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Computer-based dissemination: a randomized clinical trial of ePREP using the actor partner interdependence model.
Scott R Braithwaite1, Frank D Fincham
1Brigham Young University, Department of Psychology, Provo, UT 84602-5543, USA. srbraithwaite@byu.edu
Behaviour Research and Therapy
|December 17, 2010
Summary
Computer-based treatments bridge the gap between evidence-based care and accessibility. This study shows computer-delivered interventions improve mental health and relationship functioning, enhancing treatment dissemination.
Area of Science:
- Clinical Psychology
- Health Services Research
- Digital Health
Background:
- A significant gap exists between the need for evidence-based treatments and their effective delivery.
- Computerized administration offers a scalable solution for widespread dissemination of empirically supported interventions.
Purpose of the Study:
- To adapt an empirically supported treatment for computerized delivery.
- To evaluate the effectiveness of a computer-based intervention compared to a placebo.
- To examine factors influencing treatment outcomes in a digital health context.
Main Methods:
- A randomized clinical trial was conducted.
- Participants received either a computer-based intervention (ePREP) or a placebo intervention.
- The actor-partner interdependence model was used to analyze relationship functioning.
- Engagement and mastery of communication techniques were assessed.
Main Results:
- ePREP participants showed improved mental health and relationship functioning at six-week follow-up compared to the placebo group.
- Higher engagement and mastery of communication skills correlated with superior outcomes.
- Computer-based delivery demonstrated flexibility in reaching target populations.
Conclusions:
- Computer-based treatments are effective for improving mental health and relationship functioning.
- Digital dissemination strategies can significantly enhance treatment accessibility.
- Recommendations for implementing computer-based interventions are discussed.
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