Effects of a hybrid online and offline program for facilitating father-infant interactions in South Korea: a quasi-experimental study

Park, Sae-Eun; Bang, Kyung‐Sook

doi:10.4094/chnr.2022.28.2.132

Cited by 4 publications

(4 citation statements)

References 24 publications

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“…Other digital technologies that were used included SMS text messages (7/29, 24%), mobile apps (7/29, 24%), digital videos (5/29, 17%), email (4/29, 14%), videoconferencing (4/29, 14%), and social media (1/29, 3%). Notably, the 14% (4/29) of interventions using videoconferencing modalities were recent, with publication dates of 2021 and 2022 [ 87 , 102 , 103 , 105 ]. Some interventions (11/29, 38%) included more than one type of eHealth component, such as the use of websites and email communication (3/29, 10%), SMS text messages, website resources and modules (2/29, 7%), or a mobile app and website links (2/29, 7%).…”

Section: Resultsmentioning

confidence: 99%

“…Of the 18 studies primarily examining efficacy outcomes (ie, how effective the intervention was across various outcomes), 13 (72%) reported a statistically significant intervention effect. Statistically significant intervention effects were reported for father-child attachment and interaction [ 99 , 101 , 102 ]; knowledge about and attitudes toward participation in perinatal care [ 70 ]; smoking cessation and mothers’ secondhand smoking exposure [ 96 ]; parenting self-efficacy and satisfaction [ 72 , 74 , 104 ]; breastfeeding self-efficacy, knowledge, and infant feeding attitudes [ 89 , 92 ]; parental depression and child sadness [ 75 ]; and parental anxiety, depression, and quality of life [ 98 ].…”

Section: Resultsmentioning

confidence: 99%

“…Articles examining primary outcomes related to infant feeding or breastfeeding and parenting skills and knowledge had a wider range of quality. Overall, a moderate level of confidence is expected from the results based on the quality of the studies included in the review, as indicated by the MMAT scores (Tables S1-S5 in Multimedia Appendix 3 [ 39 , 46 , 70 , 72 - 75 , 77 , 79 , 81 - 85 , 87 - 102 , 104 , 105 , 111 ]).…”

Section: Resultsmentioning

confidence: 99%

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Digital Parenting Interventions for Fathers of Infants From Conception to the Age of 12 Months: Systematic Review of Mixed Methods Studies

Xie,

Jung,

Kaur

et al. 2023

J Med Internet Res

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Background Digital interventions help address barriers to traditional health care services. Fathers play an important parenting role in their families, and their involvement is beneficial for family well-being. Although digital interventions are a promising avenue to facilitate father involvement during the perinatal period, most are oriented toward maternal needs and do not address the unique needs of fathers. Objective This systematic review describes the digital interventions that exist or are currently being developed for fathers of infants from conception to 12 months postpartum. Methods A systematic search of the MEDLINE, PsycINFO, Cochrane Central Register of Controlled Trials, Embase (using Ovid), and CINAHL (using EBSCO) databases was conducted to identify articles from database inception to June 2022, of which 39 met the inclusion criteria. Articles were included if they were peer-reviewed and described a digital intervention that targeted fathers of fetuses or infants aged ≤12 months. Systematic reviews, meta-analyses, and opinion pieces were excluded. Data from these studies were extracted and themed using a narrative synthesis approach. Quality appraisal of the articles was conducted using the Mixed Methods Appraisal Tool. Results A total of 2816 articles were retrieved, of which 39 (1.38%) met the inclusion criteria for eligibility after removing duplicates and screening. Eligible articles included 29 different interventions across 13 countries. Most articles (22/29, 76%) described interventions that were exclusively digital. There were a variety of digital modalities, but interventions were most commonly designed to be delivered via a website or web-based portal (14/29, 48%). Just over half (21/39, 54%) of the articles described interventions designed to be delivered from pregnancy through the postpartum period. Only 26% (10/39) of the studies targeted fathers exclusively. A wide range of outcomes were included, with 54% (21/39) of the studies including a primary outcome related to intervention feasibility. Qualitative and mixed methods studies reported generally positive experiences with digital interventions and qualitative themes of the importance of providing support to partners, improving parenting confidence, and normalization of stress were identified. Of the 18 studies primarily examining efficacy outcomes, 13 (72%) reported a statistically significant intervention effect. The studies exhibited a moderate quality level overall. Conclusions New and expecting fathers use digital technologies, which could be used to help address father-specific barriers to traditional health care services. However, in contrast to the current state of digital interventions for mothers, father-focused interventions lack evaluation and evidence. Among the existing studies on digital interventions for fathers, there seem to be mixed findings regarding their feasibility, acceptability, and efficacy. There is a need for more development and standardized evaluation of interventions that target father-identified priorities. This review was limited by not assessing equity-oriented outcomes (eg, race and socioeconomic status), which should also be considered in future intervention development.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Digital Parenting Interventions for Fathers of Infants From Conception to the Age of 12 Months: Systematic Review of Mixed Methods Studies

