Abstract

This study explored whether Relationship-Centered Communication Partner Training (RC-CPT) improved perceived marital attachment, communication, and psychosocial well-being in couples impacted by aphasia. A quasi-experimental design was implemented to assess the impact of RC-CPT on various marital outcomes. Twelve married couples participated in the study, with each couple including one spouse with post-stroke aphasia. The Brief Accessibility, Responsiveness, and Engagement Scale (BARE) was used as the primary outcome for this study, assessing attachment behaviors within couples. Secondary outcome measures included the Loneliness Scale Questionnaire, the Relationship Questionnaire, the Conflict and Conflict Resolution Questionnaire, and the Kessler Psychological Distress Rating Scale. Pre-testing consisted of two sessions, followed by six treatment sessions and three post-testing sessions across different time points. Treatment focused on education, counseling, strategy training, setting goals within the marital relationship, and consistent follow-up. Dependent variables related to marital attachment, communication, and psychosocial well-being were evaluated by comparing mean change in scores from pre- to post-intervention using paired-sample t-tests. Clinical significance was evaluated using Cohen's d, with statistical significance set at an alpha level of .05. Post-treatment outcomes demonstrated improvements in responsiveness, marital communication, and psychological distress. Preliminary results indicate that (a) RC-CPT improves marital communication and responsiveness for both the PWA and their spouses, (b) RC-CPT lessens psychological distress for both PWA and their spouses, and (c) RC-CPT does not improve engagement or loneliness. These findings suggest the RC-CPT has the potential to improve marital satisfaction in married couples impacted by aphasia.

Degree

MS

College and Department

David O. McKay School of Education; Communication Disorders

Rights

https://lib.byu.edu/about/copyright/

Date Submitted

2026-05-19

Document Type

Thesis

Keywords

aphasia, marriage, relationships, psychosocial factors, communication, marital attachment

Language

english

Included in

Education Commons

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