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Sæther KM, Holmberg Fagerlund B, Glavin K, Jøranson N. First-Time Parents' Support Needs and Perceived Support From a Child Health Service With the Integrated New Families Home Visiting Programme. QUALITATIVE HEALTH RESEARCH 2024; 34:20-32. [PMID: 37923302 PMCID: PMC10714706 DOI: 10.1177/10497323231208972] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/07/2023]
Abstract
The transition to parenthood is complex and influenced by interacting factors related to society, the parents and the child. Professional support is considered to be one of the societal factors affecting this transition by facilitating parents' sense of confidence and their competence as parents. In this study, we aimed to explore first-time parents' support needs and experiences of support from a child health service with the integrated New Families home visiting programme, in the context of their transition to parenthood in the first year postnatally. Interpretive description guided this qualitative study. Six couples and one mother, all well-educated and employed, were interviewed individually (N = 13). The parents were recruited from the research project 'New Families - Innovation and Development of the Child Health Service in Oslo'. We found that being a first-time parent is perceived as overwhelming and that defining support needs may be challenging, particularly in the first period postnatally. In addition, the support needs are constantly changing due to the complexity of interacting factors and the ongoing development of confidence in the parental role. Retrospectively, the parents were satisfied overall with the support from the child health service. The home visit during pregnancy facilitated management and relational and informational continuity. However, we identified a need for even more proactive information provision and communication to optimise the service's availability and efficiency postnatally. In addition, the importance of peers and of approaching both mothers and fathers must be acknowledged in facilitating parental confidence.
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Affiliation(s)
| | | | - Kari Glavin
- Faculty of Health Sciences, VID Specialized University, Oslo, Norway
| | - Nina Jøranson
- Faculty of Health Sciences, VID Specialized University, Oslo, Norway
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Wheeler B, Baumel K, Hall DL, Silva YN. U.S. parents' intentions to use anti-bullying apps: Insights from a comprehensive model. Heliyon 2023; 9:e19630. [PMID: 37809431 PMCID: PMC10558870 DOI: 10.1016/j.heliyon.2023.e19630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Revised: 08/14/2023] [Accepted: 08/29/2023] [Indexed: 10/10/2023] Open
Abstract
Cyberbullying has become a prominent risk for youth and an increasing concern for parents. To help parents reduce their child's cyberbullying risk, anti-bullying apps (ABAs)-mobile applications for identifying and preventing instances of cyberbullying-have been developed in recent years. Given that ABAs are an emerging technology, limited research has been conducted to understand the factors predicting parents' intentions to use them. Drawing on three interdisciplinary theoretical frameworks, a sample of parents in the U.S. recruited through Amazon Mechanical Turk completed an online survey to assess parents' knowledge of, attitudes about, and intentions to use ABAs. Participants also rated the importance of a range of ABA functions and provided information about their child's social media use and bullying history. A series of path analyses revealed that the importance parents placed on an app's ability to provide information about their child's cyberbullying risk predicted more positive attitudes toward ABAs and greater perceived usefulness of them. Stronger intentions to use ABAs were predicted by greater cyberbullying concern, greater importance of social recommendations, greater perceived usefulness, more positive attitudes toward the apps, and lower ratings of the importance of ease of use. These findings shed light on the factors predicting parents' intentions to use ABAs and the app features they view as most important. Crucial directions for future research and implications for anti-bullying efforts are discussed.
