University of Miami, Coral Gables, FL.
VA San Diego Healthcare System, San Diego, CA.
Fam Process. 2021 Mar;60(1):102-118. doi: 10.1111/famp.12541. Epub 2020 Apr 30.
Initial evidence suggests that gains in relationship functioning from brief, web-based programs are maintained through one year following the intervention; however, whether these results generalize to a low-income sample is unclear. Furthermore, previous research from in-person couple therapy suggests there may be different shapes of maintenance slopes for behavioral versus acceptance-based techniques. This study contacted 668 individuals who enrolled in online behavioral (ePREP) or acceptance-based (OurRelationship) programs one year following completion of the program. Multilevel modeling was used to examine linear and quadratic rates of change in the year following the online intervention as well as total amount of change from pretreatment to 12-month follow-up for both relationship and individual functioning. The majority of couples who responded continued to be in a relationship with the same partner (68.3%). Examinations of relationship functioning indicated couples in both programs maintained their gains over follow-up (i.e., no significant linear or quadratic changes), with medium-to-large within-group effect sizes from pre- to one-year follow-up. There were no significant differences in relationship outcomes between OurRelationship and ePREP. Similarly, examinations of individual functioning outcomes indicated couples maintained their gains over follow-up or continued to improve. In total, couples experienced small-to-medium within-group effect sizes from pretreatment to one-year follow-up, with larger effects for individuals who were initially distressed. These results suggest that online programs create lasting change for low-income couples in relationship and individual functioning, with minimal differences between behavioral and acceptance-based orientations.
初步证据表明，从简短的基于网络的项目中获得的关系功能的增益在干预后一年得以维持；然而，这些结果是否适用于低收入样本尚不清楚。此外，来自面对面夫妻治疗的先前研究表明，对于行为和基于接受的技术，维持斜率可能具有不同的形状。本研究联系了 668 名在完成计划一年后参加在线行为（ePREP）或基于接受（OurRelationship）计划的个人。使用多层次模型来检查在线干预后一年的线性和二次变化率，以及从治疗前到 12 个月随访的关系和个体功能的总变化量。大多数做出回应的夫妇继续与同一伴侣保持关系（68.3%）。对关系功能的检查表明，两个计划中的夫妇在随访期间都保持了他们的收益（即，没有显著的线性或二次变化），从治疗前到一年随访的组内效应大小为中到大。OurRelationship 和 ePREP 之间的关系结果没有显著差异。同样，对个体功能结果的检查表明，夫妇在随访期间保持了他们的收益或继续改善。总的来说，从治疗前到一年随访，夫妇经历了小到中等的组内效应大小，对于最初感到困扰的个体，效果更大。这些结果表明，在线项目为关系和个体功能方面的低收入夫妇创造了持久的变化，行为和基于接受的取向之间几乎没有差异。
