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

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age12+
SponsorUniversity of Washington

About this trial

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.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

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

Disqualifiers

No additional exclusion criteria

Trial design

Design model

Parallel

Treatments tested in this trial

  • Filming Interactions to Nurture Development (FIND)

    Behavioral

    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.

Treatment groups

200 Participants
are divided into 2 treatment groups
Group A: Filming Interactions to Nurture development (FIND)Experimental treatment 1 intervention
Group B: Waitlist ControlNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Fathers' Supportive Parenting Practices

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).

Time frame
From enrollment to the end of treatment at 7 weeks
2

Fathers' Supportive Parenting Practices

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).

Time frame
6 months after end of treatment

Secondary outcomes

1

Parenting Stress

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.

Time frame
From enrollment to the end of treatment at 7 weeks
2

Father Identity

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.

Time frame
From enrollment to the end of treatment at 7 weeks
3

Children's Behavior Problems and Social and Emotional Competence

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.

Time frame
From enrollment to the end of treatment at 7 weeks
4

Father Involvement

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.

Time frame
From enrollment to the end of treatment at 7 weeks

Other outcomes

Sponsors and contacts

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University of Washington

Lead sponsor

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

Collaborator

Stanford University

Collaborator