Varying Levels and Types of Engagement in an Online Relationship Enhancement Program for Couples Following Breast Cancer

Ianakieva, Iana; Fergus, Karen; Ahmad, Saunia; Pereira, Amanda; Stephen, Joanne; McLeod, Deborah; Carter, Wendy; Panchaud, Jim

doi:10.1080/15332691.2018.1546248

Cited by 7 publications

(7 citation statements)

References 49 publications

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“…Given the importance of treating the couple in sexual health interventions, future research focused on exploring potential barriers associated with online dyadic interventions, in addition to identifying the subset of participants who would most benefit from such an intervention, would be beneficial. 58 , 63 , 64 In the present study, the majority of participants identified time (or lack thereof) as the greatest burden associated with the intervention. This is consistent with feedback from participants undergoing low-intensity psychotherapy internet-based interventions.…”

Section: Discussionmentioning

confidence: 62%

“…identifying the subset of participants who would most benefit from such an intervention, would be beneficial. 58,63,64 In the present study, the majority of participants identified time (or lack thereof) as the greatest burden associated with the intervention. This is consistent with feedback from participants undergoing low-intensity psychotherapy internet-based interventions.…”

Section: Discussionmentioning

confidence: 69%

“…Regarding the attrition rate, despite measures taken to maintain study compliance (which included regularly scheduled compliance phone calls), 58 there was a high attrition rate among couples receiving the intervention immediately (33%) and among couples in the waitlist-control group after crossing over to the intervention (46%). The attrition rate in the current study is comparable to those of other internet-based dyadic interventions, which tend to be higher than in-person interventions.…”

Section: Discussionmentioning

confidence: 99%

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Couples’ Use of Online Stress Management and Resiliency Training for Sexual Health Concerns: A Randomized Controlled Trial

Rullo

Sood²,

Fokken

et al. 2021

Sexual Medicine

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Introduction: Mindfulness is a promising intervention for female sexual dysfunction (FSD); however, of the mindfulness interventions studied, few treat the woman and her partner. Aim: We developed a brief online mindfulness, resilience, and psychoeducation intervention, Stress Management and Resiliency Training for Sexuality (Sex SMART), for women with sexual health concerns and their partners. Methods: Women with female sexual interest/arousal disorder and their partners were recruited between February 24, 2015, and October 6, 2016, and randomized to treatment or control groups (received educational pamphlets). The treatment intervention comprised of an online SMART and sexual health psychoeducation module. Main Outcome Measures: The Female Sexual Function Index (FSFI), Female Sexual Distress Scale-Revised (FSDS-R), Sexual Desire Inventory-2 (SDI-2), Revised Dyadic Adjustment Scale (RDAS), International Index of Erectile Function (IIEF), and other subjective measures were used to assess sexual function and sexual distress at baseline and 12 weeks. Results: The study included 60 women and their partners (30 couples in each group). In both groups, sexual function by total FSFI scores and sexual distress scores significantly improved at 12 weeks compared with baseline, with no significant between-group differences (FSFI effect estimate for Sex SMART vs control = +1.4 (90% CI [−0.6 to +3.4]; P=.13). Both participants and partners randomized to the intervention reported significantly improved attitude and feelings, comfort as a sexual person, and subjective sexual functioning at 12 weeks. The findings provide preliminary evidence for efficacy of an online intervention for couples with sexual health problems. Conclusions: A brief online mindfulness, resilience, and psychoeducation−based intervention showed no significant improvement in many outcomes (FSFI, FSDS-R, SDI-2, RDAS) of sexual health versus controls. Although this is the first online randomized controlled trial to evaluate a mindfulness-based therapy intervention, it was limited by its lack of population diversity and high attrition rate. Significant improvements in subjective sexual health and partner sexual function by the International Index of Erectile Function were reported only in the intervention group. Rullo JE, Sood R, Fokken SC, et al. Couples' Use of Online Stress Management and Resiliency Training for Sexual Health Concerns: A Randomized Controlled Trial. Sex Med 2021;XX:XX −XXX.

