACT

[email protected]

301-400-5675

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Couple is in a committed romantic relationship of at least six months
  • At least one partner is a military Service member on active duty
  • Both partners are age 18 or older
  • Couple has not previously attended a relationship enrichment retreat or workshop together (e.g., CREDO, Strong Bonds, BSRT). This does not include couples therapy or pre-marital counseling.

Exclusion criteria

  • One or both partners decline to provide informed consent
  • Required command endorsement for retreat attendance is not received (for Service members E-6 and below)
  • Couple is unable or unwilling to attend any of the scheduled retreats during the study period

Treatment and study plan

Get Better Together (GBT)

Behavioral

Get Better Together is a couple-based, primary prevention program designed to reduce risk for suicidal thoughts and behaviors, problematic alcohol use, and intimate partner violence by addressing two transdiagnostic drivers: emotion dysregulation and relationship conflict. The intervention is an adaptation of the empirically supported Prevention and Relationship Enhancement Program (PREP), modified in collaboration with military stakeholders to meet the unique cultural and contextual needs of military couples.

The GBT curriculum includes approximately 10 hours of structured content presented using didactic instruction, video demonstrations, group discussions, and guided couple exercises. Skills focus on interpersonal emotion regulation (e.g., emotion identification, acceptance, reappraisal, and problem solving) and evidence-based communication strategies (e.g., structured communication strategies, conflict de-escalation).

Primary outcomes

  1. Suicide Cognitions

    Time frame: Baseline, 2-month, 4-month, and 6-month follow-up

    Assessed using the Suicide Cognition Scale-Revised (SCS-R), a 16-item validated self-report measure capturing cognitive risk factors for suicidal behavior. Scores range from 0 to 64, with higher scores reflect greater risk.

  2. Alcohol Misuse

    Time frame: Baseline, 2-month, 4-month, and 6-month follow-up

    Measured using the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C), a 3-item measure designed to identify hazardous drinking. Scores range from 0 to 12, with higher scores reflect greater likelihood of drinking affecting one's health and safety.

  3. Intimate Partner Violence

    Time frame: Baseline, 2-month, 4-month, and 6-month follow-up

    Measured using the Revised Conflict Tactics Scale-Short Form (CTS2S), a 20-item measure assessing multiple types of relationship abuse. Dichotomous scores will indicate the presence of any form of abuse. Dichotomous subscale scores will indicate the presence of assault, injury, psychological aggression, or sexual coercion.

Secondary outcomes

  1. Emotion Dysregulation

    Time frame: Baseline, 2-month, 4-month, and 6-month follow-up

    Measured using the Difficulties in Emotion Regulation Scale - 18 Item (DERS-18), which assesses six dimensions of emotion dysregulation: awareness, clarity, nonacceptance, impulse, goals, and strategies. Total scores range from 18 to 90, with higher scores indicating more severe difficulties regulating one's emotions.

  2. Relationship Conflict

    Time frame: Baseline, 2-month, 4-month, and 6-month follow-up

    Evaluated using the Ineffective Arguing Inventory (IAI), an 8-item scale measuring perceived patterns of unresolved conflict and communication breakdown in romantic relationships. Total scores range from 8 to 40, with higher scores indicating a higher degree of ineffective communication.

  3. Interpersonal Emotion Regulation with Romantic Partner

    Time frame: Baseline, 2-month, 4-month, and 6-month follow-up

    Measured using the Dyadic Coping Inventory (DCI), an 37-item self-report measure assessing how couples communicate stress and cope together (supportive, delegated, negative, and joint coping). Total scores range from 37 to 185, with higher scores indicated higher levels of dyadic coping.

  4. Relationship Functioning

    Time frame: Baseline, 2-month, 4-month, and 6-month follow-up

    Assessed using the Revised Dyadic Adjustment Scale (RDAS), a 14-item self-report measure evaluating relationship functioning across three domains: Dyadic Consensus, Dyadic Satisfaction, and Dyadic Cohesion. Items assess agreement on relationship issues, frequency of shared activities, and satisfaction with the relationship. Total scores range from 0 to 69, with higher scores indicating greater relationship satisfaction.

Other outcomes

  1. Military Readiness (active-duty participants only)

    Time frame: Baseline, 2-month, 4-month, and 6-month follow-up

    Measured using items adapted from the 2017 Workplace and Equal Opportunity Survey of Active Duty Members (Office of People Analytics, 2018), a DoD standardized survey tool. Items assess key indicators of readiness, including self intent to remain in the military. Items use Likert-type scales appropriate to each domain (e.g., "Very poorly prepared" to "Very well prepared"). The items are designed to be used independently rather than as a single composite scale.

Study contacts

Contact information is provided by the study sponsor or research team.

Sarah Carter, Ph.D.

CONTACT

[email protected]

301-400-5675

Sponsors and collaborators

Lead sponsor

Henry M. Jackson Foundation for the Advancement of Military Medicine

Other

Collaborators

  • Uniformed Services University of the Health Sciences

Registry information

Official study title

Better Together: A Relationship Enrichment Program Targeting Transdiagnostic Interpersonal Emotion Regulation Among Military Couples

Acronym: GBT RCT

Important dates

Study start
2025
Primary completion
2027
Study completion
2028
First posted
Jul 31, 2025
Registry last updated
Oct 20, 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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