Computer-based dissemination: a randomized clinical trial of ePREP using the actor partner interdependence model

Abstract

The most pressing challenge facing our field is to close the gap between the need for evidence based treatment and our ability to effectively provide it. We illustrate how an empirically supported treatment can be adapted for computerized administration to maximize the likelihood of widespread dissemination. This randomized clinical trial shows how computer-based treatments can be effectively used to increase flexibility in reaching target populations. Using the actor partner interdependence model, we found that, compared to those who received a placebo intervention, ePREP participants demonstrated better mental health and relationship functioning at a six-week follow up. Those who engaged more fully in the intervention and mastered the communication techniques generally experienced superior outcomes. Implications of and recommendations for computer-based dissemination are discussed.