Fathers' Support Center New Pathways to Responsible Fatherhood Family Formation Program (NPFF) Impact Evaluation Plan (NPFF)

• ClinicalTrials.gov Identifier: NCT03413709
• Recruitment Status: Unknown
• First Posted: January 29, 2018
• Last Update Posted: January 29, 2018
• Sponsor: Fathers' Support Center, St. Louis
• Collaborator: Washington University School of Medicine
• Information provided by (Responsible Party): Cheri Tillis, Fathers' Support Center, St. Louis

Study Description

Brief Summary:

The Fathers' Support Center, in partnership with the Brown School Evaluation Center at Washington University in St. Louis, seeks to evaluate the impact of their New Pathways to Responsible Fatherhood Family Formation Program (NPFF). The investigators are most interested in quantifying the added benefit of parenting, father-child engagement, and father well-being curriculum compared to course content containing 80 hour economic stability material only. The impact evaluation will answer four key outcome and implementation specific questions using a mixed methods approach. Participants will be randomly assigned to one of two groups (full program or 80 hour economic stability curriculum only) and tracked for the duration of the program. The impact evaluation tools include a set of validated instruments and will be administered to participants at baseline and again at three and twelve months after completion of the program. Performance measurement data will also be included in our analysis. Investigators hypothesize that participation in the full program will have a greater effect on key outcomes than the economic stability curriculum, a similar number of families will be reached by each condition, and that there will be minimal variability in retention rates across groups.

Condition or disease	Intervention/treatment	Phase
Parenting	Other: Family Formation Program	Not Applicable

Detailed Description:

Research Questions

The Brown School Evaluation Center at Washington University in St. Louis will conduct the local impact evaluation. The local evaluation seeks to answer four primary questions pertaining to the implementation and outcomes of the Family Formation Program (FFP) (an integrated approach of responsible parenting, economic stability and mobility, and healthy relationships):

Outcome Q1: Does the participation of fathers in the comprehensive Family Formation Program have greater effect on family functioning, father and child outcomes, and father economic stability and mobility compared to fathers receiving the 80 hour economic stability services only (i.e., job readiness and employment skills)?

Implementation Q2: How many families were reached by each of the conditions and was there variability in retention rates of fathers across conditions?

Implementation Q3: Did fathers in the treatment and comparison conditions find the intervention to be acceptable and appropriate?

Implementation Q4: What barriers and benefits exist to successful implementation of father focused family support programs?

Background Fatherhood programs originally had a narrow focus on financial stability and support, but have recently evolved to also emphasize healthy relationships, parenting skills, and father involvement. Despite significant state and federal funding for fatherhood programs, few have undergone rigorous evaluation to examine their effectiveness. This evaluation will determine the added benefit of content on parenting, father-child engagement, and father well-being over and above content on economic stability and mobility, in relation to family functioning, child well-being, and economic stability. This will also further build the evidence supporting one particular comprehensive intervention, FFP, as a means to improve outcomes for children and families through intervening with fathers.

Relation to program logic model The primary research question of this impact evaluation will examine the effect of the FFP on short- and long-term outcomes as described in the FFP logic model

Short-term outcomes assessed by the impact evaluation will include:

1. improved parenting and co-parenting skills;
2. increased father-child engagement;
3. increased financial responsibility of fathers; and
4. progress towards greater economic stability.

The impact evaluation will also examine the FFP long-term outcomes of improved family functioning (through changes in father and child well-being; co-parenting relationship quality, and the father-child relationship) and increased economic stability and mobility.

Hypothesis:

Investigators believe that the FFP will have a greater effect on family functioning, father and child outcomes, and father economic stability compared to fathers in the comparison group because members of the treatment group will be receiving a more comprehensive range of services. Investigators anticipate that fathers will equally participate in both programs because both will provide meaningful information and opportunities to build their skill sets.

Study Design

• Study Type: Interventional (Clinical Trial)
• Estimated Enrollment: 700 participants
• Allocation: Randomized
• Intervention Model: Parallel Assignment
• Masking: None (Open Label)
• Primary Purpose: Treatment
• Official Title: New Pathways to Responsible Fatherhood Family Formation Program
• Actual Study Start Date: July 1, 2016
• Estimated Primary Completion Date: September 30, 2018
• Estimated Study Completion Date: September 30, 2020

Arms and Interventions

Arm	Intervention/treatment
Active Comparator: Treatment Group (n=350); The sample for the treatment group for the impact evaluation will only include fathers who are receiving the full 240 hour Family Formation Program (and not the abbreviated 80 hour program). The treatment group will receive FSC's Family Formation Program, which is a six week, 240 hour program implementing a set of curricula focusing on responsible parenting, healthy relationships,and economic stability and mobility. In addition, participants will receive case management and a variety of employment, legal and support services for up to one year following the completion of the curriculum.	Other: Family Formation Program; The sample for the treatment group for the impact evaluation will only include fathers who are receiving the full 240 hour FFP program (and not the abbreviated 80 hour program). The treatment group will receive FSC's Family Formation Program, which is a six week, 240 hour program implementing a set of curricula focusing on responsible parenting, healthy relationships, and economic stability and mobility.; Other Names: Economic Stability; Health Relationships; Responsible Parenting
No Intervention: Comparison Group (n=350); The sample comparison group will receive only the abbreviated 80 hour program. Which consist of economic stability and mobility only. These participants will receive employment case management and legal services for up to one year following the completion of the curriculum.

