Online programs improve relationship functioning for distressed low-income couples: Results from a nationwide randomized controlled trial.

Abstract:

OBJECTIVE:Although low-income couples experience greater relationship challenges, they have limited access to effective relationship interventions. Furthermore, most previous efforts to improve low-income couples' relationships have yielded very small effects (Hawkins & Erickson, 2015). In an effort to overcome these limitations, this study investigated the effectiveness of 2 web-based interventions for low-income couples. METHOD:In total, 742 low-income couples (N = 1,484 individuals; mean [M] age = 33; 55% White, non-Hispanic; 52% married; median [Mdn] annual household income = $27,000) were recruited nationally and randomized to the OurRelationship program, the ePREP program, or a waitlist control group. Couples were repeatedly assessed for 6 months using self-report measures of relationship satisfaction, communication conflict, intimate partner violence, emotional support, and breakup potential. Relationship status was assessed at 6-month follow-up. RESULTS:Compared to the control group, intervention couples experienced significantly greater improvements in all 5 domains of relationship functioning (Mdn |d| = 0.46) by the end of the program; these effects were maintained in the 4 months after treatment. However, neither program significantly reduced the frequency of breakups by the 6-month follow-up. Differences between couples in the two interventions were minimal (Mdn Cohen's |d| = 0.11); however, couples in the OurRelationship program experienced significantly greater decreases in conflict (d = 0.24). CONCLUSIONS:The results indicate that brief, web-based interventions can serve a central role in delivering effective services to low-income couples. Additionally, the general equivalence of the two interventions indicates that both communication-focused and problem-focused interventions can be successful in improving the relationship functioning of low-income couples. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

journal_name

J Consult Clin Psychol

authors

Doss BD,Knopp K,Roddy MK,Rothman K,Hatch SG,Rhoades GK

doi

10.1037/ccp0000479

subject

Has Abstract

pub_date

2020-04-01 00:00:00

pages

283-294

issue

4

eissn

0022-006X

issn

1939-2117

pii

2020-15199-001

journal_volume

88

pub_type

杂志文章,随机对照试验
  • Predicting the 2 1/2-year outcome of dysthymic disorder: the roles of childhood adversity and family history of psychopathology.

    abstract::Follow-up studies of dysthymic disorder (DD) indicate that demographic and clinical variables are not strong predictors of its outcome. The present study extended this literature by examining the relationship between the early home environment and family history of psychopathology and outcome in DD. Eighty-six outpati...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章

    doi:10.1037//0022-006x.68.1.57

    authors: Durbin CE,Klein DN,Schwartz JE

    更新日期:2000-02-01 00:00:00

  • The ecology of adolescent maltreatment: a multilevel examination of adolescent physical abuse, sexual abuse, and neglect.

    abstract::This study examined the individual characteristics, family relations, and stress/social support of 50 maltreated adolescents and their mothers. Dyads were divided into 4 demographically similar groups: neglect, physical abuse, sexual abuse, and nonmaltreatment control. Results show that adolescent neglect was primaril...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章

    doi:10.1037//0022-006x.59.3.449

    authors: Williamson JM,Borduin CM,Howe BA

    更新日期:1991-06-01 00:00:00

  • Long-term prevention of criminality in siblings of serious and violent juvenile offenders: a 25-year follow-up to a randomized clinical trial of multisystemic therapy.

    abstract:OBJECTIVE:Family-based treatment models that have shown effectiveness with juvenile offenders may also lead to reduced criminality in siblings of those offenders. However, the lasting effects of such treatments on siblings have not been evaluated. In the present study, the authors examined criminal outcomes for sibling...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章,随机对照试验

    doi:10.1037/a0035624

    authors: Wagner DV,Borduin CM,Sawyer AM,Dopp AR

    更新日期:2014-06-01 00:00:00

  • Marital interactions of depressed men and women.

    abstract::This article examined marital interactions in 50 couples with a depressed husband, 41 couples with a depressed wife, and 50 nondepressed control couples. As expected, couples with a depressed partner evidenced more disturbed marital interaction than control couples. Furthermore, couples with a depressed wife demonstra...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章

    doi:10.1037//0022-006x.65.1.15

    authors: Johnson SL,Jacob T

    更新日期:1997-02-01 00:00:00

  • Liability in child therapy and research.

    abstract::Three areas with special relevance to liability and child therapy are considered: informed consent, confidentiality, and child-abuse reporting laws. In each area, issues that may be confronted in therapy or in research on therapy are discussed, and a sampling of relevant laws is explored. Suggestions for avoiding pote...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章,评审

    doi:10.1037//0022-006x.59.6.853

    authors: DeKraai MB,Sales BD

    更新日期:1991-12-01 00:00:00

  • Social support, AIDS-related symptoms, and depression among gay men.

