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: 10906431
• 负责人: Joshua Jeong
• 金额: $ 24.9万
• 依托单位: EMORY UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-05 至 2026-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10906431
• 关键词: Engaging; Supporting; Fathers; Parenting; Intervention

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.

在低收入国家（LMIC）中，估计有2.5亿或43％的5岁儿童未能达到其发育潜力。育儿干预措施或主要侧重于增强亲子关系质量的计划表现出了改善早期儿童发展（ECD）结果的有效性。但是，迄今为止，大多数基于证据的育儿干预措施是为母亲之间设计，交付和评估的，并排除了父亲。高收入国家的观察性研究支持父亲的育儿和夫妇的关系是父亲的独特维度，可以独立和互动地塑造父亲对幼儿成长的影响。尽管有越来越多的跨文化证据来支持LMIC中父亲的这些维度，但对于如何通过撒哈拉以南非洲的育儿干预措施来吸引父亲和解决父亲的这些重要方面知之甚少。这项K99/R00独立奖的目标是为候选人做好准备向独立干预科学家成功过渡的候选人，国际研究重点是通过通过基于社区的LMICS干预来支持父亲，以促进ECD成果。该目标将通过在Mendored阶段（K99）进行培训来实现，以扩大三个关键领域的候选人的知识和技能：1）ECD，父亲和家庭科学中的多学科和跨文化培训，2）潜在概况分析，3）干预开发和评估科学。候选人召集了一个杰出的心态团队，具有理论，实质性和方法论技巧的完整专业知识。这些培训对象将通过整体方法来实现，其中包括定期的心态会议，课程工作，培训，会议和基于现场的研究经验。 K99阶段的具体研究目的是：1）基于父母的育儿和夫妇关系的测量来表征父亲身份的特征，并确定他们与以后的ECD结果的关联，以及2）整合并调整了多个成分的育儿干预措施，以支持父亲在Tanzanian Cultural Costalloce的父母和参与者中的作用。 K99阶段的指导培训和研究结果将使候选人能够完成独立阶段（R00）的最终研究目的：3），以进行新适应的父亲性干预措施的混合方法试验，以改善父亲的结果。该提案将产生第一个基于证据的多组分育儿干预措施，该干预是从坦桑尼亚文化背景下的父亲开始设计的。试点试验结果将用于确定对父亲结果的计划可行性，可接受性以及初始干预效果，以支持随后的R01应用，旨在评估其在坦桑尼亚较大样本的ECD结果上的有效性。