University of Miami, USA.
University of Miami, USA.
Behav Res Ther. 2018 Nov;110:47-54. doi: 10.1016/j.brat.2018.09.002. Epub 2018 Sep 13.
Recently-developed online interventions for relationship distress show promising results; however, the degree to which paraprofessionals need to be involved with web-based interventions for relationship distress remains unclear. The present study sought to determine if varying levels of coach contact moderated gains during the online OurRelationship program, which was previously shown to be effective by Doss and colleagues (2016). Three hundred fifty-six heterosexual couples (712 individuals) enrolled in the OurRelationship program and were randomized to a Low or High coach support condition. Couples in both conditions experienced significant improvements in relationship satisfaction as well as depressive and anxious symptoms (within-group d = 0.43-0.71). Using intent-to-treat analyses, there were no significant differences over the intervention between groups in improvements in relationship satisfaction or depressive symptoms. However, couples in the high-support condition reported significantly greater decreases in anxious symptoms. Furthermore, couples in the low-support group were significantly more likely to drop out prematurely. Overall, results indicated that minimal coach support may be a viable option to facilitate dissemination of online interventions for relationship distress. This study was registered on ClinicalTrials.gov (NCT03332875).
最近开发的针对人际关系困扰的在线干预措施显示出了有前景的结果；然而，在基于网络的人际关系困扰干预措施中，辅助人员需要参与的程度仍不清楚。本研究旨在确定不同程度的教练联系是否会影响在线 OurRelationship 项目的效果，该项目之前已经被 Doss 等人（2016）证明是有效的。356 对异性恋夫妇（712 人）参加了 OurRelationship 项目，并被随机分配到低或高教练支持条件。在两种情况下，夫妇的关系满意度以及抑郁和焦虑症状都有显著改善（组内 d=0.43-0.71）。使用意向治疗分析，在干预期间，两组在关系满意度或抑郁症状方面没有显著差异。然而，高支持条件下的夫妇报告称焦虑症状显著降低。此外，低支持组的夫妇提前退出的可能性明显更高。总体而言，结果表明，最少的教练支持可能是促进人际关系困扰在线干预措施传播的可行选择。本研究已在 ClinicalTrials.gov（NCT03332875）注册。