    abstract::This study examined the impact of social support and HIV-related conditions on depression among 508 gay men participating in the San Francisco Men's Health Study, a population-based prospective study of single men aged 25-54 years. The number of HIV-related symptoms experienced significantly predicted depression cross...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章

    doi:10.1037//0022-006x.60.3.463

    authors: Hays RB,Turner H,Coates TJ

    更新日期:1992-06-01 00:00:00

  • The trait-state-error model for multiwave data.

    abstract::Although researchers in clinical psychology routinely gather data in which many individuals respond at multiple times, there is not a standard way to analyze such data. A new approach for the analysis of such data is described. It is proposed that a person's current standing on a variable is caused by 3 sources of var...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章

    doi:10.1037//0022-006x.63.1.52

    authors: Kenny DA,Zautra A

    更新日期:1995-02-01 00:00:00

  • Culturally sensitive psychotherapy for Puerto Rican children and adolescents: a program of treatment outcome research.

    abstract::Recognition of cultural distance between Hispanic clients and non-Hispanic therapists has prompted efforts to introduce culture into therapy, but there is little evidence that such efforts influence treatment outcomes. This article evaluates treatment outcomes from a program of research on modeling therapy with Puerto...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1037//0022-006x.58.6.704

    authors: Malgady RG,Rogler LH,Costantino G

    更新日期:1990-12-01 00:00:00

  • Towards personalized allocation of patients to therapists.

    abstract:OBJECTIVE:Psychotherapy outcomes vary between therapists, but it is unclear how such information can be used for treatment planning or practice development. This proof-of-concept study aimed to develop a data-driven method to match patients to therapists. METHOD:We analyzed data from N = 4,849 patients who accessed co...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章

    doi:10.1037/ccp0000507

    authors: Delgadillo J,Rubel J,Barkham M

    更新日期:2020-09-01 00:00:00

  • Sustaining attendance at a mental health service: A randomized controlled trial.

    abstract:OBJECTIVE:A substantial proportion of psychotherapeutic treatments are prematurely terminated because the client discontinues attendance. Interventions have been developed to reduce premature termination, but these are only moderately effective and often place considerable burden on clients and services. This research ...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章,随机对照试验

    doi:10.1037/ccp0000341

    authors: Avishai A,Oldham M,Kellett S,Sheeran P

    更新日期:2018-12-01 00:00:00

  • Effectiveness of an internet intervention (Deprexis) for depression in a united states adult sample: A parallel-group pragmatic randomized controlled trial.

    abstract:OBJECTIVE:To examine the effectiveness of an Internet intervention for depression with a randomized, controlled trial in a large sample of adults recruited from the United States. METHOD:The current study examines the effectiveness of Deprexis, an Internet treatment for depression that was provided with relatively min...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章

    doi:10.1037/ccp0000171

    authors: Beevers CG,Pearson R,Hoffman JS,Foulser AA,Shumake J,Meyer B

    更新日期:2017-04-01 00:00:00

  • Relapse prevention training and problem-solving therapy in the long-term management of obesity.

    abstract::This study compared 2 extended therapy programs for weight management with standard behavioral treatment (BT) without additional therapy contacts. Participants were 80 obese women who completed 20 weekly group sessions of BT and achieved a mean initial weight loss of 8.74 kg. Participants were randomly assigned to a n...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Perri MG,Nezu AM,McKelvey WF,Shermer RL,Renjilian DA,Viegener BJ

    更新日期:2001-08-01 00:00:00

  • How does brief motivational intervention change heavy drinking and harm among underage young adult drinkers?

    abstract:OBJECTIVE:This study tested mediating processes hypothesized to explain the therapeutic benefit of an efficacious motivational interview (MI). The constructs of interest were motivation to change, cognitive dissonance about current drinking, self-efficacy for change, perceived young adult drinking norms, future drinkin...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章,随机对照试验

    doi:10.1037/ccp0000200

    authors: Magill M,Colby SM,Orchowski L,Murphy JG,Hoadley A,Brazil LA,Barnett NP

    更新日期:2017-05-01 00:00:00

  • Group composition and group therapy for complicated grief.