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Affiliation(s)
- Brittany Wheeler
- School of Social and Behavioral Sciences, Arizona State University, Glendale, AZ 85306, USA
| | - Katie Baumel
- School of Social and Behavioral Sciences, Arizona State University, Glendale, AZ 85306, USA
| | - Deborah L. Hall
- School of Social and Behavioral Sciences, Arizona State University, Glendale, AZ 85306, USA
| | - Yasin N. Silva
- Department of Computer Science, Loyola University Chicago, Chicago, IL 60611, USA
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Xie EB, Jung JW, Kaur J, Benzies KM, Tomfohr-Madsen L, Keys E. Digital Parenting Interventions for Fathers of Infants From Conception to the Age of 12 Months: Systematic Review of Mixed Methods Studies. J Med Internet Res 2023; 25:e43219. [PMID: 37494086 PMCID: PMC10413237 DOI: 10.2196/43219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2022] [Revised: 04/27/2023] [Accepted: 06/06/2023] [Indexed: 07/27/2023] Open
Abstract
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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Affiliation(s)
| | - James Wonkyu Jung
- Department of Psychology, University of Calgary, Calgary, AB, Canada
| | - Jasleen Kaur
- Department of Psychology, University of Calgary, Calgary, AB, Canada
| | - Karen M Benzies
- Faculty of Nursing, University of Calgary, Calgary, AB, Canada
| | - Lianne Tomfohr-Madsen
- Department of Educational and Counselling Psychology, and Special Education, The University of British Columbia, Vancouver, BC, Canada
| | - Elizabeth Keys
- Faculty of Nursing, University of Calgary, Calgary, AB, Canada
- School of Nursing, The University of British Columbia, Okanagan Campus, Kelowna, BC, Canada
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Leahy-Warren P, Philpott L, Elmir R, Schmied V. Fathers' perceptions and experiences of support to be a parenting partner during the perinatal period: A scoping review. J Clin Nurs 2022. [PMID: 35898120 DOI: 10.1111/jocn.16460] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2022] [Revised: 06/13/2022] [Accepted: 07/05/2022] [Indexed: 10/16/2022]
Abstract
AIMS AND OBJECTIVES The aim of this study was to explore fathers' perceptions and experiences of support in the perinatal period. Change in society has seen the increased visibility of fathers being involved during pregnancy and engaging in their infants' lives and the expectation and benefits of men playing an equal and direct role in caring for their children. However, less is known about the nature of support that fathers require to facilitate this role transition. DESIGN A scoping review was conducted in accordance with Arksey and O'Malley's six-step scoping review framework and the PRISMA-ScR guidelines. METHODS A systematic search of CINAHL Plus, MEDLINE, the Cochrane Library, PsycARTICLES, PsycINFO, Psychology, Soc INDEX and Behavioural Sciences Collections databases for qualitative or mixed methods studies with qualitative data was undertaken. Qualitative data were extracted from original studies for coding and theme generation. Thematic synthesis was employed for the final stages of analysis. RESULTS Overall, 23 papers were included. Men desired to fulfil their rite of passage to be an involved father to their child. This transitional process commenced with men articulating their commitment to creating a role as an involved father and to be a role model for their children. Becoming a father is seen as having a significant status in society which contributes to their self-efficacy as fathers. CONCLUSION Fathers require support from all levels of the 'ecosystem' including policy, socio-cultural and workplace changes as well as recognition and support from partners, family, peers and in particular from health service providers. Developing the parenting partnership requires a co-production approach and commitment at macro, meso and micro levels. RELEVANCE TO CLINICAL PRACTICE Supporting men to be engaged fathers requires policy, socio-cultural and workplace changes; however, maternity services and particularly midwives have an important role in this change.
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Affiliation(s)
| | - Lloyd Philpott
- School of Nursing and Midwifery, University College, Cork, Ireland
| | - Rakime Elmir
- School of Nursing and Midwifery, Western Sydney University, Sydney, Australia
| | - Virginia Schmied
- School of Nursing and Midwifery, Western Sydney University, Sydney, Australia
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The Experiences of First-Time Fathers in Perinatal Services: Present but Invisible. Healthcare (Basel) 2021; 9:healthcare9020161. [PMID: 33546202 PMCID: PMC7913323 DOI: 10.3390/healthcare9020161] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2020] [Revised: 01/16/2021] [Accepted: 01/21/2021] [Indexed: 11/21/2022] Open
Abstract
Fathers in the UK are becoming more involved in the care of their infants and children. A constructivist grounded theory approach was adopted to explore men’s transition to fatherhood. This paper reports on one of the sub-categories derived from the data. First-time fathers with a child under two were recruited predominantly via social media. Audio-recorded semi-structured interviews were undertaken with an opening question asking men to tell their story of becoming a father. Interviews were transcribed and analysed using constructivist grounded theory methods. This paper reports one core aspect of the research findings which has particular relevance for healthcare professionals. The men in this study were highly appreciative of the care their partner and baby received but consistently reported a lack of father-specific support throughout their journey to fatherhood. This ranged from generally poor communication with healthcare professionals to being ignored and side-lined in maternity settings where they continued to be treated as visitors before, during and after the birth of their baby. Despite similar findings being reported over the last 30 to 40 years and policy directives emphasising the importance of working with fathers, change within healthcare services remains slow. Currently, fathers’ needs are not being adequately met by perinatal services.
