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

23 de junho de 2026 atualizado por: 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.

Visão geral do estudo

Status

Recrutamento

Condições

Intervenção / Tratamento

Descrição detalhada

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 de estudo

Intervencional

Inscrição (Estimado)

200

Estágio

  • Não aplicável

Contactos e Locais

Esta seção fornece os detalhes de contato para aqueles que conduzem o estudo e informações sobre onde este estudo está sendo realizado.

Contato de estudo

  • Nome: Holly Schindler, PhD
  • Número de telefone: 206-616-0853
  • E-mail: hschindl@uw.edu

Locais de estudo

Critérios de participação

Os pesquisadores procuram pessoas que se encaixem em uma determinada descrição, chamada de critérios de elegibilidade. Alguns exemplos desses critérios são a condição geral de saúde de uma pessoa ou tratamentos anteriores.

Critérios de elegibilidade

Idades elegíveis para estudo

  • Filho
  • Adulto
  • Adulto mais velho

Aceita Voluntários Saudáveis

Sim

Descrição

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

Plano de estudo

Esta seção fornece detalhes do plano de estudo, incluindo como o estudo é projetado e o que o estudo está medindo.

Como o estudo é projetado?

Detalhes do projeto

  • Finalidade Principal: Prevenção
  • Alocação: Randomizado
  • Modelo Intervencional: Atribuição Paralela
  • Mascaramento: Solteiro

Armas e Intervenções

Grupo de Participantes / Braço
Intervenção / Tratamento
Experimental: 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.
Comportamental: 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.
Outros nomes:
  • FIND with Fathers
  • FIND-F
Sem intervenção: Waitlist Control
This group will serve as the control group. After all data is collected, they will be offered FIND.

O que o estudo está medindo?

Medidas de resultados primários

Medida de resultado
Descrição da medida
Prazo
Fathers' Supportive Parenting Practices
Prazo: 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
Prazo: 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

Medidas de resultados secundários

Medida de resultado
Descrição da medida
Prazo
Parenting Stress
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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

Colaboradores e Investigadores

É aqui que você encontrará pessoas e organizações envolvidas com este estudo.

Patrocinador

University of Washington

Colaboradores

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

Investigadores

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

Datas de registro do estudo

Essas datas acompanham o progresso do registro do estudo e os envios de resumo dos resultados para ClinicalTrials.gov. Os registros do estudo e os resultados relatados são revisados ​​pela National Library of Medicine (NLM) para garantir que atendam aos padrões específicos de controle de qualidade antes de serem publicados no site público.

Datas Principais do Estudo

Início do estudo (Real)

15 de junho de 2026

Conclusão Primária (Estimado)

1 de dezembro de 2029

Conclusão do estudo (Estimado)

1 de dezembro de 2029

Datas de inscrição no estudo

Enviado pela primeira vez

16 de junho de 2026

Enviado pela primeira vez que atendeu aos critérios de CQ

23 de junho de 2026

Primeira postagem (Real)

30 de junho de 2026

Atualizações de registro de estudo

Última Atualização Postada (Real)

30 de junho de 2026

Última atualização enviada que atendeu aos critérios de controle de qualidade

23 de junho de 2026

Última verificação

1 de junho de 2026

Mais Informações

Termos relacionados a este estudo

Outros números de identificação do estudo

  • STUDY00022913
  • R01HD117812-01 (Concessão/Contrato do NIH dos EUA)

Plano para dados de participantes individuais (IPD)

Planeja compartilhar dados de participantes individuais (IPD)?

SIM

Descrição do plano 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.

Prazo de Compartilhamento de 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.

Critérios de acesso de compartilhamento 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.

Tipo de informação de suporte de compartilhamento de IPD

  • PROTOCOLO DE ESTUDO

Informações sobre medicamentos e dispositivos, documentos de estudo

Estuda um medicamento regulamentado pela FDA dos EUA

Não

Estuda um produto de dispositivo regulamentado pela FDA dos EUA

Não

Essas informações foram obtidas diretamente do site clinicaltrials.gov sem nenhuma alteração. Se você tiver alguma solicitação para alterar, remover ou atualizar os detalhes do seu estudo, entre em contato com register@clinicaltrials.gov. Assim que uma alteração for implementada em clinicaltrials.gov, ela também será atualizada automaticamente em nosso site .

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