Engaging and Supporting Fathers: A Parenting Intervention to Improve Early Child Development in Tanzania

父亲的参与和支持：改善坦桑尼亚儿童早期发展的育儿干预措施

• 批准号: 10282752
• 负责人: Joshua Jeong
• 金额: $ 12.97万
• 依托单位: HARVARD SCHOOL OF PUBLIC HEALTH
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-08-02 至 2023-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10282752
• 关键词: 2 year old; 5 year old; Address; Africa; Africa South of the Sahara; Applications Grants; Area; Award; Behavioral; Brain; Caring; Child; Child Care; Child Development; Child Nutrition; Child Rearing; Communication; Communities; Country; Data; Development; Dimensions; Effectiveness; Enrollment; Ensure; Evaluation; Evidence based intervention; Family; Fathers; Focus Groups; Goals; Household; Income; International; Intervention; Knowledge; Life; Malnutrition; Measures; Mentors; Mentorship; Methodology; Methods; Mother-Child Relations; Mothers; Observational Study; Outcome; Parent-Child Relations; Parents; Pathway interactions; Phase; Play; Poverty; Process; Randomized Controlled Trials; Research; Research Training; Risk Factors; Role; Rural; Sampling; Science; Scientist; Shapes; Tanzania; Training; Treatment Efficacy; United States; acceptability and feasibility; base; behavior test; caregiving; critical period; design; early childhood; effective intervention; evidence base; experience; father role; fatherhood; feasibility testing; feasibility trial; holistic approach; improved; low and middle-income countries; meetings; multi-component intervention; multidisciplinary; novel; pilot trial; professor; programs; secondary analysis; skills; symposium; synergism; tenure track; theories; therapy design; therapy development

PROJECT SUMMARY/ABSTRACT An estimated 250 million or 43% of children under age 5 years are failing to reach their developmental potential in low- and middle-income countries (LMICs). Parenting interventions, or programs that primarily focus on enhancing the quality of parent-child relationships, have shown effectiveness for improving early child development (ECD) outcomes. However, the majority of evidence-based parenting interventions to date have been designed for, delivered to, and evaluated among mothers and have excluded fathers. Observational studies in high-income countries have supported that fathers’ parenting and couple’s relationships are unique dimensions of fatherhood that independently and interactively shape the influence of fathers on young children’s development. While there is increasing cross-cultural evidence to support these dimensions of fatherhood in LMICs, very little is known about how to engage fathers and address these important aspects of fatherhood through parenting interventions in sub-Saharan Africa. The goal of this K99/R00 Pathway to Independence Award is to prepare the candidate for a successful transition to an independent intervention scientist with an international research focus on promoting ECD outcomes by supporting fathers through community-based interventions in LMICs. The goal will be accomplished through training during the mentored phase (K99) to broaden the candidate’s knowledge and skills in three critical areas: 1) multidisciplinary and cross-cultural training in ECD, fatherhood, and family science, 2) latent profile analysis, and 3) intervention development and evaluation science. The candidate has assembled an outstanding mentorship team with complementary expertise in theoretical, substantive, and methodological skills. These training objectives will be achieved through a holistic approach that includes regular mentorship meetings, coursework, trainings, conferences, and field- based research experience in Tanzania. The specific research aims of the K99 phase are to: 1) characterize profiles of fatherhood based on measures of fathers’ parenting and couple’s relationships, and determine their associations with later ECD outcomes, and 2) integrate and adapt a multicomponent parenting intervention that supports fathers’ roles as parents and partners in the Tanzanian cultural context. The mentored training and research findings from the K99 phase will enable the candidate to accomplish the final research aim of the independent phase (R00) that is: 3) to conduct a mixed-methods pilot trial of the newly adapted fatherhood intervention for improving paternal outcomes. This proposal will generate the first evidence-based, multicomponent parenting intervention that is designed from the outset for fathers in the Tanzanian cultural context. The pilot trial results will be used to determine program feasibility and acceptability and initial intervention efficacy on paternal outcomes to support a subsequent R01 application that aims to evaluate its effectiveness on ECD outcomes with a larger sample in Tanzania.

项目总结/摘要 据估计，有2.5亿（即43%）5岁以下儿童未能发挥其发展潜力 低收入和中等收入国家（LMIC）。育儿干预，或主要关注 提高亲子关系的质量，已显示出改善幼儿 发展成果。然而，迄今为止，大多数基于证据的育儿干预措施 为母亲设计、交付和评估，并排除了父亲。观察性研究 在高收入国家， 独立和互动地塑造父亲对幼儿的影响的父亲身份的维度 发展虽然有越来越多的跨文化证据支持这些方面的父亲， 在低收入和中等收入国家，人们对如何让父亲参与并解决父亲身份的这些重要方面知之甚少 通过在撒哈拉以南非洲的育儿干预。K99/R 00独立之路的目标 奖项是准备候选人成功过渡到一个独立的干预科学家与 国际研究的重点是通过以社区为基础的支持父亲， 在中低收入国家的干预措施。这一目标将通过辅导阶段（K99）的培训来实现， 拓宽候选人在三个关键领域的知识和技能：1）多学科和跨文化 幼儿发展、父亲和家庭科学方面的培训，2）潜在特征分析，3）干预发展， 评价科学候选人已经组建了一个优秀的导师团队， 在理论，实质性和方法技能的专业知识。这些培训目标将通过以下方式实现： 全面的方法，包括定期的导师会议，课程，培训，会议和实地考察， 在坦桑尼亚的研究经验。K99阶段的具体研究目标是：1）表征 根据父亲养育子女和夫妇关系的措施， 与幼儿发展后期结果的关联，以及2）整合和调整多成分育儿干预措施， 在坦桑尼亚文化背景下，支持父亲作为父母和伙伴的角色。指导培训和 K99阶段的研究成果将使候选人能够实现最终的研究目标， 独立阶段（R 00），即：3）对新适应的父亲身份进行混合方法试点试验 干预以改善父亲的结果。这项提案将产生第一个基于证据的， 多元育儿干预，从一开始就为坦桑尼亚文化中的父亲设计， 上下文试点试验结果将用于确定方案的可行性和可接受性以及初步干预措施 对父亲结局的有效性，以支持旨在评价其有效性的后续R 01应用 在坦桑尼亚进行了更大样本的幼儿发展成果调查。