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Shatte ABR, Hutchinson DM, Fuller-Tyszkiewicz M, Teague SJ. Social Media Markers to Identify Fathers at Risk of Postpartum Depression: A Machine Learning Approach. CYBERPSYCHOLOGY BEHAVIOR AND SOCIAL NETWORKING 2020; 23:611-618. [PMID: 32915660 DOI: 10.1089/cyber.2019.0746] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Postpartum depression (PPD) is a significant mental health issue in mothers and fathers alike; yet at-risk fathers often come to the attention of health care professionals late due to low awareness of symptoms and reluctance to seek help. This study aimed to examine whether passive social media markers are effective for identifying fathers at risk of PPD. We collected 67,796 Reddit posts from 365 fathers, spanning a 6-month period around the birth of their child. A list of "at-risk" words was developed in collaboration with a perinatal mental health expert. PPD was assessed by evaluating the change in fathers' use of words indicating depressive symptomatology after childbirth. Predictive models were developed as a series of support vector machine classifiers using behavior, emotion, linguistic style, and discussion topics as features. The performance of these classifiers indicates that fathers at risk of PPD can be predicted from their prepartum data alone. Overall, the best performing model used discussion topic features only with a recall score of 0.82. These findings could assist in the development of support and intervention tools for fathers during the prepartum period, with specific applicability to personalized and preventative support tools for at-risk fathers.
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Affiliation(s)
- Adrian B R Shatte
- School of Science, Engineering & Information Technology, Federation University, Melbourne, Australia
| | - Delyse M Hutchinson
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Geelong, Australia
- Murdoch Children's Research Institute, Centre for Adolescent Health, Royal Children's Hospital, Melbourne, Australia
- Department of Paediatrics, University of Melbourne, Royal Children's Hospital, Melbourne, Australia
- University of New South Wales, National Drug and Alcohol Research Centre, Sydney, Australia
| | - Matthew Fuller-Tyszkiewicz
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Geelong, Australia
| | - Samantha J Teague
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Geelong, Australia
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Kim HN. Information and Communications Technology and Education Customized for Fathers of Preterm Infants. Neonatal Netw 2020; 39:66-74. [PMID: 32317336 DOI: 10.1891/0730-0832.39.2.66] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/17/2019] [Indexed: 11/25/2022]
Abstract
PURPOSE Although various educational technology interventions have been introduced to support parents of preterm infants, the interventions tend to focus on mothers over fathers. This study aims to advance understanding of the concerns and needs of fathers and seek opportunities of information technology to support them. DESIGN AND SAMPLE A convenience sampling method recruited 18 parents (i.e., ten mothers and eight fathers of preterm infants) for interviews. The interview transcripts were analyzed by the inductive content analysis method. MAIN OUTCOME VARIABLE The analysis identified two main themes (i.e., customized education, learning styles and tools preferred by fathers) and five subthemes (i.e., infant care, self-care, self-regulated online learning, adaptive user interfaces of online education modules, and hands-on learning with multimedia). RESULTS The interviewed parents emphasized the importance of education customized for the fathers of preterm infants, and argued that an e-learning system has the potential to fulfill the fathers' educational needs.
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Tikkanen SA, Peterson BL, Parsloe SM. Courtesy Stigma and Social Support: An Exploration of Fathers' Buffering Strategies and Blocking Rationalizations. HEALTH COMMUNICATION 2019; 34:1543-1554. [PMID: 30067393 DOI: 10.1080/10410236.2018.1504658] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
This study extends scholarship on stigma management communication and social support by exploring the experiences of fathers of children living with a rare health condition, Sturge-Weber Syndrome. Findings from this interview-based interpretive study reveal that fathers assuaged the negative effects of stigma on their children-and courtesy stigma on themselves-by employing buffering strategies, including reactive and preemptive information sharing, preparatory conversations, and support blocking. Further, fathers offered three rationalizations for their blocking behaviors-reasoning that to accept support would violate social norms, as well as privacy expectations and that accepting support was not worth the effort (social exchange). These findings encourage scholars to continue to upend predominant constructions of masculinity and also call to question prevailing assumptions about the relationship between technology and privacy.
