A Randomized Clinical Trial of a Computer Based Preventive
Intervention: Replication and Extension of ePREP
Scott R. Braithwaite and Frank D. Fincham
Florida State University
This randomized clinical trial replicated the efficacy of the ePREP preventive intervention for
mental health and relationship relevant outcomes in a sample of 77 college students. It
extended previous research by demonstrating efficacy at a 10-month follow up. Participants
in the ePREP condition experienced improved mental health and relationship relevant
outcomes relative to those who received a placebo intervention. The impact of the ePREP
intervention on these outcomes was durable to relationship dissolution with and without
repartnering. The flexibility of this intervention empowers it to overcome key obstacles in the
dissemination of relationship education.
Keywords: computer-based interventions, prevention, relationship education
A handful of relationship education programs have dem-
onstrated efficacy in reducing marital discord and divorce
(Jakubowski, Milne, Brunner, & Miller, 2004). However,
two key problems face prevention focused relationship ed-
ucation. First, research indicates that those who usually
receive relationship education are at relatively low risk for
divorce and other marital problems (Sullivan & Bradbury,
1997). Second, longitudinal studies that have examined the
impact of relationship education over longer spans of time
suggest that the gains achieved through relationship educa-
tion tend to diminish over time (Markman, Renick, Floyd,
& Stanley, 1993). Consequently, a need has arisen to pro-
duce forms of evidence based relationship education that
address these two limitations by increasing flexibility with-
out sacrificing efficacy.
At least three interventions have arisen to meet this need.
Halford and colleagues’ Couple CARE program (Halford,
Moore, Wilson, Dyer, & Farrugia, 2004), which allows
participants to complete most of the work associated with
the intervention on their own in combination with telephone
sessions with a therapist, demonstrated improved relation-
ship satisfaction relative to controls. Larson and colleagues
examined the impact of an assessment based premarital
intervention (RELATE) and found that self-guided use of
this intervention produced increased relationship satisfac-
tion relative to controls (Larson, Galbraith, Holman, &
Stahmann, 2007). Research on both of these interventions is
limited by the fact that these studies provided only short-
term pre and post intervention data, and neither examined
the impact of these interventions on other relevant variables
such as psychopathology.
One potentially powerful means of dissemination is
to offer programs via computers and computer-based
networks. Importantly, a meta-analysis conducted by
Cavanaugh and Shapiro (2004) found that clients who
have received computer-based interventions see them as
a valid form of treatment. Brief, individual focused rela-
tionship interventions have the power to overcome many of
the obstacles that currently face dissemination of relation-
ship education. These interventions could benefit the rela-
tionships of individuals who have partners that are averse to
receiving couples treatment as usual. Moreover, the poten-
tial cost effectiveness and flexibility offered by computer-
based treatments allow them to reach nearly any population
and provide an attractive alternative for important popula-
tions that relationship educators would like to reach, includ-
ing technology savvy adolescents and those who have neg-
ative attitudes about face-to-face relationship education or
treatment.
ePREP, a computer based intervention developed by
Braithwaite and Fincham (2007), is designed to be used as
a primary preventive intervention and a flexible form of
relationship education. In an initial trial, ePREP showed
promise in improving key outcomes such as problematic
communication, intimate partner violence, depression, and
anxiety in a randomized control trial that followed partici-
pants for approximately 2 months. In this study, ePREP
participants demonstrated better mental health and relation-
ship outcomes than the placebo/control condition. More-
over, the mental health outcomes for those in the ePREP
condition were not significantly different from another con-
dition that used a computerized empirically supported pre-
ventive intervention designed specifically to address depres-
sion and anxiety (Cukrowicz & Joiner, 2007). Critical to
establishing the viability of ePREP, however, is replication
Scott R. Braithwaite, Department of Psychology and Family
Institute, Florida State University; Frank D. Fincham, Family
Institute, Florida State University.
Correspondence concerning this article should be addressed to
Scott R. Braithwaite, Department of Psychology, Florida State
University, Tallahassee, FL 32306-4301. E-mail: srbraithwaite@
gmail.com
Journal of Family Psychology © 2009 American Psychological Association
2009, Vol. 23, No. 1, 32–38 0893-3200/09/$12.00 DOI: 10.1037/a0014061
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