Xie,

Jung,

Kaur

et al. 2023

J Med Internet Res

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“…All included parent outcomes were from validated self-report questionnaires. At the relational level, of the 6 studies that reported on parent-child interaction, three used parent-reported questionnaires (Breitenstein et al, 2021;Ehrensaft et al, 2016;Na & Chia, 2008); two used observational data (Baggett et al, 2010;Park & Bang, 2022); and one study used parent-reported and observational (Mogil et al, 2022).…”

Section: Study Characteristicsmentioning

confidence: 99%

Universal Digital Programs for Promoting Mental and Relational Health for Parents of Young Children: A Systematic Review and Meta‐Analysis

Opie,

Esler,

Clancy

et al. 2023

Clin Child Fam Psychol Rev

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Digital parenting programs aim to increase program access, improve psychosocial outcomes for parents and children, and support triage to targeted interventions where required. This meta-analysis assessed the efficacy of online parenting programs in improving parenting skills and capabilities, and by consequence, the mental health and well-being of parents and children, and the quality of the parent–child relationship. Studies were included if they were: (1) online, (2) self-delivered, (3) designed for universal general population prevention, (4) evaluated experimental or quasi-experimental designs, and (5) assessed parent and child emotional and/or relational health, from pregnancy to 5 years of age. A systematic search of electronic databases and grey literature identified 22 studies that met inclusion criteria, including 24 independent samples, with 5671 unique parents. Meta-analyses were conducted using random effects models and Cohen’s d effects. Small-to-moderate improvements in parent depression, anxiety, self-efficacy, and social support were observed. No effects on parent stress, satisfaction, or parent–child relationship quality were observed. Meta-regression and sub-group analysis were conducted to identify sensitivity or moderation effects. Collectively, findings suggest any benefits of online parenting programs mostly occur at the time of the intervention, for parent mental health and well-being outcomes, and that enduring effects are unlikely. However, given the cost effectiveness and accessibility of online programs, further research into ways of sustaining effects on parenting outcomes is warranted. Furthermore, given the centrality of the parent–child bond to child development across the lifecourse, additional investment in new digitally facilitated approaches focusing on this bond are likewise warranted.PROSPERO registration CRD42021275647.

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Digital Parenting Interventions for Fathers of Infants From Conception to the Age of 12 Months: Systematic Review of Mixed Methods Studies (Preprint)

Xie¹,

Jung²,

Kaur³

et al. 2022

Preprint

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BACKGROUND Digital interventions help address barriers to traditional healthcare services. Fathers play an important parenting role in their family and father involvement is beneficial for family well-being. Although digital interventions are a promising avenue to facilitate father involvement during the perinatal period, most are oriented to maternal needs and do not address the unique needs of fathers. OBJECTIVE The current systematic review described the digital interventions that exist or that are currently being developed for fathers of infants from conception to 12 months postpartum. METHODS A systematic search across Medline, PsycINFO, Cochrane Central Register of Controlled Trials, CINAHL (using Ovid), and Embase (using EBSCO) databases were used to identify 2009 articles up to June 2022, of which 39 met inclusion criteria. Articles were included if they were peer reviewed and described a digital intervention that targeted fathers of fetuses and/or infants up to 12 months. Systematic reviews, meta-analyses, and opinion pieces were excluded. Data from studies were extracted and themed using a narrative synthesis approach. Quality appraisals of articles were conducted using the mixed methods appraisal tool (MMAT). RESULTS Articles included 29 different interventions across 13 different countries. Most articles described interventions that were exclusively digital (76%). There were a variety of digital modalities, but interventions were most commonly designed to be delivered via website/online portal (48%). Just over half of the articles described an intervention that was designed to be delivered from pregnancy through the postpartum period (54%). Only 26% of the articles targeted fathers exclusively. A wide range of outcomes were included with 54% of articles including a primary outcome related to intervention feasibility. Of the 18 articles primarily examining efficacy outcomes, 72% reported a statistically significant intervention effect. Articles demonstrated a moderate quality level overall. CONCLUSIONS New and expecting fathers use digital technologies, which could be used to help address father specific barriers to traditional healthcare services. However, there seem to be mixed findings regarding the feasibility/acceptability and efficacy of existing digital interventions. There is a need for more development and testing of interventions that target father-identified priorities. This review was limited by not assessing equity-oriented outcomes (e.g., race and socioeconomic status), which should also be considered in future intervention development. CLINICALTRIAL NA

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Effects of a hybrid online and offline program for facilitating father-infant interactions in South Korea: a quasi-experimental study

Cited by 4 publications

References 24 publications

Digital Parenting Interventions for Fathers of Infants From Conception to the Age of 12 Months: Systematic Review of Mixed Methods Studies

Digital Parenting Interventions for Fathers of Infants From Conception to the Age of 12 Months: Systematic Review of Mixed Methods Studies

Universal Digital Programs for Promoting Mental and Relational Health for Parents of Young Children: A Systematic Review and Meta‐Analysis

Digital Parenting Interventions for Fathers of Infants From Conception to the Age of 12 Months: Systematic Review of Mixed Methods Studies (Preprint)

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