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Teague SJ, Shatte AB. Exploring the Transition to Fatherhood: Feasibility Study Using Social Media and Machine Learning. JMIR Pediatr Parent 2018; 1:e12371. [PMID: 31518298 PMCID: PMC6715057 DOI: 10.2196/12371] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/30/2018] [Revised: 11/06/2018] [Accepted: 11/09/2018] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Fathers' experiences across the transition to parenthood are underreported in the literature. Social media offers the potential to capture fathers' experiences in real time and at scale while also removing the barriers that fathers typically face in participating in research and clinical care. OBJECTIVE This study aimed to assess the feasibility of using social media data to map the discussion topics of fathers across the fatherhood transition. METHODS Discussion threads from two Web-based parenting communities, r/Daddit and r/PreDaddit from the social media platform Reddit, were collected over a 2-week period, resulting in 1980 discussion threads contributed to by 5853 unique users. An unsupervised machine learning algorithm was then implemented to group discussion threads into topics within each community and across a combined collection of all discussion threads. RESULTS Results demonstrated that men use Web-based communities to share the joys and challenges of the fatherhood experience. Minimal overlap in discussions was found between the 2 communities, indicating that distinct conversations are held on each forum. A range of social support techniques was demonstrated, with conversations characterized by encouragement, humor, and experience-based advice. CONCLUSIONS This study demonstrates that rich data on fathers' experiences can be sourced from social media and analyzed rapidly using automated techniques, providing an additional tool for researchers exploring fatherhood.
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Affiliation(s)
- Samantha J Teague
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Burwood, Australia
| | - Adrian Br Shatte
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Burwood, Australia.,School of Science, Engineering and Information Technology, Federation University, Berwick, Australia
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10
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Pilkington PD, Rominov H. Fathers' Worries During Pregnancy: A Qualitative Content Analysis of Reddit. J Perinat Educ 2017; 26:208-218. [PMID: 30804656 DOI: 10.1891/1058-1243.26.4.208] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Qualitative investigations into the emotional needs of expectant fathers have been limited by difficulties with recruitment. This study aimed to unobtrusively obtain insights into fathers' worries during pregnancy by analyzing the content of posts on the Internet forum Reddit. The majority of worries related to infant well-being (50.8%), particularly the potential for perinatal loss (23.0%). Concerns relating to partner well-being and the couple relationship were also common, comprising 17.0% of posts. Several posts related to individual factors, such as apprehension about the father role (16.3%). Finally, situational factors such as work-family conflict accounted for 15.9% of posts. These findings contribute to the growing literature on fathers' experiences of pregnancy and can inform the development of father-inclusive perinatal education.
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O'Brien AP, McNeil KA, Fletcher R, Conrad A, Wilson AJ, Jones D, Chan SW. New Fathers' Perinatal Depression and Anxiety-Treatment Options: An Integrative Review. Am J Mens Health 2016; 11:863-876. [PMID: 27694550 PMCID: PMC5675308 DOI: 10.1177/1557988316669047] [Citation(s) in RCA: 55] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
More than 10% of fathers experience depression and anxiety during the perinatal period, but paternal perinatal depression (PPND) and anxiety have received less attention than maternal perinatal mental health problems. Few mainstream treatment options are available for men with PPND and anxiety. The aim of this literature review was to summarize the current understanding of PPND and the treatment programs specifically designed for fathers with perinatal depression. Eight electronic databases were searched using a predefined strategy, and reference lists were also hand searched. PPND and anxiety were identified to have a negative impact on family relationships, as well as the health of mothers and children. Evidence suggests a lack of support and tailored treatment options for men having trouble adjusting to the transition to fatherhood. Of the limited options available, cognitive behavioral therapy, group work, and blended delivery programs, including e-support approaches appear to be most effective in helping fathers with perinatal depression and anxiety. The review findings have important implications for the understanding of PPND and anxiety. Future research is needed to address the adoption of father-inclusive and father-specific models of care to encourage fathers' help-seeking behavior. Inclusion of male-specific requirements into support and treatment options can improve the ability of services to engage new fathers. Psychotherapeutic intervention could assist to address the cognitive differences and dissonance for men adjusting to the role of father, including male identity and role expectations.
