OurRelationship.Com Effectiveness Study

Study Overview
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Brief Summary
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The purpose this study is to determine the continued reach and effectiveness of the OurRelationship.com program once paid advertising and payment for participation ceases. The answer to this question is essential to determining the sustainability of web-based interventions for couples. Specifically, this study has four aims: Examine continued level of initial interest in the study, as measured by number of initial visits to the website, time spent on the page, and number of couples signing up for the study. Measure any changes in the characteristics of the individuals expressing interest in the study, including demographics (e.g., race, ethnicity, education), relationship functioning (e.g., relationship satisfaction, previous help-seeking), and individual functioning (e.g., depression, anxiety) Determine completion rates and effectiveness of the program once payments for participation have been removed. Determine whether having a single Skype/phone call with a coach (rather than the four calls that were used in the NIH trial) significantly degrades completion rates.

Official Title
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OurRelationship.Com Effectiveness Study

Conditions
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Marital Conflict, Relationship, Marital

Intervention / Treatment
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* Behavioral: OurRelationship Online Program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Currently in a heterosexual relationship Married, Engaged, or living with partner for 6 months or more Living in the United States Both partners score at least 0.5 standards below the community mean on relationship satisfaction Exclusion Criteria: Clinically significant intimate partner violence Younger than 18 or older than 64 years of age Reporting infidelity in last three months Reporting severe suicidal ideation in last three months

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 64 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Couples are randomized to receive either one call with a coach or four calls with a coach.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: OurRelationship - 1 Coach Call<br>OurRelationship online program plus a single call with a coach. | Behavioral: OurRelationship Online Program<br>* OurRelationship.com is an online program designed to improve distressed romantic relationships.<br>|
| Experimental: OurRelationship - 4 Coach Calls<br>OurRelationship online program plus four calls with a coach. | Behavioral: OurRelationship Online Program<br>* OurRelationship.com is an online program designed to improve distressed romantic relationships.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Relationship satisfaction | Relationship satisfaction as measured by the Couple Satisfaction Inventory, 16-item (Funk & Rogge, 2007; http://dx.doi.org/10.1037/0893-3200.21.4.572). Higher scores on this scale indicate greater satisfaction. Total scores range from 0 to 81, with a score below 51.5 indicating clinical distress. Internal consistency (alpha = 0.98) and convergent validity are strong. | Change between baseline and the end of the intervention (approx. 2 months later) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Depressive symptoms | Depressive symptoms as measured by the 10-item Center for Epidemiologic Studies Depression Scale (CES-D-10). Higher scores on this scale indicate greater depressive symptoms. The scale has been shown to have excellent sensitivity, specificity, and internal consistency (e.g., Irwin, Artin, & Oxman, 1999; doi:10.1001/archinte.159.15.1701). | Change between baseline and the end of the intervention (approx. 2 months later) | 
| Anxiety symptoms | Anxiety symptoms, as measured by the Generalized Anxiety Disorder Scale-7 (GAD-7; Spitzer, Kroenke, Williams, & Lowe; DOI: 10.1001/archinte.166.10.1092). Scores on this measure range from 0 to 21, with higher scores indicating greater anxiety symptoms. Sensitivity (89%), specificity (82%), and criterion validity are excellent for this measure. | Change between baseline and the end of the intervention (approx. 2 months later) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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OurRelationship, Couple therapy, Internet, Marriage Counseling