An Adapted Evidence-Based Coaching Program for Fathers and Their Young Children in the Context of Home Visiting
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Filming Interactions to Nurture Development (FIND).
- Who it may be relevant to
- Registry conditions: Positive Parenting. Basic parameters: from 12 months · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Randomized Controlled Trial of an Adapted Evidence-Based Coaching Program for Fathers and Their Young Children in the Context of Home Visiting
Overview
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.
Detailed description
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.
Interventions
- Behavioral 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 seque
Primary outcome measures
- Fathers' Supportive Parenting Practices [Time frame: From enrollment to the end of treatment at 7 weeks]
- Fathers' Supportive Parenting Practices [Time frame: 6 months after end of treatment]
Secondary outcome measures (8)
- Parenting Stress [Time frame: From enrollment to the end of treatment at 7 weeks]
- Father Identity [Time frame: From enrollment to the end of treatment at 7 weeks]
- Children's Behavior Problems and Social and Emotional Competence [Time frame: From enrollment to the end of treatment at 7 weeks]
- Father Involvement [Time frame: From enrollment to the end of treatment at 7 weeks]
- Parenting Stress [Time frame: 6 months after end of treatment]
- Father Identity [Time frame: 6 months after end of treatment]
- Children's Behavior Problems and Social and Emotional Competence [Time frame: 6 months after end of treatment]
- Father Involvement [Time frame: 6 months after end of treatment]
Eligibility criteria
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
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Prevention
Study locations
United States · 1 center
- Akin — Seattle
Identifiers
NCT: NCT07676240 · STUDY00022913 · R01HD117812-01