{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T13:02:05Z","timestamp":1789995725397,"version":"4.0.1"},"reference-count":41,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T00:00:00Z","timestamp":1779494400000},"content-version":"vor","delay-in-days":83,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["K23DK14531"],"award-info":[{"award-number":["K23DK14531"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Rural Health"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Separation and divorce are associated with deterioration of mental and physical health. Veterans are &gt;60% more likely to experience separation\/divorce compared to non\u2010Veterans. Access to couple\u2010based treatment is limited due to shortage of trained therapists, high costs, travel burdens, and stigma\u2014challenges commonly exacerbated in rural settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study assessed the feasibility, acceptability, and preliminary efficacy of a single\u2010day, 6\u2010h group workshop delivered virtually for rural Veterans and their romantic partners. The goal was to improve relationship quality and expand care access. Veterans and their partners completed measures of individual and relationship functioning before and 3 months post\u2010workshop. Qualitative interviews were conducted 3 months post\u2010workshop.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>A total of 62 Veteran\u2013partner couples participated (42% rural). Workshop completion (98%) and retention at the 3\u2010month follow\u2010up for Veterans (90%) and partners (79%) were high. Qualitatively, participants found the workshop helpful, engaging, and interactive. Many reported applying learned communication skills, viewed the workshop as a catalyst for improving their relationship, and said they would recommend it to others.<\/jats:p>\n                    <jats:p>From pre\u2010workshop to 3 months post\u2010workshop, Veterans reported reductions in trauma\u2010related symptoms (ES = \u20130.23) and improvements in mental health functioning (ES = 0.22). Partners also showed improvements in overall functioning (ES = 0.27). No changes in relationship satisfaction were observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The workshop was feasible to implement and well\u2010received by Veterans and their partners. Preliminary outcomes suggest the intervention may be effective in improving individual well\u2010being. Single\u2010day group workshops\u2014particularly when delivered via telehealth\u2014hold promise as a scalable approach to increase access to relationship support for rural Veterans.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jrh.70170","type":"journal-article","created":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T12:04:51Z","timestamp":1779537891000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Single\u2010Day Couples Intervention for Veterans and Their Romantic Partners: A Pilot Feasibility Trial"],"prefix":"10.1111","volume":"42","author":[{"given":"Lilian","family":"Dindo","sequence":"first","affiliation":[{"name":"Houston VA HSR&amp;D Center for Innovations in Quality Effectiveness and Safety Michael E. DeBakey Veterans Affairs Medical Center  Houston Texas USA"},{"name":"Department of Medicine Health Services Research Baylor College of Medicine  Houston Texas USA"},{"name":"South Central Mental Illness Research Education, and Clinical Center (Virtual Center) Michael E. DeBakey VA Medical Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicte","family":"Donis","sequence":"additional","affiliation":[{"name":"Department of Psychological and Brain Sciences Texas A&amp;M University  College Station Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malena","family":"Cramer","sequence":"additional","affiliation":[{"name":"Houston VA HSR&amp;D Center for Innovations in Quality Effectiveness and Safety Michael E. DeBakey Veterans Affairs Medical Center  Houston Texas USA"},{"name":"Department of Medicine Health Services Research Baylor College of Medicine  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5107-4219","authenticated-orcid":false,"given":"Derrecka","family":"Boykin","sequence":"additional","affiliation":[{"name":"Houston VA HSR&amp;D Center for Innovations in Quality Effectiveness and Safety Michael E. DeBakey Veterans Affairs Medical Center  Houston Texas USA"},{"name":"South Central Mental Illness Research Education, and Clinical Center (Virtual Center) Michael E. DeBakey VA Medical Center  Houston Texas USA"},{"name":"Menninger Department of Psychiatry and Behavioral Sciences Baylor College of Medicine  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Merlyn","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Houston VA HSR&amp;D Center for Innovations in Quality Effectiveness and Safety Michael E. DeBakey Veterans Affairs Medical Center  Houston Texas USA"},{"name":"Department of Medicine Health Services Research Baylor College of Medicine  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ken","family":"Woods","sequence":"additional","affiliation":[{"name":"Houston VA HSR&amp;D Center for Innovations in Quality Effectiveness and Safety Michael E. 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