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

23 juni 2026 bijgewerkt door: 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.

Studie Overzicht

Toestand

Werving

Conditie

Interventie / Behandeling

Gedetailleerde beschrijving

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.

Studietype

Ingrijpend

Inschrijving (Geschat)

200

Fase

  • Niet toepasbaar

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studiecontact

  • Naam: Holly Schindler, PhD
  • Telefoonnummer: 206-616-0853
  • E-mail: hschindl@uw.edu

Studie Locaties

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

  • Kind
  • Volwassen
  • Oudere volwassene

Accepteert gezonde vrijwilligers

Ja

Beschrijving

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

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Preventie
  • Toewijzing: Gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Enkel

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: 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.
Gedragsmatig: 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.
Andere namen:
  • FIND with Fathers
  • FIND-F
Geen tussenkomst: Waitlist Control
This group will serve as the control group. After all data is collected, they will be offered FIND.

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Fathers' Supportive Parenting Practices
Tijdsspanne: 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
Tijdsspanne: 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

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Parenting Stress
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Sponsor

University of Washington

Medewerkers

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

Onderzoekers

  • Hoofdonderzoeker: Holly Schindler, PhD, University of Washington

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Werkelijk)

15 juni 2026

Primaire voltooiing (Geschat)

1 december 2029

Studie voltooiing (Geschat)

1 december 2029

Studieregistratiedata

Eerst ingediend

16 juni 2026

Eerst ingediend dat voldeed aan de QC-criteria

23 juni 2026

Eerst geplaatst (Werkelijk)

30 juni 2026

Updates van studierecords

Laatste update geplaatst (Werkelijk)

30 juni 2026

Laatste update ingediend die voldeed aan QC-criteria

23 juni 2026

Laatst geverifieerd

1 juni 2026

Meer informatie

Termen gerelateerd aan deze studie

Andere studie-ID-nummers

  • STUDY00022913
  • R01HD117812-01 (Subsidie/contract van de Amerikaanse NIH)

Plan Individuele Deelnemersgegevens (IPD)

Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?

JA

Beschrijving IPD-plan

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.

IPD-tijdsbestek voor delen

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.

IPD-toegangscriteria voor delen

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.

IPD delen Ondersteunend informatietype

  • LEERPROTOCOOL

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .

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