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Efforts to improve the quality of marital communication and coping are important from clinical and public health perspectives because of the numerous negative consequences of divorce. Traditional marriage enhancement programs use workshops and various types of counseling, and recently interactive Web- and DVD-based instructional formats have been attempted. A randomized, controlled study of one such preventive program involved 330 Swiss nonclinical couples recruited via advertisements.
The treatment arms were DVD alone; DVD-T, which added “technical” support (phone calls inquiring about execution of the chapters and providing reminders and motivation); or a waitlist control. The program, developed by one author, included five weekly, 90-minu…