权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

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

基本信息

批准号：
10460618
负责人：
Joshua Jeong
金额：
$ 12.75万
依托单位：
HARVARD SCHOOL OF PUBLIC HEALTH
依托单位国家：
美国
项目类别：
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/10460618
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 implementation evaluation 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

项目摘要

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.

项目摘要/摘要据估计，有2.5亿或43%的5岁以下儿童未能发挥他们的发展潜力在低收入和中等收入国家(LMIC)。育儿干预，或主要侧重于提高亲子关系质量，已显示出改善早期儿童的有效性发展(ECD)成果。然而，到目前为止，大多数循证育儿干预措施都有是为母亲设计的，交付给母亲，并在母亲中间进行评估，不包括父亲。观察性研究在高收入国家，父亲的养育方式和夫妻关系是独一无二的父性维度独立地和交互地塑造父亲对年幼子女的影响发展。虽然越来越多的跨文化证据支持这些方面的父亲在 LMICs，人们对如何让父亲参与并解决这些父亲的重要方面知之甚少通过撒哈拉以南非洲的育儿干预。这条K99/R00独立之路的目标奖项是为候选人成功过渡到独立干预科学家做好准备国际研究侧重于通过以社区为基础的支持父亲来促进幼儿发展成果低收入国家的干预措施。目标将通过在指导阶段(K99)进行培训来实现拓宽应聘者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、为人父和家庭科学方面的培训，2)潜伏期分析，3)干预发展和评价科学。应聘者组建了一支优秀的导师团队，与具有理论、实质和方法技能方面的专业知识。这些培训目标将通过以下途径实现全面的方法，包括定期的导师会议、课程、培训、会议和实地考察- 基于坦桑尼亚的研究经验。K99阶段的具体研究目的是：1)表征基于父亲养育方式和夫妇关系的父亲概况，并决定他们的与后来的ECD结果的关联，以及2)整合和适应多组分的育儿干预在坦桑尼亚的文化背景下支持父亲作为父母和伴侣的角色。辅导性培训和 K99阶段的研究结果将使候选人能够实现独立阶段(R00)，即：3)对新适应的父亲进行混合方法试点改善父性结局的干预措施。这项提议将产生第一个以证据为基础的从一开始就为坦桑尼亚文化中的父亲设计的多元育儿干预背景。试点试验结果将用于确定计划的可行性和可接受性以及初步干预措施对父系结局的有效性，以支持旨在评估其有效性的后续R01应用在坦桑尼亚进行了更大样本的幼儿发展成果研究。

项目成果

期刊论文数量（5）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

A pilot to promote early child development within health systems in Mozambique: a qualitative evaluation.

DOI：
10.1111/nyas.14718
发表时间：
2022-03
期刊：
Annals of the New York Academy of Sciences
影响因子：
5.2
作者：
Jeong J;Bliznashka L;Ahun MN;Karuskina-Drivdale S;Picolo M;Lalwani T;Pinto J;Frey M;Velthauz D;Donco R;Yousafzai AK
通讯作者：
Yousafzai AK

Effectiveness of father-inclusive interventions on maternal, paternal, couples, and early child outcomes in low- and middle-income countries: A systematic review.

低收入和中等收入国家父亲包容性干预措施对孕产妇、父亲、夫妇和幼儿结局的有效性：系统评价。