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An Adapted Evidence-Based Coaching Program for Fathers and Their Young Children in the Context of Home Visiting

23 juin 2026 mis à jour par: Holly Schindler, University of Washington

Randomized Controlled Trial of an Adapted Evidence-Based Coaching Program for Fathers and Their Young Children in the Context of Home Visiting

Father-child pairs (N=200; children ages 12-36 months) will be randomized to FIND-F or a waitlist control group. Assessments comparing the two groups will occur at baseline, end of program, and 6 months post-program. Our aims include:

Aim 1: Evaluate the main impacts of FIND-F on the primary program target (fathers' supportive parenting) and related child and parent outcomes.

Aim 2. Identify mechanisms of FIND-F's intervention effects.

Aim 3. Examine variation by select child, father, and program measures.

Aperçu de l'étude

Statut

Recrutement

Les conditions

Intervention / Traitement

Description détaillée

The proposed work will achieve three specific aims in the context of a two-arm, fully powered RCT. This will be one of the first large-scale RCTs focused on evaluating the impacts and underlying theory of a nurturing fathering program.

As fathers enroll, they will be randomly assigned to either FIND-F (Group A) or a waitlist control group (Group B). A waitlist control group design is proposed based on community views that it would be unethical to deny consenting, eligible fathers access to FIND-F. This is a common approach in early childhood evaluations to increase program access. Both groups will be assessed at three time points: baseline, endpoint, and 6-Month follow-up. After the 6-month follow-up assessment, the waitlist group will be given the opportunity to receive FIND-F.

Each FIND-F session focuses on a specific element of a serve and return interaction, using the edited films to support fathers in learning about that element. The five elements are: (a) Sharing Child's Focus- when the father notices what the child is interested in and puts his attention there too; (b) Supporting and Encouraging- when the father responds to the child's "serve" through acknowledging, soothing, comforting, or praising the child; (c) Naming - when the father provides a word or explanation for what the child is seeing, doing, or feeling; (d) Back and Forth- when the father and child continue interacting in a longer back-and-forth manner; and (e) Endings and Beginnings- when a child signals the end of an activity, a new serve and return interaction begins, and the father follows the child's lead.

Type d'étude

Interventionnel

Inscription (Estimé)

200

Phase

  • N'est pas applicable

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Coordonnées de l'étude

  • Nom: Holly Schindler, PhD
  • Numéro de téléphone: 206-616-0853
  • E-mail: hschindl@uw.edu

Lieux d'étude

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

  • Enfant
  • Adulte
  • Adulte plus âgé

Accepte les volontaires sains

Oui

La description

Inclusion Criteria:

  • Identify as a father
  • Speak English or Spanish
  • Have a child between the ages of 12-36 months who lives with you
  • Be enrolled in Akin services

Exclusion Criteria:

  • No additional exclusion criteria

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: La prévention
  • Répartition: Randomisé
  • Modèle interventionnel: Affectation parallèle
  • Masquage: Seul

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Expérimental: Filming Interactions to Nurture development (FIND)
This group of fathers will receive FIND, a 6-session manualized program. FIND with fathers is delivered through flexible home visits, targets warm and responsive father-child interactions, and uses video recordings to emphasize each father's parenting strengths in the context of everyday caretaking moments.
Comportemental: Filming Interactions to Nurture Development (FIND)
FIND-F is a 6-session manualized program that begins with the home visitor taking a 10-minute video of the father and child engaging in an everyday activity (e.g., playing, having a snack). Then, that video is carefully edited to emphasize the specific strengths observed in the father-child interactions. The brief, edited videos are then reviewed with the father the following week. In reviewing the video clips, the home visitor uses micro-analytic narration, highlighting the frame-by-frame sequence of events that fosters the child's healthy development. In this way, the goal of FIND-F is to shift the father's perceptions of himself and his child, enabling the father to become increasingly responsive and encouraging. Home visitors also provide opportunities for fathers to comment and ask questions throughout the video review.
Autres noms:
  • FIND with Fathers
  • FIND-F
Aucune intervention: Waitlist Control
This group will serve as the control group. After all data is collected, they will be offered FIND.

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
Fathers' Supportive Parenting Practices
Délai: From enrollment to the end of treatment at 7 weeks
Fathers' supportive parenting skills will be observed through videotaped father-child interactions. Fathers will be provided with a standard bag of toys and asked to "share these toys with your child as you normally would." Each set of toys (one set for pretest, one for endpoint, and one for follow-up) has been carefully selected with input from home visitors about which toys could support interactions across the age range in our study. The first 10 minutes of the videotaped interactions will be coded using the PICCOLO-D (Dads' Parenting Interactions with Children Checklist of Observations Linked to Outcomes).
From enrollment to the end of treatment at 7 weeks
Fathers' Supportive Parenting Practices
Délai: 6 months after end of treatment
Fathers' supportive parenting skills will be observed through videotaped father-child interactions. Fathers will be provided with a standard bag of toys and asked to "share these toys with your child as you normally would." Each set of toys (one set for pretest, one for endpoint, and one for follow-up) has been carefully selected with input from home visitors about which toys could support interactions across the age range in our study. The first 10 minutes of the videotaped interactions will be coded using the PICCOLO-D (Dads' Parenting Interactions with Children Checklist of Observations Linked to Outcomes).
6 months after end of treatment