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Affiliation(s)
| | - Karen A McNeil
- 1 University of Newcastle, Callaghan, New South Wales, Australia
| | - Richard Fletcher
- 1 University of Newcastle, Callaghan, New South Wales, Australia
| | - Agatha Conrad
- 1 University of Newcastle, Callaghan, New South Wales, Australia
| | - Amanda J Wilson
- 1 University of Newcastle, Callaghan, New South Wales, Australia
| | - Donovan Jones
- 1 University of Newcastle, Callaghan, New South Wales, Australia
| | - Sally W Chan
- 1 University of Newcastle, Callaghan, New South Wales, Australia
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Suárez A, Byrne S, Rodrigo MJ. Validación de la Escala de Apoyo Parental Online (EAPO) || Validation of the Online Parental Support Scale. REVISTA DE ESTUDIOS E INVESTIGACIÓN EN PSICOLOGÍA Y EDUCACIÓN 2016. [DOI: 10.17979/reipe.2016.3.1.1527] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Este artículo describe la validación de una escala para evaluar el apoyo social online que perciben los usuarios de recursos web en español para padres y madres. Responde así a la necesidad de crear un instrumento específico que permita captar la complejidad de este nuevo constructo. Para la validación de la Escala de Apoyo Parental Online (EAPO) se contó con 301 padres y madres españoles y latinoamericanos, que se matricularon en el programa online 'Educar en Positivo' (http://educarenpositivo.es), quedando registradas automáticamente las respuestas al cuestionario en una base de datos al comienzo de su participación. La estructura factorial se obtuvo a través de la técnica de modelo de ecuaciones estructurales exploratorio (MESE) con rotación oblimin y el método de estimación de ponderación de mínimos cuadrados ajustado por la media y la varianza (WLSMW) para su confirmación. Los resultados principales muestran una factorización óptima en el constructo de un modelo de cinco factores con una fiabilidad adecuada, que tratan de la participación en programas o recursos para obtener apoyo parental online, el intercambio de consejos con otros padres y con expertos en educación, la autoeficacia parental percibida, las habilidades de parentalidad positiva y el apoyo emocional. Los resultados sugieren que la escala captura adecuadamente las dimensiones hipotetizadas para el constructo de apoyo social online para el fomento de la parentalidad positiva y muestra unas propiedades psicométricas adecuadas que lo hacen recomendable para su uso en el ámbito de los recursos web para padres y madres
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Julion WA, Sumo J, Bounds DT, Breitenstein SM, Schoeny M, Gross D, Fogg L. Study protocol for a randomized clinical trial of a fatherhood intervention for African American non-resident fathers: Can we improve father and child outcomes? Contemp Clin Trials 2016; 49:29-39. [PMID: 27241687 DOI: 10.1016/j.cct.2016.05.005] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2016] [Revised: 05/18/2016] [Accepted: 05/26/2016] [Indexed: 11/28/2022]
Abstract
PURPOSE African American (AA) fathers who live apart from their children face multiple obstacles to consistent and positive involvement with their children. Consequently, significant numbers of children are bereft of their father's positive involvement. Intervention research that is explicitly focused on promoting the positive involvement of non-resident AA fathers with their young children is limited. The purpose of this article is to describe the study protocol of a randomized trial (RCT) designed to test the Building Bridges to Fatherhood program against a financial literacy comparison condition; and discuss early implementation challenges. METHODS Fathers (n=180) are recruited to attend 10 group meetings, reimbursed for transportation, given dinner and activity vouchers for spending time with their child, and incentivized with a $40 gift card at each data collection time point. Mothers are incentivized ($40 gift card) at data collection and must be amenable to father child interaction. Intervention targets include father psychological well-being, parenting competence, communication, problem-solving ability; father-mother relationship quality; and child behavioral and emotional/social development. RESULTS To date, 57 fathers have been randomized to study condition. Recruitment has been influenced by father and mother hesitancy and the logistics of reaching and maintaining contact with participants. Strategies to surmount challenges to father and mother recruitment and engagement have been developed. CONCLUSIONS The prospective benefits of positive father involvement to children, fathers and families outweigh the challenges associated with community-based intervention research. The findings from this RCT can inform the body of knowledge on engaging AA non-resident fathers in culturally relevant fatherhood programming.
