A Regional Partnership to Improve Outcomes Through Fatherhood Engagement

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexMale
Age18+
SponsorMontefiore Medical Center

About this trial

Montefiore will engage fathers in families at risk of substance misuse in the Bronx and neighboring communities. Families will be referred from Bronx and neighboring community-based child welfare systems, substance use disorder (SUD) treatment providers, and medical providers if identified at risk of substance use concerns and will be randomly assigned to receive services as usual as part of the comparison group, or to receive enhanced services as part of the program group.

Enhanced services include: (1) Motivational Enhancement; (2) referral to Healthy, Empowered, Resilient, and Open (HERO) Dads fatherhood engagement program; (3) Contingency Management; and (4) Case Management.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

is a custodial or non-custodial father

speaks English or Spanish

has at least one child under the age of 18,

someone in the family is identified as at-risk for substance use through: self-report of illicit substance use in the family, the presence of an SUD diagnosis in the family, a clinician/provider identified substance use risk, or the presence of a substance-related indicated child welfare allegation in the family

Disqualifiers

The placement of all children in the family in foster care

Trial design

Design model

Parallel

Treatments tested in this trial

  • Motivational Enhancement

    Behavioral

    Evidence-based adaptation of Motivational Interviewing (MI), designed to target ambivalence to change and create internal motivation to engage in substance abuse treatment

  • HERO Dads Fatherhood Program

    Behavioral

    Use the 24/7 Dad fatherhood curriculum, delivered by Montefiore HERO Dads, with an additional 4-session employment education curriculum and 3-session parent coaching to reinforce individual skills learned in fatherhood curriculum. Curriculum designed to increase awareness, knowledge, and skills for parenting and co-parenting.

  • Contingency Management

    Behavioral

    To improve attendance at services and abstinence outcomes.

  • Case Management

    Behavioral

    Referrals to substance use disorder (SUD) treatment and engagement, mental health resources, public assistance resources, connection to the Office of Childhood Services and other case management needs.

Treatment groups

240 Participants
are divided into 2 treatment groups
Group A: Services as UsualNo intervention 0 interventions
Group B: Enhanced Fatherhood Services through Regional Partnership Grant Round 7 (RPG7)Experimental treatment 4 interventions

Trial outcomes

Primary outcomes

1

Child well-being

Child well-being will be assessed by the Child Behavior Checklist. This is a standardized self-report measure widely used in the measure of child behavior and child well-being. Separate forms are used for children aged 1.5-5, and 6-18. The questionnaire is completed by the caregiver using a series of Likert scales (0=absent, 1=sometimes, 2=often occurs). There are 113 questions, measuring a series of internalizing (e.g., anxious/ depressed, depressed, somatic complaints) and externalizing (e.g., attention problems, rule-breaking behavior, aggression) symptoms over the prior 6-months. Raw scores are standardized into t-scores, with elevated scores reflecting greater symptomatology when compared to a gender and aged normed population.

Time frame
Baseline and 6 Month followup

Secondary outcomes

1

Father engagement based on the Child-Parent Relationship Scale, Short form (CPRS-SF)

Father engagement will be measured by the Child-Parent Relationship Scale, Short form (CPRS-SF). The CPRS-SF is a 15-item self-report measure assessing the current relationship between parent and child. Items are rated on a 5-point Likert scale ranging from 1 ("definitely does not apply") to 5 ("definitively applies"). Ratings are averaged into groups of items corresponding to conflict items (8 items) and closeness (7 items) subscales for this study. Higher scores indicate higher levels of the specific construct (i.e., more conflict or more closeness). Higher conflict score reflects higher negativity; higher closeness score reflects warmth, affection, and open communication.

Time frame
Baseline and 6 Month followup
2

Father engagement based on the Inventory of Father Involvement, Short form (IFI-SF)

Father engagement will also be measured by the Inventory of Father Involvement, Short Form (IFI-SF). The IFI-SF is a 26-item measure of father involvement, focusing on the following subscales: discipline and teaching responsibility, school encouragement, providing, time and talking together, praise and affection, developing talents, reading/homework, supporting the coparent, and attentiveness. Items are rated using a 7-point Likert scale ranging from 0 ("Very Poor") to 6 ("Excellent"). For this study, scores are averaged, yielding a score of 0-6 overall. Higher scores indicate higher levels of perceived father involvement.

Time frame
Baseline and 6 Month followup
3

Father engagement based on the Parenting Alliance Inventory (PAI)

Father engagement will also be measured by the Parenting Alliance Inventory (PAI). The PAI is a 20-item scale that assesses the co-parenting relationship between parents. Items are rated using a 5-point Likert scale ranging from 1 ("Strongly Disagree") to 5 ("Strongly Agree"); for this study, scores are averaged for a range of 1-5. Higher scores indicate a stronger, more positive, and cooperative partnership.

Time frame
Baseline and 6 Month followup
4

Father behavioral health based on the Addiction Severity Index (ASI, adapted)

Father behavioral health will be measured by the Addiction Severity Index (ASI, adapted). The ASI is a self-report measure addressing potential problems associated with substance use. This study will use only the drug and alcohol section. The drug and alcohol section of the ASI consists of a severity assessment where the participant is asked to rate the severity of their drug and alcohol addiction, over the past 30 days, using a numeric computation with many components. This measure summarizes the patient's need for treatment. Results for each component will be summarized by study arm.

Time frame
Baseline and 6 Month followup

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Montefiore Medical Center

Lead sponsor

Albert Einstein College of Medicine

Collaborator

Mathematica Policy Research, Inc.

Collaborator

New York State Office of Children and Family Services

Collaborator

New York State Office of Addiction Services and Supports

Collaborator

New York City Human Resources Administration (HRA)

Collaborator

Children's Bureau - Administration for Children and Families

Collaborator

New York City Administration for Children's Services

Collaborator