Adapting text4FATHER to directly link to first-time expectant fathers using social media to improve infant and family health

调整 text4FATHER，使用社交媒体直接链接到第一次怀孕的父亲，以改善婴儿和家庭的健康

• 批准号: 10722683
• 负责人: Arik V Marcell
• 金额: $ 46.17万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-04 至 2025-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10722683
• 关键词: Adult; Advocate; Age; Baltimore; Behavioral; Behavioral Model; Birth; Caregivers; Caring; Characteristics; Child; Child Development; Child Health; Clinical; Conflict (Psychology); Consensus; Cost Savings; Data; Development; Education; Emotional; Enrollment; Equity; Ethnic Origin; Expectancy; Family health status; Fathers; Feedback; Gestational Age; Health; Health Care Costs; Health Expenditures; Health behavior change; Income; Infant; Infant Care; Infant Health; Intervention; Learning; Left; Light; Link; Mothers; Outcome; Perinatal; Personal Satisfaction; Play; Positioning Attribute; Pregnancy; Pregnant Women; Public Health; Race; Randomized; Reading; Reporting; Research; Resources; Role; Sampling; Self Efficacy; Target Populations; Technology Assessment; Text Messaging; Time; Urbanicity; Writing; aged; arm; attentional control; behavior change; comparison control; disparity reduction; efficacy evaluation; evidence base; experience; fatherhood; fifth grade; follow-up; health of the mother; improved; inclusion criteria; infant outcome; interest; mHealth; men; multimodality; outreach; pandemic disease; pilot trial; postnatal; prenatal; randomized trial; recruit; reproductive; satisfaction; skills; social; social media; text messaging intervention; therapy design; treatment arm; treatment as usual

ABSTRACT Father engagement in the prenatal and infant periods is associated with improved infant outcomes (e.g., physical, social and emotional health and development), and mother and father well-being. However, this key window of opportunity has been insufficiently leveraged to promote father engagement, especially, first-time expectant fathers. While engaging fathers is widely advocated, expectant fathers have limited clinical and public health touchpoints that engage them perinatally to learn about infant care. Not engaging fathers compromises the health of mothers and children and fails fathers. Past research, including our own, indicates fathers feel left out of maternity care and have gaps in their infant care skills and support. We developed text4FATHER, a multi-modal texting mobile health (mHealth) intervention, to increase infant care self-efficacy and behavioral engagement among expectant fathers with lower education in metro Baltimore with feedback from the target population, expert consensus-building, and an evidence-based review. text4FATHER sends texts twice-weekly to fathers with threaded content to support infant, partner, and father well-being including resource weblinks to support behavior change from mid-pregnancy through 2 months postnatally. Texts, written at a 5th grade reading level, are programmed to push/receive tailored based on: gestational age/infant age after birth and father’s resident status. Our pilot trial demonstrated significant improvements in first-time fathers’ infant care self-efficacy and behavioral engagement as well as reduced conflict between fathers and their partners’ mothers from baseline to 7-month follow-up (2 months postnatally) in the intervention than usual care (R21HD097453). Due to the pandemic and limits placed on fathers’ ability to accompany partners to maternity care, we piloted using social media in metro Baltimore to directly reach expectant fathers; more interested expectant fathers in metro Baltimore directly reached out than met our prior study’s inclusion criteria. Use of social media to directly recruit first-time expectant fathers has never been examined on a national scale for the benefit of all fathers where no similar strategy currently exists. In this R21 proposal, we propose adapting text4FATHER for use with a national audience of first-time expectant fathers recruited using social media. We will evaluate its efficacy with fathers enrolled in one of three arms: text4FATHER, attention control, or usual care control; assess its acceptability and satisfaction in the intervention arm, and its reach by father characteristics; we will also recruit expectant mothers to triangulate outcome data and fathers’ interactions with mothers and other caregivers. The current proposal would be the first to examine the efficacy of an mHealth intervention designed to engage first-time expectant fathers across the U.S. using social media. Results will help determine if using a national texting approach with social media can serve as a bridge to recruit a diverse sample of first-time expectant fathers in greater need and inform a larger randomized trial.

抽象的 父亲在产前和婴儿期的参与与婴儿结局的改善有关（例如， 然而，这是关键。 没有充分利用机会之窗来促进父亲的参与，尤其是第一次 虽然人们广泛提倡让父亲参与，但准父亲的临床和实践能力有限。 公共卫生接触点让她们在围产期了解婴儿护理知识而不是让父亲参与。 过去的研究（包括我们自己的研究）表明，这会损害母亲和儿童的健康，并使父亲失望。 父亲们感到自己被排除在产妇护理之外，并且在婴儿护理技能和支持方面存在差距。 text4FATHER，一种多模式短信移动健康 (mHealth) 干预措施，可提高婴儿护理自我效能 巴尔的摩都会区受教育程度较低的准爸爸的行为参与度和反馈 来自目标人群、专家共识建立和基于证据的审查 text4FATHER 发送。 每周两次向父亲发送包含线索内容的短信，以支持婴儿、伴侣和父亲的福祉，包括 支持从怀孕中期到产后 2 个月的行为改变的资源网络链接。 以五年级阅读水平编写，编程为根据以下内容定制推送/接收：胎龄/婴儿 我们的试点试验表明，首次出生后的年龄和父亲的居民身份有显着改善。 父亲的婴儿护理自我效能感和行为参与度以及父亲和母亲之间的冲突减少 其伴侣的母亲从基线到 7 个月的随访（产后 2 个月）在干预中的表现优于平常 护理（R21HD097453）。 由于大流行以及父亲陪伴伴侣进行产假护理的能力受到限制，我们 在巴尔的摩地铁试点使用社交媒体直接接触更感兴趣的准爸爸； 巴尔的摩都会区的父亲直接伸出援手，而不是符合我们之前研究的纳入标准。 直接招募首次准爸爸的做法从未在全国范围内进行过审查，以造福所有人 目前不存在类似策略的父亲们在此 R21 提案中，我们建议采用 text4FATHER。 通过社交媒体招募全国首次准爸爸的受众，我们将对其进行评估。 父亲参加三个组之一的效果：text4FATHER、注意力控制或常规护理控制； 我们将评估干预组的可接受性和满意度，以及父亲特征的影响范围； 还招募准妈妈来三角测量结果数据以及父亲与母亲和其他人的互动 目前的提案将是第一个检验移动医疗干预措施有效性的提案。 使用社交媒体与美国各地的首次准爸爸互动。结果将有助于确定是否使用社交媒体。 通过社交媒体向全国发短信的方法可以作为招募不同首次样本样本的桥梁 更有需要的准父亲并为更大规模的随机试验提供信息。