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Affiliation(s)
- Wrenetha A Julion
- Rush University Medical Center, Rush University College of Nursing, 600 S. Paulina Suite 1080, Chicago IL, 60608, United States.
| | - Jen'nea Sumo
- Rush University Medical Center, Rush University College of Nursing, 600 S. Paulina Suite 1080, Chicago IL, 60608, United States
| | - Dawn T Bounds
- Rush University Medical Center, Rush University College of Nursing, 600 S. Paulina Suite 1080, Chicago IL, 60608, United States
| | - Susan M Breitenstein
- Rush University Medical Center, Rush University College of Nursing, 600 S. Paulina Suite 1080, Chicago IL, 60608, United States
| | - Michael Schoeny
- Rush University Medical Center, Rush University College of Nursing, 600 S. Paulina Suite 1080, Chicago IL, 60608, United States
| | - Deborah Gross
- Johns Hopkins University Acute and Chronic Care, Johns Hopkins School of Nursing, 525 N Wolfe St 531, Baltimore, MD 21205, United States
| | - Louis Fogg
- Rush University Medical Center, Rush University College of Nursing, 600 S. Paulina Suite 1080, Chicago IL, 60608, United States
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Seah CKF, Morawska A. WHEN MUM IS STRESSED, IS DAD JUST AS STRESSED? PREDICTORS OF PATERNAL STRESS IN THE FIRST SIX MONTHS OF HAVING A BABY. Infant Ment Health J 2015; 37:45-55. [PMID: 26715451 DOI: 10.1002/imhj.21546] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
The primary aim of this study was to examine predictors of paternal stress within the first 6 months of having a baby in a normative Australian sample, and to compare paternal and maternal stress. In total, 54 fathers and 71 mothers completed self-report measures of postnatal depressive symptoms, parenting stress, efficacy, responsiveness, attachment, and family and social support. Paired sample t test revealed a significant relationship within couples in their level of parenting stress. Fathers reported lower levels of postnatal depression, responsiveness, and attachment than did mothers. Fathers rated their level of social support to be higher than did mothers. Regression analyses indicated that responsiveness and efficacy significantly predicted paternal stress whereas responsiveness and attachment predicted maternal stress when history of psychological diagnosis and financial stability were controlled for. Results have implications for early preventive parenting programs.
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Hugill K, Letherby G, Reid T, Lavender T. Experiences of fathers shortly after the birth of their preterm infants. J Obstet Gynecol Neonatal Nurs 2015; 42:655-63. [PMID: 25966507 DOI: 10.1111/1552-6909.12256] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
OBJECTIVE To explore the experiences of fathers shortly after the birth of their preterm infants. DESIGN/METHOD A focused ethnography conducted over 33 months (2003–2006) in the neonatal intensive care unit (NICU) of a large U.K. National Health Trust (NHS) teaching hospital. Data were collected through participant observation, in-depth interviews with fathers (n = 10), and an ethnographic survey distributed to NICU staff (n = 87). Practices and relationships with fathers were concurrently analyzed thematically through the conceptual perspective of emotion work. FINDINGS Fathers' emotional reactions to their experiences were described in three themes: emotional withdrawal and control, stereotyping, and mixed feelings. Fathers' emotional behaviors were governed by complex, culturally determined conventions and expectations. CONCLUSIONS Fathers engaged in considerable effort to manage their emotions as they attempted to reconcile the tension between what they wanted to feel and what they thought others expected them to feel. The results of this study support the view that focusing on emotional externalities alone tends to underplay the amount of emotion work carried out by less expressive individuals; this "silent emotion work" was characteristic of the fathers in this study.
