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| ID | Type | Description | Link |
|---|---|---|---|
| HT94252410843 | Other Grant/Funding Number | Congressionally Directed Medical Research Programs |
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| Name | Class |
|---|---|
| Uniformed Services University of the Health Sciences | FED |
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This study is testing a program called Get Better Together, a relationship education program designed to help military couples effectively navigate life stressors as a team. The goal is to find out if attending Get Better Together improves mental health and relationship skills, and reduces problems like alcohol misuse, aggression, and suicide risk. Couples who join the study will be randomly placed into one of two groups. One group will attend Get Better Together at a weekend retreat. The other group will continue their usual activities and later receive access to an online relationship education program. All participants will complete surveys before the retreat and again 2, 4, and 6 months later.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Get Better Together (GBT) | Experimental | Participants assigned to this arm will attend an in-person weekend retreat where they receive approximately 10 hours of structured curriculum focused on equipping couples with evidence informed strategies to cope with stress as a team, improve emotion regulation, and reduce conflict. GBT includes modules on emotion awareness, acceptance, reappraisal, constructive problem solving, and communication. The format integrates didactic material, videos, group discussions, and couples' skill practice. All materials and delivery methods have been tailored for military populations based on extensive stakeholder input and field testing. |
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| Control Group | No Intervention | Couples in the control group will not receive any structured relationship enrichment programming (e.g., retreats or workshops) during the 6-month follow-up period. After the 6-month follow-up period, couples in the control group will be provided access to ePREP, a self-paced on line version of the PREP curriculum. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Get Better Together (GBT) | Behavioral | Get Better Together is a couple-based, primary prevention program designed to reduce risk for suicidal thoughts and behaviors, problematic alcohol use, and intimate partner violence by addressing two transdiagnostic drivers: emotion dysregulation and relationship conflict. The intervention is an adaptation of the empirically supported Prevention and Relationship Enhancement Program (PREP), modified in collaboration with military stakeholders to meet the unique cultural and contextual needs of military couples. The GBT curriculum includes approximately 10 hours of structured content presented using didactic instruction, video demonstrations, group discussions, and guided couple exercises. Skills focus on interpersonal emotion regulation (e.g., emotion identification, acceptance, reappraisal, and problem solving) and evidence-based communication strategies (e.g., structured communication strategies, conflict de-escalation). |
| Measure | Description | Time Frame |
|---|---|---|
| Suicide Cognitions | Assessed using the Suicide Cognition Scale-Revised (SCS-R), a 16-item validated self-report measure capturing cognitive risk factors for suicidal behavior. Scores range from 0 to 64, with higher scores reflect greater risk. | Baseline, 2-month, 4-month, and 6-month follow-up |
| Alcohol Misuse | Measured using the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C), a 3-item measure designed to identify hazardous drinking. Scores range from 0 to 12, with higher scores reflect greater likelihood of drinking affecting one's health and safety. | Baseline, 2-month, 4-month, and 6-month follow-up |
| Intimate Partner Violence | Measured using the Revised Conflict Tactics Scale-Short Form (CTS2S), a 20-item measure assessing multiple types of relationship abuse. Dichotomous scores will indicate the presence of any form of abuse. Dichotomous subscale scores will indicate the presence of assault, injury, psychological aggression, or sexual coercion. | Baseline, 2-month, 4-month, and 6-month follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| Emotion Dysregulation | Measured using the Difficulties in Emotion Regulation Scale - 18 Item (DERS-18), which assesses six dimensions of emotion dysregulation: awareness, clarity, nonacceptance, impulse, goals, and strategies. Total scores range from 18 to 90, with higher scores indicating more severe difficulties regulating one's emotions. | Baseline, 2-month, 4-month, and 6-month follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| Military Readiness (active-duty participants only) | Measured using items adapted from the 2017 Workplace and Equal Opportunity Survey of Active Duty Members (Office of People Analytics, 2018), a DoD standardized survey tool. Items assess key indicators of readiness, including self intent to remain in the military. Items use Likert-type scales appropriate to each domain (e.g., "Very poorly prepared" to "Very well prepared"). The items are designed to be used independently rather than as a single composite scale. |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sarah Carter, Ph.D. | Contact | 301-400-5675 | GetBetterTogether@usuhs.edu |
| Name | Affiliation | Role |
|---|---|---|
| Sarah Carter, Ph.D. | Henry M. Jackson Foundation for the Advancement of Military Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Uniformed Services University of the Health Sciences | Recruiting | Bethesda | Maryland | 20814 | United States |
De-identified individual participant data collected through self-report surveys will be shared, including composite scores, coded record based variables (e.g., derived from DoD administrative or health records), and contextual data related to study implementation. No shared data will include personally identifiable information (PII) or protected health information (PHI). All data sharing will comply with IRB, institutional, and federal requirements.
Beginning 12 months after publication of primary outcomes. No planned end date.
Access to de-identified trial data may be provided to qualified researchers. Requests are subject to review and require a brief proposal and a signed Data Use Agreement outlining appropriate safeguards and data handling procedures.
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| ICF | No | No | Yes | Informed Consent Form | Jul 24, 2025 | Oct 3, 2025 |
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| Relationship Conflict | Evaluated using the Ineffective Arguing Inventory (IAI), an 8-item scale measuring perceived patterns of unresolved conflict and communication breakdown in romantic relationships. Total scores range from 8 to 40, with higher scores indicating a higher degree of ineffective communication. | Baseline, 2-month, 4-month, and 6-month follow-up |
| Interpersonal Emotion Regulation with Romantic Partner | Measured using the Dyadic Coping Inventory (DCI), an 37-item self-report measure assessing how couples communicate stress and cope together (supportive, delegated, negative, and joint coping). Total scores range from 37 to 185, with higher scores indicated higher levels of dyadic coping. | Baseline, 2-month, 4-month, and 6-month follow-up |
| Relationship Functioning | Assessed using the Revised Dyadic Adjustment Scale (RDAS), a 14-item self-report measure evaluating relationship functioning across three domains: Dyadic Consensus, Dyadic Satisfaction, and Dyadic Cohesion. Items assess agreement on relationship issues, frequency of shared activities, and satisfaction with the relationship. Total scores range from 0 to 69, with higher scores indicating greater relationship satisfaction. | Baseline, 2-month, 4-month, and 6-month follow-up |
| Baseline, 2-month, 4-month, and 6-month follow-up |
| ICF_000.pdf |
| ID | Term |
|---|---|
| D000080103 | Emotional Regulation |
| D000428 | Alcohol Drinking |
| D000092864 | Suicide Prevention |
| ID | Term |
|---|---|
| D000068356 | Self-Control |
| D012919 | Social Behavior |
| D001519 | Behavior |
| D004327 | Drinking Behavior |
| D013405 | Suicide |
| D016728 | Self-Injurious Behavior |
| D001526 | Behavioral Symptoms |
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