    abstract::This prospective study investigated the impact of group composition on the outcome of 2 forms of time-limited, short-term group therapy (interpretive, supportive) with 110 outpatients from 18 therapy groups, who presented with complicated grief. The composition variable was based on the patient's level of quality of o...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章,随机对照试验

    doi:10.1037/0022-006X.75.1.116

    authors: Piper WE,Ogrodniczuk JS,Joyce AS,Weideman R,Rosie JS

    更新日期:2007-02-01 00:00:00

  • Efficacy of a family-focused intervention for young drivers with attention-deficit hyperactivity disorder.

    abstract:OBJECTIVE:Teenage drivers diagnosed with attention-deficit/hyperactivity disorder (ADHD) are at significant risk for negative driving outcomes related to morbidity and mortality. However, there are few viable psychosocial treatments for teens with ADHD and none focus on the key functional area of driving. The Supportin...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章

    doi:10.1037/ccp0000137

    authors: Fabiano GA,Schatz NK,Morris KL,Willoughby MT,Vujnovic RK,Hulme KF,Riordan J,Howard M,Hennessy D,Lewis K,Hawk L,Wylie A,Pelham WE

    更新日期:2016-12-01 00:00:00

  • Secondary prevention with college drinkers: evaluation of an alcohol skills training program.

    abstract::This study evaluated secondary prevention approaches for young adults (N = 36, mean age 23 years) at risk for alcohol problems. Subjects were randomly assigned to cognitive-behavioral alcohol skills training, a didactic alcohol information program, or assessment only. The skills program included training in blood alco...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1037//0022-006x.58.6.805

    authors: Kivlahan DR,Marlatt GA,Fromme K,Coppel DB,Williams E

    更新日期:1990-12-01 00:00:00

  • Psychological factors in rheumatoid arthritis.

    abstract::This article provides a review and discussion of recent developments in psychological research related to rheumatoid arthritis (RA). A description of the medical aspects of the disease is followed by an overview of the literature relating psychological variables to pain and disability in RA; a summary evaluating affec...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章,评审

    doi:10.1037//0022-006x.60.4.619

    authors: Young LD

    更新日期:1992-08-01 00:00:00

  • Cognitive-behavioral treatment for depression in alcoholism.

    abstract::Alcoholics with depressive symptoms score > or = 10 on the Beck Depression Inventory (A.T. Beck, C. H. Ward, M. Mendelson, J. Mock, & J. Erbaugh, 1961) received 8 individual sessions of cognitive-behavioral treatment for depression (CBT-D, n = 19) or a relaxation training control (RTC; n = 16) plus standard alcohol tr...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 临床试验,杂志文章

    doi:10.1037//0022-006x.65.5.715

    authors: Brown RA,Evans DM,Miller IW,Burgess ES,Mueller TI

    更新日期:1997-10-01 00:00:00

  • Randomized comparison of two communication interventions for preschoolers with autism spectrum disorders.

    abstract::This randomized group experiment compared the efficacy of 2 communication interventions (Responsive Education and Prelinguistic Milieu Teaching [RPMT] and the Picture Exchange Communication System [PECS]) in 36 preschoolers with autism spectrum disorders. Each treatment was delivered 3 times per week, in 20-min sessio...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章,随机对照试验

    doi:10.1037/0022-006X.74.3.426

    authors: Yoder P,Stone WL

    更新日期:2006-06-01 00:00:00

  • Mediation and moderation of psychological pain treatments: response expectancies and hypnotic suggestibility.

    abstract::The mediator role of response expectancies and the moderator role of hypnotic suggestibility were evaluated in the analogue treatment of pain. Approximately 1,000 participants were assessed for hypnotic suggestibility. Later, as part of a seemingly unrelated experiment, 188 of these individuals were randomly assigned ...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章

    doi:10.1037/0022-006X.74.2.253

    authors: Milling LS,Reardon JM,Carosella GM

    更新日期:2006-04-01 00:00:00

  • The therapy process observational coding system-alliance scale: measure characteristics and prediction of outcome in usual clinical practice.

    abstract::The authors describe psychometric characteristics of the new Therapy Process Observational Coding System-Alliance scale (TPOCS-A; B. D. McLeod, 2001) and illustrate its use in the study of treatment as usual. The TPOCS-A uses session observation to assess child-therapist and parent-therapist alliance. Both child and p...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章

    doi:10.1037/0022-006X.73.2.323

    authors: McLeod BD,Weisz JR

    更新日期:2005-04-01 00:00:00

  • Memory for therapy in bipolar disorder and comorbid insomnia.

