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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 oppdatert av: 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.

Studieoversikt

Status

Rekruttering

Forhold

Intervensjon / Behandling

Detaljert beskrivelse

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

Intervensjonell

Registrering (Antatt)

200

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiekontakt

  • Navn: Holly Schindler, PhD
  • Telefonnummer: 206-616-0853
  • E-post: hschindl@uw.edu

Studiesteder

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

  • Barn
  • Voksen
  • Eldre voksen

Tar imot friske frivillige

Ja

Beskrivelse

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

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Forebygging
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Enkelt

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: 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.
Atferdsmessig: 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.
Andre navn:
  • FIND with Fathers
  • FIND-F
Ingen inngripen: Waitlist Control
This group will serve as the control group. After all data is collected, they will be offered FIND.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Fathers' Supportive Parenting Practices
Tidsramme: 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
Tidsramme: 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

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Parenting Stress
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

University of Washington

Samarbeidspartnere

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

Etterforskere

  • Hovedetterforsker: Holly Schindler, PhD, University of Washington

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

15. juni 2026

Primær fullføring (Antatt)

1. desember 2029

Studiet fullført (Antatt)

1. desember 2029

Datoer for studieregistrering

Først innsendt

16. juni 2026

Først innsendt som oppfylte QC-kriteriene

23. juni 2026

Først lagt ut (Faktiske)

30. juni 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

30. juni 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

23. juni 2026

Sist bekreftet

1. juni 2026

Mer informasjon

Begreper knyttet til denne studien

Andre studie-ID-numre

  • STUDY00022913
  • R01HD117812-01 (U.S. NIH-stipend/kontrakt)

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

JA

IPD-planbeskrivelse

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-delingstidsramme

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.

Tilgangskriterier for IPD-deling

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-deling Støtteinformasjonstype

  • STUDY_PROTOCOL

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

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