Appendix C.

Recommendations for Incorporating Internet-Based Interventions into In-Person Therapy

Timing	Recommended Uses
Before Therapy
Relationship advice websites	Identify potential problem areas to focus on in therapy
Assessment/Feedback	Screen out couples that require other referrals (e.g. drug/alcohol abuse) Aide therapist in initial case conceptualization
Interventions targeting at-risk or distressed couples	Halt relationship decline Orient couples to common concepts associated with couple therapy, like the mutuality of relationship difficulties
During Therapy
Assessment/Feedback	Monitor progress in several different areas (use pre-treatment results as baseline)
Enrichment interventions targeting satisfied couples	Homework assignments to reinforce what was introduced in-session
Interventions targeting at-risk or distressed couples	Augment sessions with the aim to reduce overall time spent in in-person therapy (e.g. time/logistical limitations)
After Termination
Relationship advice websites	Refresh clients on important concepts learned during treatments in order to maintain gains
Enrichment interventions targeting satisfied couples	Additional resource for topics not covered during treatment Refresh clients on important concepts learned during treatments in order to maintain gains
Interventions targeting at-risk or distressed couples	Additional resource for topics that are significant problems in the relationship but could not be covered during treatment (due to time/logistical concerns) Refresh clients on important concepts learned during treatments in order to maintain gains