An Adapted Evidence-Based Coaching Program for Fathers and Their Young Children in the Context of Home Visiting
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.
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Descrizione dettagliata
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.
Tipo di studio
Tipo di studio
Iscrizione (Stimato)
Iscrizione
Fase
Fase
- Non applicabile
Contatti e Sedi
Contatto studio
Contatto studio
- Nome: Holly Schindler, PhD
- Numero di telefono: 206-616-0853
- Email: hschindl@uw.edu
Luoghi di studio
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Washington
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Seattle, Washington, Stati Uniti, 98125
- Reclutamento
- Akin
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Contatto:
- FIND Program Manager
- Numero di telefono: 206-695-3200
- Email: novina.maree@akinfamily.org
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Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
- Bambino
- Adulto
- Adulto più anziano
Accetta volontari sani
Descrizione
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
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Prevenzione
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Separare
Numero di armi
Armi e interventi
Gruppo di partecipanti / ArmGruppo di partecipanti / Arm |
Intervento / TrattamentoIntervento / Trattamento |
|---|---|
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Sperimentale: 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.
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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.
Altri nomi:
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Nessun intervento: Waitlist Control
This group will serve as the control group.
After all data is collected, they will be offered FIND.
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Fathers' Supportive Parenting Practices
Lasso di tempo: From enrollment to the end of treatment at 7 weeks
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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).
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From enrollment to the end of treatment at 7 weeks
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Fathers' Supportive Parenting Practices
Lasso di tempo: 6 months after end of treatment
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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).
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6 months after end of treatment
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Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Parenting Stress
Lasso di tempo: From enrollment to the end of treatment at 7 weeks
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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.
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From enrollment to the end of treatment at 7 weeks
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Father Identity
Lasso di tempo: From enrollment to the end of treatment at 7 weeks
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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.
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From enrollment to the end of treatment at 7 weeks
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Children's Behavior Problems and Social and Emotional Competence
Lasso di tempo: From enrollment to the end of treatment at 7 weeks
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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.
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From enrollment to the end of treatment at 7 weeks
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Father Involvement
Lasso di tempo: From enrollment to the end of treatment at 7 weeks
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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.
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From enrollment to the end of treatment at 7 weeks
|
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Parenting Stress
Lasso di tempo: 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.
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6 months after end of treatment
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Father Identity
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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.
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6 months after end of treatment
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Collaboratori e investigatori
Sponsor
Sponsor
Collaboratori
Collaboratori
Investigatori
Investigatori
- Investigatore principale: Holly Schindler, PhD, University of Washington
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Date di iscrizione allo studio
Primo inviato
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Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
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Maggiori informazioni
Termini relativi a questo studio
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- STUDY00022913
- R01HD117812-01 (Sovvenzione/contratto NIH degli Stati Uniti)
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