Effects of ePREP and OurRelationship on Low-Income Couples’ Mental Health and Health Behaviors: a Randomized Controlled Trial

Roddy, McKenzie K.; Rhoades, Galena K.; Doss, Brian D.

doi:10.1007/s11121-020-01100-y

Cited by 39 publications

(65 citation statements)

References 36 publications

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“…Christensen, 2016; Roddy, Rhoades, & Doss, 2020), although the procedures differ from traditional psychotherapy. To our knowledge, no empirical literature has emerged that directly compares the efficacy of live and telehealth applications of "classic" systemic treatments such as structural, strategic, solution-focused, or narrative therapies.…”

Section: The Rapprochement Of Teletherapy and Relational Therapistsmentioning

confidence: 99%

Lessons from the Transition to Relational Teletherapy During COVID‐19

2020

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When the World Health Organization declared the coronavirus outbreak a pandemic, clinicians were challenged to maintain continuity of care. Teletherapy became the primary means of service delivery for many who had never or only sparingly used it. The Family Institute at Northwestern University, in response to encouraging findings with respect to the effectiveness of teletherapy and recognizing advantages with respect to access to care, launched our teletherapy services in 2018. As a relationship‐based organization, we were keen to exploit the opportunity that teletherapy provides to integrate additional members of the client system into the treatment. Over these two plus years, we have learned a great deal. Our learning was greatly accelerated by our transition to a 100% teletherapy practice in the wake of the pandemic. Teletherapy is a different context. Intentionally managing the context’s constraints and exploiting its strengths is key to providing high‐quality couple and family therapy. This step is often overlooked or resisted when teletherapy is an occasional add‐on to a face‐to‐face practice.

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Section: The Rapprochement Of Teletherapy and Relational Therapistsmentioning

confidence: 99%

Lessons from the Transition to Relational Teletherapy During COVID‐19

2020

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“…Two trials of ePREP have also demonstrated positive impacts on relationship commitment, communication, psychological aggression, physical violence, and depression (Braithwaite & Fincham, 2011, 2014). Results from a recent RCT specifically for low‐income couples utilizing the same sample as the current work showed significant improvements across relationship and individual wellbeing domains for both OR and ePREP that were largely maintained through 4 months follow‐up (Doss et al, 2020; Roddy, Rhoades, & Doss, 2020). However, although the effects of intensive couple therapy typically maintain over longer follow‐up periods (Christensen, Atkins, Yi, Baucom, & George, 2006; Shadish & Baldwin, 2003), it is possible that brief, self‐directed, online methods do not yield the same maintenance of gains.…”

Section: Current Studymentioning

confidence: 61%

“…In the larger study that established efficacy for these programs compared with a waitlist control group during the program and through 4‐month follow‐up (Doss et al, 2020; Roddy et al, 2020), a total of 990 individuals were randomized to the OR or ePREP interventions (plus 494 individuals randomized to waitlist control but not used in the current study). Of the original 990, 668 individuals (67.5%) were contacted for the present study ( N OR = 332; N ePREP = 336).…”

Section: Methodsmentioning

confidence: 99%

“…Gender and treatment condition were included as described above in levels 2 and 3, respectively. In models for individual functioning outcomes, a grand‐mean centered dichotomous variable was included at level 2 to indicate whether the participant was below established clinical cutoffs at baseline; this is because previous analyses indicate significant moderation effects by initial distress for individual (Roddy et al, 2020) but not relationship (Doss et al, 2020) outcomes during treatment. Individuals, not couples, were classified as “distressed” on an outcome‐by‐outcome basis using established norms for the measures of individual functioning in order to test for differential outcomes for those above or below the established cutoffs at baseline.…”

Section: Methodsmentioning

confidence: 99%

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Maintenance of Relationship and Individual Functioning Gains Following Online Relationship Programs for Low‐Income Couples

et al. 2020

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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.

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“…The OR program reported small significant effect sizes for all participants compared to waitlist control for anxiety and depression, with effect sizes in the medium to large range for participants with initial difficulties (Doss et al, 2016). Finally, using the same sample studied here, couples randomized to OR and ePREP compared to a waitlist control reported small decreases in psychological distress (Cohen's d = −0.36), perceived stress (Cohen's d = −0.42), and anger (Cohen's d = −0.23) with significantly larger effects for participants with initial difficulties in psychological distress and anger (Cohen's d = −0.42 and − 0.39, respectively; Roddy, Rhoades, & Doss, 2020).…”

Section: Introductionmentioning

confidence: 99%

Relational and psychological mediators of change in low‐income couples' perceived health

Roddy

Doss

2020

Personal Relationships

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Experimental tests of the association between relationship functioning and physical health are limited. Although associations are hypothesized to be partially mediated through improved psychological functioning, tests are mostly limited to lab-based studies. The present study evaluated relational and psychological mediators of change in perceived health in a sample of 742 low-income couples (1,484 individuals) who participated in a randomized controlled trial of two online relationship education programs and a waitlist control group. Results partially supported the Strengths and Strains Model of Relationships and Physical Health. Relationship functioning and some psychological functioning were mediators of change in perceived health. Future research is needed to understand how relationship functioning improved perceived health through mediators other than psychological functioning tested here.

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Effects of ePREP and OurRelationship on Low-Income Couples’ Mental Health and Health Behaviors: a Randomized Controlled Trial

Cited by 39 publications

References 36 publications

Lessons from the Transition to Relational Teletherapy During COVID‐19

Lessons from the Transition to Relational Teletherapy During COVID‐19

Maintenance of Relationship and Individual Functioning Gains Following Online Relationship Programs for Low‐Income Couples

Relational and psychological mediators of change in low‐income couples' perceived health

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