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Kowlessar O, Fox JR, Wittkowski A. First-time fathers’ experiences of parenting during the first year. J Reprod Infant Psychol 2014. [DOI: 10.1080/02646838.2014.971404] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Brown A, Davies R. Fathers' experiences of supporting breastfeeding: challenges for breastfeeding promotion and education. MATERNAL & CHILD NUTRITION 2014; 10:510-26. [PMID: 24720518 PMCID: PMC4282396 DOI: 10.1111/mcn.12129] [Citation(s) in RCA: 91] [Impact Index Per Article: 9.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Increasing breastfeeding rates is a strategic priority in the UK and understanding the factors that promote and encourage breastfeeding is critical to achieving this. It is established that women who have strong social support from their partner are more likely to initiate and continue breastfeeding. However, little research has explored the fathers' role in breastfeeding support and more importantly, the information and guidance he may need. In the current study, 117 men whose partner had given birth in the previous 2 years and initiated breastfeeding at birth completed an open-ended questionnaire exploring their experiences of breastfeeding, the information and support they received and their ideas for future breastfeeding education and promotion aimed at fathers and families. Overall, the findings showed that fathers were encouraging of breastfeeding and wanted to be able to support their partner. However, they often felt left out of the breastfeeding relationships and helpless to support their partner at this time. Many reported being excluded from antenatal breastfeeding education or being considered unimportant in post-natal support. Men wanted more information about breastfeeding to be directed towards them alongside ideas about how they could practically support their partner. The importance of support mechanisms for themselves during this time was also raised. The results highlight the need for health professionals to direct support and information towards fathers as well as the mother-infant dyad and to recognise their importance in promoting and enabling breastfeeding.
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Affiliation(s)
- Amy Brown
- Department of Public Health and Policy StudiesSwansea UniversitySwanseaUK
| | - Ruth Davies
- Department of NursingSwansea UniversitySwanseaUK
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Niela-Vilén H, Axelin A, Salanterä S, Melender HL. Internet-based peer support for parents: a systematic integrative review. Int J Nurs Stud 2014; 51:1524-37. [PMID: 24998788 DOI: 10.1016/j.ijnurstu.2014.06.009] [Citation(s) in RCA: 100] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2013] [Revised: 06/05/2014] [Accepted: 06/12/2014] [Indexed: 10/25/2022]
Abstract
OBJECTIVES The Internet and social media provide various possibilities for online peer support. The aim of this review was to explore Internet-based peer-support interventions and their outcomes for parents. DESIGN A systematic integrative review. DATA SOURCES The systematic search was carried out in March 2014 in PubMed, Cinahl, PsycINFO and Cochrane databases. REVIEW METHODS Two reviewers independently screened the titles (n=1793), abstracts and full texts to decide which articles should be chosen. The inclusion criteria were: (1) an Internet-based community as an intervention, or at least as a component of an intervention; (2) the participants in the Internet-based community had to be mothers and/or fathers or pregnant women; (3) the parents had to interact and communicate with each other through the Internet-based community. The data was analysed using content analysis. When analysing peer-support interventions only interventions developed by researchers were included and when analysing the outcomes for the parents, studies that focused on mothers, fathers or both parents were separated. RESULTS In total, 38 publications met the inclusion criteria. Most of the studies focused on Internet-based peer support between mothers (n=16) or both parents (n=15) and seven focused on fathers. In 16 studies, the Internet-based interventions had been developed by researchers and 22 studies used already existing Internet peer-support groups, in which any person using the Internet could participate. For mothers, Internet-based peer support provided emotional support, information and membership in a social community. For fathers, it provided support for the transition to fatherhood, information and humorous communication. Mothers were more active users of Internet-based peer-support groups than fathers. In general, parents were satisfied with Internet-based peer support. The evidence of the effectiveness of Internet-based peer support was inconclusive but no harmful effects were reported in these reviewed studies. CONCLUSIONS Internet-based peer support provided informational support for parents and was accessible despite geographical distance or time constraints. Internet-based peer support is a unique form of parental support, not replacing but supplementing support offered by professionals. Experimental studies in this area are needed.
