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.

项目摘要/摘要 估计有2.5亿或43％的5岁儿童未能发育潜力 在低收入和中等收入国家（LMIC）。育儿干预措施或主要关注的计划 提高亲子关系的质量，显示出改善早期孩子的有效性 发展（ECD）结果。但是，迄今为止的大多数基于证据的育儿干预措施 是为母亲设计，交付并评估并评估的，并排除了父亲。观察性研究 在高收入国家，国家支持父亲的育儿和夫妇的关系是独一无二的 父亲身份的维度独立和互动地塑造了父亲对幼儿的影响 发展。虽然越来越多的跨文化证据支持这些父亲的这些维度 LMIC，关于如何与父亲交往和解决父亲的这些重要方面知之甚少 通过撒哈拉以南非洲的育儿干预措施。这个K99/R00独立途径的目标 奖项是为候选人准备成功过渡到独立干预科学家的候选人 国际研究重点是通过基于社区的支持父亲来促进ECD结果 LMIC的干预措施。该目标将通过在修订阶段（K99）的训练来实现 扩大候选人在三个关键领域的知识和技能：1）多学科和跨文化 在ECD，父亲和家庭科学方面的培训，2）潜在概况分析以及3）干预开发和 评估科学。候选人已经组建了一个杰出的心态团队 理论，实质性和方法论技巧方面的专业知识。这些培训对象将通过 一种整体方法，包括定期的会议，课程工作，培训，会议和现场 - 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 根据父亲的育儿和夫妻关系的衡量，父亲身份的概况，并确定他们的 与以后的ECD结果的关联，以及2）整合并调整多组分育儿干预措施，该干预措施 支持父亲在坦桑尼亚文化背景下作为父母和伴侣的角色。受过指导的培训和 K99阶段的研究结果将使候选人能够实现最终的研究目的 独立阶段（R00），即：3）进行新适应的父亲的混合方法试验试验 改善父亲结果的干预措施。该建议将产生第一个基于证据的建议 从一开始就为坦桑尼亚文化的父亲设计的多组分育儿干预 语境。试点试验结果将用于确定程序可行性和可接受性和初步干预 父亲结果的效率支持随后的R01应用，该应用旨在评估其有效性 关于坦桑尼亚较大样本的ECD结果。