{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T18:45:11Z","timestamp":1782845111940,"version":"3.54.5"},"reference-count":56,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Med Internet Res"],"abstract":"\n Background<\/jats:title>\n Individuals living with a partner with an alcohol use disorder (AUD) can experience significant psychological distress and use health care more than those without a partner with an AUD. However, the prevailing treatment system\u2019s focus on the partner and personal barriers limit these individuals from getting help for themselves. Preliminary work on a self-directed, web-based coping skills training program, Stop Spinning My Wheels (SSMW), shows promise in broadening available treatments for this population. In this study, we conducted a robust evaluation of SSMW primary outcomes.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n The study aims to test whether women with a partner with an AUD assigned to SSMW experienced a greater reduction in negative affect (depression and anger) (1) than a usual web care (UWC) control and (2) with brief phone coach support (SSMW+coach) rather than without (SSMW only) and (3) whether baseline negative affect moderated treatment effects.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Women (mean age 45.7, SD 10.8 years; Black: 17\/456, 3.7%; White: 408\/456, 89.5%) were randomized to SSMW only, SSMW+coach, or UWC. Depression (Beck Depression Inventory\u2013II) and anger (State-Trait Anger Expression Inventory 2\u2013State Anger) were assessed at baseline, 12-week posttest, and 6- and 12-month follow-ups.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Participants in all conditions decreased in depression from baseline to posttest and from baseline to follow-up; SSMW-only and SSMW+coach participants decreased in anger, but UWC participants did not. Compared to UWC participants, SSMW-only participants experienced greater anger reduction (P=.03), and SSMW+coach participants experienced a greater reduction in depression (P<.001) from baseline to posttest. However, from baseline to follow-up, only a greater, but not statistically significant (P=.052), reduction in anger occurred in SSMW+coach compared to UWC. Although the SSMW conditions did not differ from each other in negative affect outcomes (P=.06-.57), SSMW+coach had higher program engagement and satisfaction (all P<.004). Baseline negative affect did not moderate effects, although remission from baseline clinically relevant depressive symptoms (Beck Depression Inventory\u226514) was higher in SSMW only (33\/67, 49%; odds ratio 2.13, 95% CI 1.05-4.30; P=.03) and SSMW+coach (46\/74, 62%; odds ratio 3.60, 95% CI 1.79-7.23; P<.001) than in UWC (21\/67, 31%); remission rates did not differ between the SSMW conditions (P=.12).<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The results partially supported the hypotheses. The SSMW conditions had earlier effects than UWC, but positive change in UWC mitigated the hypothesized long-term SSMW-UWC differences. The results highlight the importance of incorporating active controls in web-based clinical trials. Although SSMW+coach showed benefits over SSMW only on engagement and satisfaction measures and in the number needed to treat (5.6 for SSMW only; 3.2 for SSMW+coach), the SSMW conditions were comparable and superior to UWC on depressive symptom remission levels. Overall, SSMW with or without a coach can reduce clinically meaningful distress and add to available treatment options for this large, underserved group.<\/jats:p>\n <\/jats:sec>\n \n Trial Registration<\/jats:title>\n ClinicalTrials.gov NCT02984241; https:\/\/www.clinicaltrials.gov\/study\/NCT02984241<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/56119","type":"journal-article","created":{"date-parts":[[2024,8,29]],"date-time":"2024-08-29T14:00:49Z","timestamp":1724940049000},"page":"e56119","source":"Crossref","is-referenced-by-count":1,"title":["Web-Based Coping Skills Training and Coach Support for Women Living With a Partner With an Alcohol Use Disorder: Randomized Controlled Trial"],"prefix":"10.2196","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-4256-4019","authenticated-orcid":false,"given":"Robert 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S","family":"Tyler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2672-0810","authenticated-orcid":false,"given":"Christopher","family":"Barrick","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6895-5657","authenticated-orcid":false,"given":"Florence","family":"Leong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9792-3383","authenticated-orcid":false,"given":"Derek B","family":"Kosty","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2024,8,29]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.15288\/jsad.2019.80.273"},{"key":"ref2","unstructured":"Alcohol use and alcohol use disorders in the United States: main 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