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Numerous impediments to obtaining marital counseling, including cost and accessibility of providers, have stimulated efforts to develop novel interventions. Investigators used web-based advertising (“free marriage counseling”) and social media to recruit distressed low-income couples; 742 couples agreed not to engage in other marital treatment during the trial and were randomized to one of two different empirically centered web-based marital counseling programs or to a waiting list (mean age, 33; white, 55%; married, 52%; unemployed, 27%; working full time, 44%).
Exclusions included histories, fears, or threats of significant domestic violence. The two 6-week interventions had some similarities, but one focused on mutual problem solving and …