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Section: Discussionmentioning

confidence: 62%

Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 99%

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Couples’ Use of Online Stress Management and Resiliency Training for Sexual Health Concerns: A Randomized Controlled Trial

Rullo

Sood²,

Fokken

et al. 2021

Sexual Medicine

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“…A previous study reported that age was a pivotal predictive factor and highlighted that young couples were at higher risk of negative DC styles than their older counterparts 38 . Woszidlo and Segrin 39 concluded that younger couples were more vulnerable to life changes caused by cancer and tended to be at risk of negative DC styles, which was in line with the conclusion of Acquati and Kayser 40 Researchers have found that young couples have more difficulties discussing topics such as what would happen after death, concerns related to their children, and financial arrangements 41 . Cultural differences partially account for the heterogeneity of the results, which might be due to the specific dyadic stressors experienced by Chinese couples from their culture.…”

Section: Discussionmentioning

confidence: 75%

“…38 Woszidlo and Segrin 39 concluded that younger couples were more vulnerable to life changes caused by cancer and tended to be at risk of negative DC styles, which was in line with the conclusion of Acquati and Kayser 40 Researchers have found that young couples have more difficulties discussing topics such as what would happen after death, concerns related to their children, and financial arrangements. 41 Cultural differences partially account for the heterogeneity of the results, which might be due to the specific dyadic stressors experienced by Chinese couples from their culture. Fundamentally shaped by Confucianism, Chinese marital culture particularly emphasizes the importance of marriage and mutual support in a family.…”

Section: And Its Predictors In Couples With Bcmentioning

confidence: 99%

Dyadic Coping in Couples With Breast Cancer in China

Cai

Qian²,

Yuan³

2020

Cancer Nurs

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Background Dyadic coping may play an important role in promoting marital adjustment in couples with breast cancer. However, few studies have explored dyadic coping and its predictors in couples with breast cancer. Objective To assess the dyadic coping level of Chinese couples with breast cancer and identify its predictors and explore the actor and partner effects of marital adjustment on dyadic coping. Methods Chinese couples (n = 114) with breast cancer participated in a cross-sectional study and completed the general information questionnaire, the Dyadic Coping Inventory, the Locke-Wallace Marital Adjustment Test, and the Body Image Scale. Results Total scores of the Dyadic Coping Inventory were 114.09 (SD, 18.49) and 114.62 (SD, 17.42) for the patients and partners, respectively. Relationship duration, monthly family income, postoperative time, adjuvant treatments, marital adjustment, body image, and dyadic coping style of the partners predicted dyadic coping among patients with breast cancer. In addition, marital adjustment exhibited both actor and partner effects on dyadic coping in the couples. Conclusions Dyadic coping in couples with breast cancer in China was in the reference range. Psychosocial characteristics, marital adjustment, and body image should be considered and evaluated when conducting interventions for couples with breast cancer. Implications for Practice When conducting interventions for couples with breast cancer, nurses should identify couples who are likely to adopt negative dyadic coping styles and then conduct targeted interventions that consider psychosocial characteristics, marital adjustment, and body image in couples with breast cancer.

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Digital interventions for couples: State of the field and future directions.

Knopp¹,

Schnitzer²,

Khalifian³

et al. 2023

Couple and Family Psychology: Research and

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Intimate relationship distress harms physical and mental health, and effective couple therapies are underutilized due to barriers to access. Digital couples' interventions (DCIs), including online and mobile programs, can improve access to effective relationship help. This paper outlines the state of the DCI field by describing seven currently available, empirically based DCIs and discussing key design and implementation issues along four key dimensions: Target populations, coaching, linked users, and intimate partner violence (IPV). Analysis of these issues points to a need for greater clarification of whether the program is intended for distressed couples (i.e., prevention vs. treatment) and for coaching models grounded in both theoretical principles and empirical evidence. Further, DCIs must continue to develop ways of addressing issues of safety and privacy that impact IPV risk, particularly when DCIs become available to the public outside the context of a research study. More research on DCIs is needed, both regarding overall effectiveness of the programs and on specific empirical questions regarding the most effective models of coaching, best practices for handling IPV, identifying which couples can benefit most from DCIs, and the role of individual versus dyadic work in self-directed relationship intervention. Although most DCIs are at the early phases of clinical validation, the available outcomes are encouraging and suggest a promising future for DCIs in improving access to effective relationship intervention.

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Varying Levels and Types of Engagement in an Online Relationship Enhancement Program for Couples Following Breast Cancer

Cited by 7 publications

References 49 publications

Couples’ Use of Online Stress Management and Resiliency Training for Sexual Health Concerns: A Randomized Controlled Trial

Couples’ Use of Online Stress Management and Resiliency Training for Sexual Health Concerns: A Randomized Controlled Trial

Dyadic Coping in Couples With Breast Cancer in China

Digital interventions for couples: State of the field and future directions.

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