Practitioner review: Engaging fathers--recommendations for a game change in parenting interventions based on a systematic review of the global evidence.

Practitioner review: Engaging fathers--recommendations for a game change in parenting interventions based on a systematic review of the global evidence.
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DOI:
10.1111/jcpp.12280
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发表时间:
2014-11
期刊:
Journal of child psychology and psychiatry, and allied disciplines
影响因子:
--
通讯作者:
Leckman JF
Leckman JF
中科院分区:
其他
文献类型:
--
作者:
Panter-Brick C;Burgess A;Eggerman M;McAllister F;Pruett K;Leckman JF

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尽管有强有力的证据表明父亲对孩子和母亲的影响,但与父亲的接触是育儿干预中最不被充分探索和阐明的方面之一。因此,评估当前研究、干预和政策方法中表现出的隐性和显性偏见是至关重要的。我们建立了一个系统的数据库,并对全球有关育儿干预的文献进行了专题手工检索。研究从Medline、Psychinfo、SSCI和Cochrane数据库中选择,并从有关育儿计划的灰色文献中选择,使用多个搜索词:父母、父亲、干预和评估。我们将单个程序制成表格,并进行系统的质量编码,以根据数据报告的范围和性质审查证据基础。在筛选了786份非重复记录后,我们确定了199份关于父亲参与和育儿干预影响的证据。除了一些明显的例外,很少有干预措施在评估中分解“父亲”或“夫妻”的影响,主要是由对母子二人的关注驱动的。我们确定了让父亲参与育儿计划的七个主要障碍,涉及其设计和实施中的文化、制度、专业、操作、内容、资源和政策考虑。让男性成为父母的障碍不利于父亲的包容和父亲的保留,并且低估了与母性相比的亲子关系。对父亲参与和父亲对孩子或家庭结果的影响的有力评估受到目前设计、交付和评估父母干预方式的阻碍。三个关键优先事项是成功地让父亲和养育子女的夫妇参与进来,分解父亲、母亲和父母的过程和影响数据,以及更加关注覆盖面、可持续性、成本、公平和规模扩大等问题。在设计、实施和评估育儿项目时,明确性别差异和共同养育问题的目的将构成这一领域的游戏改变。
Despite robust evidence of fathers’ impact on children and mothers, engaging with fathers is one of the least well-explored and articulated aspects of parenting interventions. It is therefore critical to evaluate implicit and explicit biases manifested in current approaches to research, intervention, and policy. We conducted a systematic database and a thematic hand search of the global literature on parenting interventions. Studies were selected from Medline, Psychinfo, SSCI, and Cochrane databases, and from gray literature on parenting programs, using multiple search terms for parent, father, intervention, and evaluation. We tabulated single programs and undertook systematic quality coding to review the evidence base in terms of the scope and nature of data reporting. After screening 786 nonduplicate records, we identified 199 publications that presented evidence on father participation and impact in parenting interventions. With some notable exceptions, few interventions disaggregate ‘father’ or ‘couple’ effects in their evaluation, being mostly driven by a focus on the mother–child dyad. We identified seven key barriers to engaging fathers in parenting programs, pertaining to cultural, institutional, professional, operational, content, resource, and policy considerations in their design and delivery. Barriers to engaging men as parents work against father inclusion as well as father retention, and undervalue coparenting as contrasted with mothering. Robust evaluations of father participation and father impact on child or family outcomes are stymied by the ways in which parenting interventions are currently designed, delivered, and evaluated. Three key priorities are to engage fathers and coparenting couples successfully, to disaggregate process and impact data by fathers, mothers, and coparents, and to pay greater attention to issues of reach, sustainability, cost, equity, and scale-up. Clarity of purpose with respect to gender-differentiated and coparenting issues in the design, delivery, and evaluation of parenting programs will constitute a game change in this field.
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