Outcome Measures

Primary Outcome Measures :

1. Father Engagement-Father Research & Practice Network (FRPN) Father Engagement Scale [ Time Frame: 1 year from program completion ]
   Brief instrument designed to assess fathers' engagement with children at different ages. Separate scales for fathers of children ages 0-1 years, 1-5 years, 6-12 years, and adolescents. Scales found to have good reliability and validity
2. Father Child Contact-nForm Survey [ Time Frame: 1 year from program completion ]
   Pre- and post-program nForm survey items related to father-child contact will be used to evaluate this construct.
3. Child Behavior and Emotion-Child Behavior Checklist (CBCL) [ Time Frame: 1 year from program completion ]
   Standardized instrument based on national norms that assesses child behavioral and emotional problems. Study will use anxious/depressed and aggressive behavior sub-scales.
4. Parental Health-SF12v2 Health Survey [ Time Frame: 1 year from program completion ]
   12-item nationally-normed health survey that measures functional health and well-being from the patient's point of view.
5. Parental Substance Abuse-Alcohol Use Disorder Identification Test (AUDIT) [ Time Frame: 1 year from program completion ]
   10-item screening tool developed by World Health Organization to assess alcohol use, alcohol dependence, and alcohol-related problems. Its reliability and validity have been established in research conducted in a variety of settings
6. Parental Consequences related to Drug Abuse-Drug Abuse Screening Test 10 (DAST-10) [ Time Frame: 1 year from program completion ]
   Brief instrument that yields a quantitative index of the degree of consequences related to drug abuse. Literature has shown moderate to high reliability and validity
7. Parental Discipline Strategies/Behavior-Conflict Tactics Scale-Parent Child (CTSPC) [ Time Frame: 1 year from program completion ]
   Well-established instrument used to assess physical and psychological maltreatment. Study will use minor assault and non-violent discipline sub-scale items only
8. Co-parenting Relationships-FRPN: Coparenting Relationship Scale [ Time Frame: 1 year after completion ]
   11-item measure designed to assess fathers' coparenting relationships with the mother of their children. The measure was validated with a sample of fathers very similar to those served in U.S. responsible fatherhood programs
9. Child/Financial Support Behavior-FSC Intake Survey [ Time Frame: 1 year after program completion ]
   Items from FSC intake survey related to child and financial support will be used to assess this construct.

Eligibility Criteria

• Ages Eligible for Study: 16 Years and older (Child, Adult, Older Adult)
• Sexes Eligible for Study: Male
• Accepts Healthy Volunteers: Yes

Criteria

Inclusion Criteria:

• being a father (biological or step) with at least one child 16 years old or younger

Exclusion Criteria:

• no presence of a restraining order from mother or child
• is not currently incarcerated
• is not homeless

Contacts and Locations

Contacts

Contact: Sarah Bobmeyer, MSW; 314-935-3723; sbobmeyer@wustl.edu

Contact: Cheri D Tillis, MS; 314-333-4170 ext 107; ctillis@fatherssupport.org

Locations

United States, Missouri

Fathers Support Center, St. Louis INC.; Recruiting

Saint Louis, Missouri, United States, 63115-2534

Contact: Cheri D Tillis, MS 314-333-4170 ext 107 ctillis@fatherssupport.org

Contact: Destini N Goodwin 314-333-4170 ext 108 dgoodwin@fatherssupport.org

Principal Investigator: Sarah Bobmyer, MSW

Sponsors and Collaborators

Fathers' Support Center, St. Louis

Washington University School of Medicine

Investigators

• Study Chair: Jonathan Green; Washington University, Human Research Protection Office

More Information

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

Kohl PL, Krauss MJ, King C, Cheng SY, Fowler P, Goodwin DN, Tillis CD, Sullivan H, Sorg A, Mueller NB. The impact of responsible fatherhood programs on parenting, psychological well-being, and financial outcomes: A randomized controlled trial. Fam Process. 2022 Sep;61(3):1097-1115. doi: 10.1111/famp.12752. Epub 2022 Jan 5.

• Responsible Party: Cheri Tillis, Project Director, Fathers' Support Center, St. Louis
• ClinicalTrials.gov Identifier: NCT03413709
• Other Study ID Numbers: 201605068
• First Posted: January 29, 2018
• Last Update Posted: January 29, 2018
• Last Verified: January 2018

Individual Participant Data (IPD) Sharing Statement:

• Plan to Share IPD: No

Keywords provided by Cheri Tillis, Fathers' Support Center, St. Louis:

Parenting Time, Father Involvement