    abstract:OBJECTIVE:To examine the extent to which patients recall the contents of therapy from 1 session to the next and to determine whether recall is associated with treatment outcome. METHOD:Thirty interepisode individuals with bipolar disorder and comorbid insomnia (ages 21-62 years, 56.7% women, 56.7% Caucasian) participa...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章,随机对照试验

    doi:10.1037/a0037911

    authors: Lee JY,Harvey AG

    更新日期:2015-02-01 00:00:00

  • Analysis of prevention program effectiveness with clustered data using generalized estimating equations.

    abstract::Experimental studies of prevention programs often randomize clusters of individuals rather than individuals to treatment conditions. When the correlation among individuals within clusters is not accounted for in statistical analysis, the standard errors are biased, potentially resulting in misleading conclusions about...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1037//0022-006x.64.5.919

    authors: Norton EC,Bieler GS,Ennett ST,Zarkin GA

    更新日期:1996-10-01 00:00:00

  • The relationship of caregiver coping to family outcomes during the initial year following pediatric traumatic injury.

    abstract::This study identified coping strategies associated with caregiver outcomes following pediatric injury and examined injury type as a moderator of coping efficacy. Families of 103 children with traumatic brain injury (TBI) and 71 children with orthopedic injuries were followed prospectively during the initial year posti...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章

    doi:10.1037//0022-006x.69.3.406

    authors: Wade SL,Borawski EA,Taylor HG,Drotar D,Yeates KO,Stancin T

    更新日期:2001-06-01 00:00:00

  • Treatment gain for sexual offenders against children predicts reduced recidivism: a comparative validity study.

    abstract:OBJECTIVE:To determine whether pro-social treatment change in sexual offenders would predict reductions in recidivism beyond static and dynamic risk factors measured at pretreatment and whether different methods for assessing change based on self-reports and structured clinical rating systems would show convergent vali...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章

    doi:10.1037/a0022900

    authors: Beggs SM,Grace RC

    更新日期:2011-04-01 00:00:00

  • An experimental evaluation of theory-based mother and mother-child programs for children of divorce.

    abstract::This study evaluated the efficacy of 2 theory-based preventive interventions for divorced families: a program for mothers and a dual component mother-child program. The mother program targeted mother-child relationship quality, discipline, interparental conflict, and the father-child relationship. The child program ta...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Wolchik SA,West SG,Sandler IN,Tein JY,Coatsworth D,Lengua L,Weiss L,Anderson ER,Greene SM,Griffin WA

    更新日期:2000-10-01 00:00:00

  • Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the prevention of relapse and recurrence in major depression.

    abstract::This study followed treatment responders from a randomized controlled trial of adults with major depression. Patients treated with medication but withdrawn onto pill-placebo had more relapse through 1 year of follow-up compared to patients who received prior behavioral activation, prior cognitive therapy, or continued...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章,随机对照试验

    doi:10.1037/0022-006X.76.3.468

    authors: Dobson KS,Hollon SD,Dimidjian S,Schmaling KB,Kohlenberg RJ,Gallop RJ,Rizvi SL,Gollan JK,Dunner DL,Jacobson NS

    更新日期:2008-06-01 00:00:00

  • Families of chronically ill children: a systems and social-ecological model of adaptation and challenge.

    abstract::A family systems model is presented for understanding adaptation and coping in childhood chronic illness. The importance of a systems perspective in work with children and families who may not display psychopathology is stressed. A general overview of systems and social-ecological theories relevant to children with ch...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章,评审

    doi:10.1037//0022-006x.57.1.25

    authors: Kazak AE

    更新日期:1989-02-01 00:00:00

  • A meta-analysis of smoking cessation interventions with individuals in substance abuse treatment or recovery.

    abstract::This meta-analysis examined outcomes of smoking cessation interventions evaluated in 19 randomized controlled trials with individuals in current addictions treatment or recovery. Smoking and substance use outcomes at posttreatment and long-term follow-up (> or = 6 months) were summarized with random effects models. In...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章,meta分析

    doi:10.1037/0022-006X.72.6.1144

    authors: Prochaska JJ,Delucchi K,Hall SM

    更新日期:2004-12-01 00:00:00

  • Primary and secondary control among children undergoing medical procedures: adjustment as a function of coping style.

    abstract::The literature suggests that optimal adjustment to relatively uncontrollable stressors may require adjusting oneself to the stressors rather than trying to alter them. This possibility was explored, for low-controllability stressors (e.g., painful medical procedures) associated with leukemia. Children's reports of cop...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章

    doi:10.1037//0022-006x.62.2.324

    authors: Weisz JR,McCabe MA,Dennig MD

    更新日期:1994-04-01 00:00:00