Father-Inclusive Perinatal Parent Education Programs: A Systematic Review

Lee, Joyce Y.; Knauer, Heather A.; Lee, Shawna J.; MacEachern, Mark; Garfield, Craig F.

doi:10.1542/peds.2018-0437

Cited by 72 publications

(59 citation statements)

References 79 publications

(104 reference statements)

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“…The existing medical model infrequently includes information aimed towards men during prenatal visits. For example, a recent systematic review found only 19 perinatal parent education programs that involved men [34]. The lack of education and content aimed towards men may leave many fathers with unanswered questions and feeling excluded from the process [27].…”

Section: Discussionmentioning

confidence: 99%

“…The lack of education and content aimed towards men may leave many fathers with unanswered questions and feeling excluded from the process [27]. This is ultimately a disservice to both parents and the child, as work suggests involving parents in the prenatal period engenders many positive benefits [34]. Moreover, men who become involved during the pregnancy are more likely to continue to be involved later in the child’s life, bringing forth continued benefits [4].…”

Section: Discussionmentioning

confidence: 99%

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The effect of paternal cues in prenatal care settings on men’s involvement intentions

et al. 2019

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A father’s involvement in prenatal care engenders health benefits for both mothers and children. While this information can help practitioners improve family health, low paternal involvement in prenatal care remains a challenge. The present study tested a simple, easily scalable intervention to promote father involvement by increasing men’s feelings of comfort and expectations of involvement in prenatal settings through three randomized control trials. Borrowing from social psychological theory on identity safety, the three studies tested whether the inclusion of environmental cues that represent men and fatherhood in prenatal care offices influenced men’s beliefs and behavioral intentions during the perinatal period. Men in studies 1 and 3 viewed online videos of purported prenatal care offices, while men in study 2 visited the office in person. Those who viewed or were immersed in a father-friendly prenatal care office believed that doctors had higher expectations of father involvement compared to treatment-as-usual. This perception predicted greater parenting confidence, comfort, and behavioral intentions to learn about the pregnancy and engage in healthy habits, such as avoiding smoking and alcohol during their partner’s pregnancy. Study 3 replicated these studies with an online sample of expectant fathers. The results suggest that shifting environment office cues can signal fathering norms to men in prenatal settings, with healthier downstream behavior intentions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The effect of paternal cues in prenatal care settings on men’s involvement intentions

et al. 2019

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“…A strength of this study is the involvement of fathers, who are rarely included in studies on interventions to promote parenting [66].…”

Section: Limitations and Strengthsmentioning

confidence: 99%

Evaluation of an intervention aimed at supporting new parents: the Baby Newsletter project

et al. 2020

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Background: Anticipatory guidance for parents is commonly used to improve parenting skills. The objective of this pre/post-intervention controlled study was to evaluate the effectiveness of a periodic newsletter with advice on childcare and development in improving parenting self-efficacy. Methods: This was a non-randomized pre/post-intervention controlled study. All the parents of children born between September 2014 and December 2015 resident in the S. Ilario d'Enza municipality (Italy) received eight Baby Newsletters. Parents resident in other municipalities of the same Health District were the control. Parents with linguistic barriers or with preterm or hospitalized children were excluded. Improvement in parenting self-efficacy was measured through the TOPSE (Tool to Measure Parenting Self-Efficacy) questionnaire during the first week (t0) after delivery and at 5 (t1) and 12 months (t2) of life at two vaccination appointments. A score ranging from 0 to 60 was computed for each of the eight domains investigated by the TOPSE. Variations of each TOPSE score between delivery and 12 months in the two groups were compared, adjusting for parity, education, age of parents, and child's sex, and stratifying by parity and education. Results /findings: One hundred thirty-six families accepted to participate in the study. Scores at 12 months were higher than 1 week after delivery in both groups for all TOPSE domains. The improvement was slightly stronger in the Newsletter group for almost all the skills except learning and knowledge [difference in the mean of variation:-0.48 (95% CI: − 3.17; 2.21)]; the difference was significant only for play and enjoyment [2.18 (95% CI: 0.12; 4.25)]. The increase in scores in almost all domains was more pronounced for parents with high education level at first child. Conclusions: The intervention was effective in improving parents' ability to play. However, it risks worsening existing differences between parents with high and with low education levels. Trial registration: Clinical trial registration: NCT03268408.

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“…Social support includes family and friends; online peer and professional support (Nieuwboer, Fukkink, & Hermanns, 2013); informal facilitated playgroups (Jackson, 2013; Owen & Anderson, 2015); and professionally led parenting education programs (Murphy, Zweifach, & Hoffman, 2012). A systematic review of father involvement in parenting programs in the perinatal period (J. Y. Lee, Knauer, Lee, MacEachern, & Garfield, 2018) identified a need for early father involvement and a focus on in-home parenting support especially for mothers living with low income.…”

Section: Social Support and Early Developmentmentioning

confidence: 99%

Struggling With Reciprocity and Compassion: Mentoring Pregnant and Parenting Mothers Experiencing Vulnerability

Ginn

Benzies

2019

Qual Health Res

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Transitioning from pregnancy to parenthood is particularly challenging for women living with low income and experiencing social isolation, mental illness, addiction, and/or family violence. The purpose of this qualitative study was to evaluate one component of Welcome to Parenthood, a two-generation multiple intervention program including neuroscience-based parenting education, kin and non-kin mentorship, and an engagement tool (baby kit). From late pregnancy to 2 months postpartum, mentors kept a journal regarding their experiences of mentoring mothers experiencing vulnerability. We engaged in a modified constructivist grounded theory to explore hand-written text from the journals. The core category, Struggling with Reciprocity and Compassion, influenced processes of Becoming a Mentor. Mentoring mothers experiencing vulnerability was both challenging and rewarding, requiring an inordinate amount of physical, social, emotional, and economic resources. To foster maternal mental health and infant development, pregnant and parenting women experiencing vulnerability could benefit from long-term reciprocal and compassionate mentoring.

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Father-Inclusive Perinatal Parent Education Programs: A Systematic Review

Abstract: There is a need for more evidence-based interventions to support fathers. Clinicians play a key role in engaging fathers in early parent education programs and health care settings. PROSPERO registration number: CRD42017050099.

Cited by 72 publications

References 79 publications

The effect of paternal cues in prenatal care settings on men’s involvement intentions

The effect of paternal cues in prenatal care settings on men’s involvement intentions

Evaluation of an intervention aimed at supporting new parents: the Baby Newsletter project

Struggling With Reciprocity and Compassion: Mentoring Pregnant and Parenting Mothers Experiencing Vulnerability

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