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Optimizing Coaching During Web-Based Relationship Education for Low-Income Couples: Protocol for Precision Medicine
S Gabe Hatch1, Diana Lobaina1, Brian D Doss1
1Department of Psychology, University of Miami, Coral Gables, FL, United States.
This study explored optimal coach contact for web-based relationship education. Findings will help tailor programs for better adherence and relationship satisfaction.
Area of Science:
- Relationship science
- Digital health interventions
- Behavioral science
Background:
- In-person relationship education has high attrition and limited impact.
- Web-based programs with coach contact show promise for low-income couples.
- Optimal practitioner contact for web-based programs remains unclear.
Purpose of the Study:
- Develop an algorithm for assigning couples to relationship education programs and coach contact levels.
- Identify predictors of treatment adherence and relationship satisfaction across different coaching intensities.
- Examine how coach contact influences adherence and relationship gains.
Main Methods:
- Utilized data from a web-based Sequential Multiple Assignment Randomized Trial.
- Included 1248 couples (2496 individuals) across OurRelationship and Prevention and Relationship Enhancement programs.
- Randomly varied the method and type of coach contact.
Main Results:
- Data collection for the trial was completed in October 2020.
- Analysis focused on treatment adherence and relationship satisfaction predictors.
- Within-group models were employed to identify key factors.
Conclusions:
- This research will enable social services to tailor more effective relationship education.
- It supports the efficient delivery of evidence-based, web-based relationship health interventions.
- Findings contribute to optimizing digital mental health support for couples.
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