College of Nursing Chicago, Rush University, Chicago, IL, USA.
The Ohio State University, College of Nursing, Columbus, OH, USA.
J Urban Health. 2021 Oct;98(Suppl 2):133-148. doi: 10.1007/s11524-021-00549-8. Epub 2021 Jul 1.
A significant proportion of African American (AA) fathers live in households apart from their young children. This living arrangement can have detrimental effects for children, families, and fathers. One hundred seventy-eight (n = 178) AA fathers, not residing with their 2-6-year-old children, were enrolled in a randomized trial to test the Building Bridges to Fatherhood (BBTF) program against a financial literacy comparison condition. BBTF is an intervention that was developed collaboratively with a fathers' advisory council of AA fathers who oversaw all aspects of program development. Based upon advisory council feedback, short video scenes captured fathers interacting with their children, their children's mothers, and other fathers. These video scenes were used to jump start the discussion around fatherhood, parenting, communication, and problem solving during the intervention group meetings. The actors in the video scenes were recruited from the community. Two trained group leaders, using a standardized group leader manual, delivered the intervention. The Money Smart Financial Literacy Program (MSFLP), which served as the comparator, was also delivered by AA men. Program satisfaction was high in both conditions. Even so recruitment and retention challenges influenced the ability to detect father and child outcomes. This study informs the participation of vulnerable urban AA fathers in community-based fatherhood intervention research and provides insight into bolstering engagement in studies focused on this population.
相当比例的非裔美国(AA)父亲与他们年幼的孩子分开生活。这种生活安排可能对孩子、家庭和父亲都有不利影响。178 名(n=178)没有与 2-6 岁孩子同住的 AA 父亲参加了一项随机试验,以测试“建立通往父亲之路”(BBTF)计划与金融知识比较条件相比的效果。BBTF 是一项由 AA 父亲的父亲咨询委员会合作开发的干预措施,该委员会监督了项目开发的各个方面。根据咨询委员会的反馈,短的视频场景捕捉了父亲与他们的孩子、孩子的母亲和其他父亲互动的情景。这些视频场景用于在干预组会议上启动关于父亲身份、育儿、沟通和解决问题的讨论。视频场景中的演员是从社区招募的。两名经过培训的组长使用标准化的组长手册来交付干预措施。作为比较的“聪明理财金融知识计划”(MSFLP)也是由 AA 男性教授的。两种情况下的项目满意度都很高。即便如此,招募和保留方面的挑战影响了检测父亲和孩子结果的能力。这项研究为弱势城市 AA 父亲参与社区为基础的父亲干预研究提供了信息,并深入了解了如何加强对这一人群的研究的参与。