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A randomized controlled trial of the online OurRelationship program with varying levels of coach support
Online programs that reduce relationship distress fill a critical need; however, their scalability is limited by their reliance on coach calls. To determine the effectiveness of the online OurRelationship program with varying levels of coach support, we conducted a comparative effectiveness trial wi...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10477807/ https://www.ncbi.nlm.nih.gov/pubmed/37674656 http://dx.doi.org/10.1016/j.invent.2023.100661 |
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author | Le, Yunying Roddy, McKenzie K. Rothman, Karen Salivar, Emily Georgia Guttman, Shayna Doss, Brian D. |
author_facet | Le, Yunying Roddy, McKenzie K. Rothman, Karen Salivar, Emily Georgia Guttman, Shayna Doss, Brian D. |
author_sort | Le, Yunying |
collection | PubMed |
description | Online programs that reduce relationship distress fill a critical need; however, their scalability is limited by their reliance on coach calls. To determine the effectiveness of the online OurRelationship program with varying levels of coach support, we conducted a comparative effectiveness trial with 740 low-income couples in the United States. Couples were randomly assigned to full-coach (n(couples) = 226; program as originally designed), automated-coach (n(couples) = 145; as a stand-alone program with tailored automated emails only), contingent-coach (n(couples) = 145; as an adaptive program where tailored automated emails are followed by more coaching if couples did not meet progress milestones), or a waitlist control condition (n(couples) = 224). All analyses were conducted within a Bayesian framework. Completion rates were comparable across conditions (full-coach: 65 %, automated-coach: 59 %, contingent-coach: 54 %). All intervention couples reported reliable pre-post gains in relationship satisfaction compared to waitlist control couples (d(full) = 0.46, d(contingent) = 0.47, and d(automated) = 0.40) with no reliable differences across intervention conditions. Over four-month follow-up, couples in full- and contingent-coach conditions maintained gains in relationship satisfaction and couples in the automated-coach condition continued to improve. Given the comparable completion rates and minimal differences in effect sizes across intervention conditions, all three coaching models appear viable; therefore, the choice of model can vary depending on available resources as well as couple or stakeholder preferences. This study was preregistered (ClinicalTrials.govNCT03568565). |
format | Online Article Text |
id | pubmed-10477807 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-104778072023-09-06 A randomized controlled trial of the online OurRelationship program with varying levels of coach support Le, Yunying Roddy, McKenzie K. Rothman, Karen Salivar, Emily Georgia Guttman, Shayna Doss, Brian D. Internet Interv Full length Article Online programs that reduce relationship distress fill a critical need; however, their scalability is limited by their reliance on coach calls. To determine the effectiveness of the online OurRelationship program with varying levels of coach support, we conducted a comparative effectiveness trial with 740 low-income couples in the United States. Couples were randomly assigned to full-coach (n(couples) = 226; program as originally designed), automated-coach (n(couples) = 145; as a stand-alone program with tailored automated emails only), contingent-coach (n(couples) = 145; as an adaptive program where tailored automated emails are followed by more coaching if couples did not meet progress milestones), or a waitlist control condition (n(couples) = 224). All analyses were conducted within a Bayesian framework. Completion rates were comparable across conditions (full-coach: 65 %, automated-coach: 59 %, contingent-coach: 54 %). All intervention couples reported reliable pre-post gains in relationship satisfaction compared to waitlist control couples (d(full) = 0.46, d(contingent) = 0.47, and d(automated) = 0.40) with no reliable differences across intervention conditions. Over four-month follow-up, couples in full- and contingent-coach conditions maintained gains in relationship satisfaction and couples in the automated-coach condition continued to improve. Given the comparable completion rates and minimal differences in effect sizes across intervention conditions, all three coaching models appear viable; therefore, the choice of model can vary depending on available resources as well as couple or stakeholder preferences. This study was preregistered (ClinicalTrials.govNCT03568565). Elsevier 2023-08-28 /pmc/articles/PMC10477807/ /pubmed/37674656 http://dx.doi.org/10.1016/j.invent.2023.100661 Text en © 2023 The Authors. Published by Elsevier B.V. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Full length Article Le, Yunying Roddy, McKenzie K. Rothman, Karen Salivar, Emily Georgia Guttman, Shayna Doss, Brian D. A randomized controlled trial of the online OurRelationship program with varying levels of coach support |
title | A randomized controlled trial of the online OurRelationship program with varying levels of coach support |
title_full | A randomized controlled trial of the online OurRelationship program with varying levels of coach support |
title_fullStr | A randomized controlled trial of the online OurRelationship program with varying levels of coach support |
title_full_unstemmed | A randomized controlled trial of the online OurRelationship program with varying levels of coach support |
title_short | A randomized controlled trial of the online OurRelationship program with varying levels of coach support |
title_sort | randomized controlled trial of the online ourrelationship program with varying levels of coach support |
topic | Full length Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10477807/ https://www.ncbi.nlm.nih.gov/pubmed/37674656 http://dx.doi.org/10.1016/j.invent.2023.100661 |
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