Mesures de résultats secondaires

Mesure des résultats
Description de la mesure
Délai
Parenting Stress
Délai: From enrollment to the end of treatment at 7 weeks
Fathers' parenting stress will be measured using the Parenting Stress Index-Short Form (PSI-SF) (Loyd & Abidin, 1985). The PSI-SF asks parents of children birth to 12 years old to indicate their level of agreement or disagreement about 36 statements on a 5-point scale regarding their level of stress, how difficult their child is to manage, and whether parenting fits their expectations.
From enrollment to the end of treatment at 7 weeks
Father Identity
Délai: From enrollment to the end of treatment at 7 weeks
Fathers' identity related to the fathering role will be measured with The Pie, which instructs fathers to create a graphical representation of their psychological investment in the different aspects of their lives (Cowan & Cowan, 1991). More specifically, fathers will be asked to list the main roles in their lives and then divide a circle (pie) into pieces so that the size of each piece represents the importance of that role. In this study, the degrees of the circle that represent fathering or parenting will be recorded.
From enrollment to the end of treatment at 7 weeks
Children's Behavior Problems and Social and Emotional Competence
Délai: From enrollment to the end of treatment at 7 weeks
We will use the Brief Infant-Toddler Social-Emotional Assessment (BITSEA) to measure both behavior problems and social and emotional competence (Briggs-Gowan, Carter, McCarthy, Augustyn, & Clark, 2013). The BITSEA is a standardized parent-reported measure of 42 items.
From enrollment to the end of treatment at 7 weeks
Father Involvement
Délai: From enrollment to the end of treatment at 7 weeks
Fathers' involvement will be captured through the Father Engagement Scale (Dyer et al., 2015). This measure is for use with fathers of children 12 months to 6 years and asks fathers 10 questions on a 5-point scale about the frequency of their engagement in activities such as playing with toys, hugging their child, talking with their child, and encouraging their child.
From enrollment to the end of treatment at 7 weeks
Parenting Stress
Délai: 6 months after end of treatment
Fathers' parenting stress will be measured using the Parenting Stress Index-Short Form (PSI-SF) (Loyd & Abidin, 1985). The PSI-SF asks parents of children birth to 12 years old to indicate their level of agreement or disagreement about 36 statements on a 5-point scale regarding their level of stress, how difficult their child is to manage, and whether parenting fits their expectations.
6 months after end of treatment
Father Identity
Délai: 6 months after end of treatment
Fathers' identity related to the fathering role will be measured with The Pie, which instructs fathers to create a graphical representation of their psychological investment in the different aspects of their lives (Cowan & Cowan, 1991). More specifically, fathers will be asked to list the main roles in their lives and then divide a circle (pie) into pieces so that the size of each piece represents the importance of that role. In this study, the degrees of the circle that represent fathering or parenting will be recorded.
6 months after end of treatment
Children's Behavior Problems and Social and Emotional Competence
Délai: 6 months after end of treatment
We will use the Brief Infant-Toddler Social-Emotional Assessment (BITSEA) to measure both behavior problems and social and emotional competence (Briggs-Gowan, Carter, McCarthy, Augustyn, & Clark, 2013). The BITSEA is a standardized parent-reported measure of 42 items.
6 months after end of treatment
Father Involvement
Délai: 6 months after end of treatment
Fathers' involvement will be captured through the Father Engagement Scale (Dyer et al., 2015). This measure is for use with fathers of children 12 months to 6 years and asks fathers 10 questions on a 5-point scale about the frequency of their engagement in activities such as playing with toys, hugging their child, talking with their child, and encouraging their child.
6 months after end of treatment

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Parrainer

University of Washington

Collaborateurs

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Stanford University

Les enquêteurs

  • Chercheur principal: Holly Schindler, PhD, University of Washington

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude (Réel)

15 juin 2026

Achèvement primaire (Estimé)

1 décembre 2029

Achèvement de l'étude (Estimé)

1 décembre 2029

Dates d'inscription aux études

Première soumission

16 juin 2026

Première soumission répondant aux critères de contrôle qualité

23 juin 2026

Première publication (Réel)

30 juin 2026

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

30 juin 2026

Dernière mise à jour soumise répondant aux critères de contrôle qualité

23 juin 2026

Dernière vérification

1 juin 2026

Plus d'information

Termes liés à cette étude

Autres numéros d'identification d'étude

  • STUDY00022913
  • R01HD117812-01 (Subvention/contrat des NIH des États-Unis)

Plan pour les données individuelles des participants (IPD)

Prévoyez-vous de partager les données individuelles des participants (DPI) ?

OUI

Description du régime IPD

De-identified survey data and video codes will be preserved and shared. Respondent identifiers and raw video will not be shared in order to maintain the confidentiality of participants.

Délai de partage IPD

The scientific data will be submitted to ICPSR no later than the time of an associated publication or end of the performance period, whichever comes first. Data deposited with ICPSR will be available in perpetuity.

Critères d'accès au partage IPD

Data will be for public use (i.e., not restricted). ICPSR users must agree to the following per ICPSR guidelines:

  • The datasets are to be used solely for statistical analysis and reporting aggregated information.
  • The confidentiality of research participants is to be guarded in all ways.
  • Anything that can potentially breach participants' confidentiality is to be reported promptly to ICPSR.
  • The data are not to be redistributed or sold to others without the written agreement of ICPSR.
  • The user will inform ICPSR of the use of the data in books, articles, and other forms of publication.

Type d'informations de prise en charge du partage d'IPD

  • PROTOCOLE D'ÉTUDE

Informations sur les médicaments et les dispositifs, documents d'étude

Étudie un produit pharmaceutique réglementé par la FDA américaine

Non

Étudie un produit d'appareil réglementé par la FDA américaine

Non

Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .

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