Megale Allison, Peterson Emily, Friedlander Myrna L
Department of Educational & Counseling Psychology, University At Albany, State University of New York, 1400 Washington Ave, Albany, NY 12222 USA.
Contemp Fam Ther. 2022;44(3):294-304. doi: 10.1007/s10591-021-09585-7. Epub 2021 May 17.
Due to logistical and financial barriers that keep many distressed couples from seeking psychotherapy, online relationship education is a more accessible alternative. In the decade since a web-based program showed equivalent effectiveness to traditional marriage education (Duncan et al., 2009), several fully online programs have been developed and evaluated. We reviewed nine studies of four different programs that sampled 2,000 + couples. Specifically, we rated each study's experimental rigor and compared research designs, theoretical and empirical grounding, average post-intervention and follow-up effect sizes, and differential effectiveness. Across studies, measured outcomes included relational (improved satisfaction, quality, confidence, commitment, communication; reduced conflict and aggression) and individual functioning on various indices of mental and physical health, emotional expression, and quality of life. Finally, we discuss the strengths and limitations of the research evidence, describe the two most evidence-based programs (ePREP and OurRelationship) in some detail and make recommendations for future study of these promising kinds of interventions.
由于后勤和经济方面的障碍，许多陷入困境的夫妻无法寻求心理治疗，因此在线关系教育是一种更容易获得的选择。自从一个基于网络的项目显示出与传统婚姻教育相当的效果以来的十年里（邓肯等人，2009年），已经开发并评估了几个完全在线的项目。我们回顾了对四个不同项目的九项研究，这些研究对2000多对夫妻进行了抽样调查。具体来说，我们对每项研究的实验严谨性进行了评分，并比较了研究设计、理论和实证基础、干预后和随访的平均效应大小以及差异效果。在各项研究中，测量的结果包括关系方面（满意度提高、质量提升、信心增强、承诺增加、沟通改善；冲突和攻击性降低）以及个体在各种身心健康、情绪表达和生活质量指标上的功能表现。最后，我们讨论了研究证据的优势和局限性，详细描述了两个最具循证基础的项目（ePREP和OurRelationship），并对这些有前景的干预措施的未来研究提出了建议。
