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Published on: September 12, 2019
Evaluation of a Brief, Skill-Building, Supportive, and Educational Intervention for Couples After Brain Injury
Jeffrey S Kreutzer1, Jennifer H Marwitz, Adam P Sima
1Departments of Physical Medicine and Rehabilitation (Drs Kreutzer, Graham, Hsu, Mills, and Lukow and Ms Marwitz) and Biostatistics (Dr Sima), Virginia Commonwealth University, Richmond.
Objective:
To examine the effectiveness of an intervention (Therapeutic Couples Intervention, TCI) designed to improve relationship quality for couples after acquired brain injury.
Setting:
Outpatient brain injury rehabilitation center.
Participants:
Persons with brain injury (n = 75) and their intimate partners (n = 75).
Design:
Two-arm parallel, randomized, controlled trial with wait-listed control.
Methods:
Composed of 5 to 6 2-hour sessions, the TCI is a manualized, treatment program designed to enhance relationship quality by addressing issues and concerns most often identified by persons with brain injury and their partners.
Main Measure:
Revised Dyadic Adjustment Scale completed by the persons with brain injury and their partners.
Results:
Persons with brain injury and their partners in the treatment group showed an improvement in relationship quality, both compared with their own baseline values and the control group.
Conclusions:
Investigation provided evidence that a curriculum-based education, skill-building, and supportive intervention can benefit couples for up to 3 months after treatment. Additional research is needed to ascertain the long-term benefits of intervention and the efficacy of alternative delivery methods (eg, Internet, telephone, and group).
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