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Affiliation(s)
| | - Anna Axelin
- Department of Nursing Science, University of Turku, Finland
| | - Sanna Salanterä
- Department of Nursing Science, University of Turku, Finland; Turku University Hospital, Finland
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Friend or foe? An exploratory study of Australian parents’ use of asynchronous discussion boards in childhood obesity. Collegian 2014; 21:151-8. [DOI: 10.1016/j.colegn.2014.02.005] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Åsenhed L, Kilstam J, Alehagen S, Baggens C. Becoming a father is an emotional roller coaster - an analysis of first-time fathers′ blogs. J Clin Nurs 2013; 23:1309-17. [DOI: 10.1111/jocn.12355] [Citation(s) in RCA: 62] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/11/2013] [Indexed: 12/01/2022]
Affiliation(s)
- Liselotte Åsenhed
- Department of Medical and Health Sciences; Linköping University; Linköping Sweden
- County Council of Östergötland; Linköping Sweden
| | - Jennie Kilstam
- Department of Medical and Health Sciences; Linköping University; Linköping Sweden
- County Council of Örebro; Örebro Sweden
| | - Siw Alehagen
- Department of Medical and Health Sciences; Linköping University; Linköping Sweden
| | - Christina Baggens
- Department of Medical and Health Sciences; Linköping University; Linköping Sweden
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Salzmann-Erikson M, Eriksson H. Fathers sharing about early parental support in health-care - virtual discussions on an Internet forum. HEALTH & SOCIAL CARE IN THE COMMUNITY 2013; 21:381-390. [PMID: 23496139 DOI: 10.1111/hsc.12028] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 12/03/2012] [Indexed: 06/01/2023]
Abstract
Becoming a father is a life changing event and this transition is associated with various emotions. Educational activities aimed at new parents are important in healthcare parental support (HCPS). HCPS has been critiqued for its predominant focus on mothers, while the needs of fathers seem to have been downplayed. As a result, fathers often turn to Internet-based forums for support. As virtual discussions and mutual support among fathers take place in cyberspace, it is important to monitor these forums to observe the ways in which the fathers discuss HCPS. The aim of this study is to explore the ways in which new fathers visiting an Internet-based forum for fathers communicated their experiences of HCPS. A netnographic method consisting of six steps was used to gather and analyse the data. The findings show that fathers shared with one another their experiences of the attitudes expressed by HCPS workers as well as their own attitudes towards HCPS. The attitudes of HCPS workers that were directed towards the fathers were perceived as highly personal and individual, while fathers described their attitudes towards the HCPS in general terms, towards HCPS as a system. Overall, the fathers described HCPS as a valuable confirmatory support that eased their worries concerning sudden infant death syndrome (SIDS), colic, weight gain, fever and teething. Although the fathers expressed gratitude towards HCPS, they also shared their negative experiences, such as feeling invisible, disregarded and insulted. In fact, the twofold attitudes that exist in the relationship between the fathers and HCPS can act as a barrier rather than being a confirmatory support. We recommend that HCPS adopts a broader approach using more targeted and strategic didactic methods for supporting fathers in the growth of their own personal awareness, as such an approach would offer a competitive and professional alternative to the support offered in informal experience-based Internet forums.
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Julion WA, Breitenstein SM, Waddell D. Fatherhood intervention development in collaboration with African American non-resident fathers. Res Nurs Health 2012; 35:490-506. [PMID: 22685066 DOI: 10.1002/nur.21492] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/18/2012] [Indexed: 11/11/2022]
Abstract
Because interventions developed in partnership with African American fathers not residing with their children are virtually non-existent, existing interventions fail to address the multiple factors that constrain these fathers' positive involvement with their children. We developed a videotape fatherhood intervention: Building Bridges to Fatherhood. In collaboration with a Fathers Advisory Council composed of 12 African American fathers, we used Aranda's framework for community-based nursing intervention development to design the intervention. Data from 13 focus group meetings show Advisory Council members' insights on program structure and content, fathers' commitment to their children and communities, and the benefits they garnered from Council participation. The implications for involving fathers in intervention development include using relevant language, vernacular, and interpersonal interactions.
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Eriksson H, Salzmann-Erikson M. Supporting a caring fatherhood in cyberspace - an analysis of communication about caring within an online forum for fathers. Scand J Caring Sci 2012; 27:63-9. [DOI: 10.1111/j.1471-6712.2012.01001.x] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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