Hope Couples Clinic Relationship Questions for Couples 2025-6

Initial Meeting and Baseline Questions Consent

Welcome to the Couples Clinic at the Psychological Services Center at Regent University

The Couples Clinic is dedicated to providing state of the art care for relationships.

There are two general approaches to couples counseling that we offer:

Regular Couple Therapy for regular repair of a couple’s relationship
Couple Enrichment/Pre-marital for growth, wellness and skill building

Most couples receive the Regular approach to couples counseling to address problems in communication, conflict, intimacy, forgiveness and life stress. Our approach to regular therapy is called “Hope Focused Couple Therapy” and is an empirically supported couple treatment based on the book Couple Therapy by Drs. Ripley and Worthington. Twenty years of research on hundreds of couples have shown better than average effects for most couples but we cannot guarantee efficacy for any individual person.

The second approach to couples counseling is designed to help couples who are doing well but want to do better or are preparing for marriage. For these couples we help you assess your relationship in-depth, learn communication and conflict resolution skills, and enjoy your relationship more.

We have many questions to ask you, but these questions help us to both assess how you are doing individually and relationally. We begin the process with questionnaires to help you with your goals. These questions will help us be efficient but complete to ensure best quality care as a practice. Thank you for your honest individual responses to each question.

What is this Study About? We regularly collect and analyze the information couples share with us for quality improvement, training, and professional research presentation but your identity will never be revealed. Because we collect the information we need to ask for consent to participate in the research. Below is the consent form for you to review.

If you say "YES" you will be part of the study during your time in couple counseling, and we will offer a follow-up questionnaire 5-6 months after you finish.

Who can be in this study? You can join if you are an adult receiving Hope focused couple therapy in our clinic.

Risks to you are those common to couple therapy- It is possible that the therapy will not end as you hope and be distressing. The questions we ask in our assessment could call attention to distress. If you feel distressed at any time please discuss this with your therapist for support.

Benefits: By being part of the study of our couple therapy clinic you will receive low-cost couple therapy care, including feedback reports at no additional cost to you. You will not receive payment for being in the study.

Costs: The counseling sessions follow the regular cost of the Psychological Services Center (PSC) at Regent University which is maximum $60/session of therapy. There are discounts for Regent students, employees, those referred by a clergy, or those with financial needs. Please discuss this with the counselors to meet your needs.

Length of Treatment: Therapy in our clinic typically lasts from 8 up to 20 sessions. We are closed from mid-July to Labor Day for University break and other typical University holidays. Normally we invite you back for a free check-up and assessment 6 months after counseling ends.

Keeping your information private/ Confidentiality: Your clinical file is under professional standards for the PSC. You will receive further information and forms on confidentiality for the PSC if you decide to begin couple counseling. For research confidentiality we copy some information from the clinical file into a research file after treatment has ended. You can request not to be included in the research at any time. The information is stored in a locked cabinet in a locked office or in a password protected electronic file. All people involved in your counseling and research or administrative staff are bound by ethics and law to confidentiality of all of your information. We keep your information private unless the law says we must share it.

Your clinically relevant research results will be disclosed to you in a qualitative discussion with your counselor/s on your progress towards your goals. You can also request your research data by contacting Dr. Ripley.

Freedom to withdraw: You do not have answer questions if you don’t want to. You may request to be removed from the research data analysis at any time by contacting Dr Ripley at 757-352-4296 without any consequence to your clinical work. You will receive the SAME clinical care whether or not you agree to participate in the research.

Agreement Agreeing to be a part of this study does not mean you give up any rights. You still keep all of your legal rights. Regent University does not pay for doctor or hospital bills, insurance, or free medical care, and they do not give money or pay you back for any costs due to being hurt or sick. If you are hurt or feel sick because of this study, or if you have any health questions or concerns, seek proper care first (if needed). You can also contact Dr. Jennifer Ripley at 757-352-4296 or jennrip@regent.edu, or the Research Ethics IRB chair at irb@regent.edu.

For telehealthcare or videoconferencing there will be an additional consent and confidentiality form given to you.

Contact: Dr. Jennifer Ripley is the director and supervisor for the Couples clinic in the PSC and can be reached at 757-352-4296 or jennrip@mail.regent.edu. If you have questions or concerns about your role in the research please contact our Internal Review Board at irb@regent.edu

Question Title

* 1. Checking this box is equivalent to your signed agreement for participation in this project.

Voluntary means that it is your choice and consent means you agree to be in the study. No one should make you feel like you must be in the study. If you do want to be in the study, you can sign this form. By signing this form, you are saying you understand what this study is about and what the risks are. You should have all your questions answered before you sign the consent. If you have any questions after you sign, you can ask Dr Ripley, 757-352-4296, jennrip@regent.edu.

Please be aware that it is possible we will have a wait-list for starting couple therapy- sometimes all clinicians are full, or sometimes clinican open time options are very limited. Checking this box also indicates you are aware of this.

If you would like to contact us to ask about the current status of the wait list please email us at hopecouples@hopecouples.com

Yes, I understand. I agree and consent to sharing this information to the counselor I will be assigned. I also consent to the research studying the outcomes and process of couple therapy.

Question Title

* 2. Your name, agreement to informed consent

This couples assessment takes people 35 minutes on average (according to Surveymonkey). This assessment, which would typically cost hundreds of dollars, is offered to you at no cost due to financial support for the couples clinic. The information will be vital to your counselors working efficiently with both of you for your relationship health. If you prefer, you can complete this questionnaire on paper by coming into our offices. Please contact us if you need to use that option.

You can access our telehealth-specific informed consent, 50% off referral form, and instructions for attending meetings online or in-person here: http://hopecouples.com/Helpful-Forms.php

Question Title

* 3. Great! You made it through the consents! Now these questions help your clinician get to know you and your needs to make your couple therapy work more efficiently.

6% of survey complete.