Authors

  1. Kreutzer, Jeffrey S. PhD
  2. Marwitz, Jennifer H. MA
  3. Sima, Adam P. PhD
  4. Graham, Kristin M. PhD
  5. Hsu, Nancy H. PsyD
  6. Mills, Ana PsyD
  7. Lukow, Herman R. II PhD

Abstract

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).