Randomized Controlled Trial of Prenatal Coparenting Intervention for African American Fragile Families

非裔美国脆弱家庭产前共同育儿干预的随机对照试验

• 批准号: 9321155
• 负责人: JAMES P MCHALE
• 金额: $ 60.31万
• 依托单位: UNIVERSITY OF SOUTH FLORIDA
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-08-01 至 2020-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9321155
• 关键词: Address; Adult; Affect; African American; Attention; Belief; Child; Child Rearing; Communities; Competence; Conflict (Psychology); Control Groups; County; Development; Domestic Violence; Face; Family; Fathers; Florida; Health; Human; Infant; Infant Development; Intake; Intervention; Low income; Measures; Methodology; Mothers; Motivation; Outcome; Parents; Pilot Projects; Positioning Attribute; Postpartum Period; Randomized; Randomized Controlled Trials; Recruitment Activity; Reporting; Risk; Services; Stress; System; Testing; Uncertainty; Unmarried; Unmarried Father; Unmarried Mother; base; depressive symptoms; fatherhood; follow-up; health disparity; infant outcome; interest; intimate partner violence; postnatal; pregnant; prenatal; prenatal intervention; public health relevance; successful intervention; symptomatology; therapy design; treatment as usual

 DESCRIPTION (provided by applicant): Strategies for addressing intractable disparities in the early development of African American infants must involve meaningful and sustained father engagement. Poor African American infants born to unmarried uncoupled parents are more likely to have such a presence by fathers if their parents create a positive coparenting alliance early on. No empirically-validated prenatal interventions that successfully encourage unmarried fathers and mothers to intentionally create enduring alliances in their babies' best interest currently exist. This R01 tests through RCT methodology efficacy of a new intervention designed specifically to aid development of positive coparenting alliances between at-risk (unmarried, uncoupled, low income) African American mothers and fathers having a first baby together. A feasibility pilot study "Figuring It Out for the Child" (FIOC) that enjoined affirmatio and support from key African American stakeholders in St. Petersburg, Florida's health and human service and faith-based communities positions a field-ready to team to meet the considerable challenges of recruitment, retention and successful implementation of the intervention. Seventy-five randomly-assigned control group families will receive county services as-usual for pregnant parents and assistance of the partnering health and human service agencies with referrals to desired services, while 75 experimental group families will receive the same services and aid, plus a 6-session prenatal intervention with a post-natal booster session. The intervention addresses the importance of safe, healthy families for early infant development, the impact a cooperative and sustained coparenting alliance can have in promoting positive infant development, challenges unmarried parents face cultivating a coparenting alliance together when their commitment to one another as romantic or married partners is in doubt, and ways to surmount these obstacles, maintain rapport, and sustain a strong alliance. All 150 participating families, both at intake (prior to the intervention) and the again at 3 and 12 months post-partum, will report beliefs about fatherhood; extent of depressive symptomatology; and quality of the mother-father partnership. State-of-the-field coparenting observations will be conducted at each follow-up, along with measures of parental stress, domestic violence, perceived coparenting support, father engagement, and infant socioemotional adjustment. Analyses will examine impact of the intervention on promoting more supportive, coordinated post-partum coparenting alliances and more positive adult and infant outcomes. Exploratory analyses will examine questions relevant to father associations with child adjustment and whether this coparent intervention can reduce domestic violence.

 描述（由申请人提供）：解决非裔美国婴儿早期发育中棘手的差异的策略必须涉及有意义且持续的父亲参与。如果父母在早期就建立了积极的共同养育联盟，那么未婚父母所生的贫困非裔美国人婴儿更有可能得到父亲的陪伴。目前还没有经过实证验证的产前干预措施能够成功地鼓励未婚父亲和母亲为了婴儿的最大利益而有意识地建立持久的联盟。 R01 通过 RCT 方法测试了一项新干预措施的有效性，该干预措施专门用于帮助有第一个孩子的高危（未婚、单身、低收入）非洲裔美国母亲和父亲之间建立积极的共同养育联盟。一项名为“为儿童解决问题”(FIOC) 的可行性试点研究要求佛罗里达州圣彼得堡的健康和人类服务以及信仰社区的主要非裔美国利益相关者给予肯定和支持，该研究建立了一支现场准备团队，以应对招募、保留和成功实施干预措施方面的巨大挑战。 75 个随机分配的对照组家庭将像往常一样接受为怀孕父母提供的县级服务，并获得合作卫生和公共服务机构的协助，并转介到所需的服务，而 75 个实验组家庭将获得相同的服务和援助，以及 6 次产前干预和产后强化治疗。该干预措施阐述了安全、健康的家庭对婴儿早期发育的重要性、合作和持续的共同养育联盟对促进婴儿积极发展的影响、未婚父母在对彼此作为浪漫或已婚伴侣的承诺存疑时共同培养共同养育联盟所面临的挑战，以及克服这些障碍、保持融洽关系和维持强大联盟的方法。所有 150 个参与家庭，无论是在入院时（干预前）还是在产后 3 个月和 12 个月时，都将报告对父亲身份的看法；抑郁症状的程度；以及父母伙伴关系的质量。每次随访时都会进行实地共同养育观察，以及父母压力、家庭暴力、共同养育支持感、父亲参与度和婴儿社会情绪调整等指标。分析将检验干预措施对促进更具支持性、协调性的产后共同养育联盟以及更积极的成人和婴儿结局的影响。探索性分析将研究与父亲与儿童适应的关联相关的问题，以及这种共同的父母干预是否可以减少家庭暴力。