Randomized controlled trial of a prenatal focused coparenting consultation for unmarried black fathers and mothers: One-year infant and family outcomes |
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Authors: | James P McHale Carla Stover Chad Dube Yana Sirotkin Serina Lewis Katherine McKay |
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Institution: | 1. University of South Florida, St. Petersburg, Florida, USA;2. Yale University, New Haven, Connecticut, USA |
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Abstract: | In the infant mental health field, scant conceptual attention has been given to coparenting and family adaptations of non-white family systems, with no evidence-based, community-informed coparenting interventions responsive to unmarried Black mothers’ and fathers’ life circumstances. This study examined 1-year post-partum child and family outcomes of a novel, modest dosage (six sessions) prenatal focused coparenting consultation (FCC) using randomized controlled trial methodology. One-hundred-thirty-eight expectant families (one or both parents identified as Black/African American) were randomized to an intervention (N = 70) or treatment-as-usual (TAU; control) condition (N = 68). TAU families received navigational support in accessing existing community services for pregnant families. Intervention families received TAU plus 6 dyadic FCC sessions led by a Black male-female Community Mentor team. When infants were three and 12 months old, parents reported on coparenting, father engagement, interparental aggression, depressive symptoms, and infant social and emotional adjustment. Intent-to-treat analyses focusing on 12-month post-partum data indicated significant intervention effects on coparenting, interparental psychological aggression, and infants’ emotional adjustment. Improvement was also seen in depression and father engagement, with gains for both groups. Results suggest FCC delivered by same-race Community Mentors to unmarried Black coparents transitioning to parenthood supports infant and family adaptation during the first year of life. |
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Keywords: | Black families coparenting father involvement infant mental health randomized controlled trial ensayo controlado al azar crianza compartida familias negras participación del papá salud mental infantil Essai contrôlé randomisé co-parentage familles noires participation du père santé mentale du nourrisson Randomisierte kontrollierte Studie Co-Elternschaft Schwarze Familien Engagement des Vaters psychische Gesundheit des Kindes 無作為化比較試験、共育、黒人家庭、父親の関与、乳児の精神保健 关键词:随机对照试验 共育 黑人家庭 父亲参与 婴儿心理健康 الكلمات المفتاحية: تجربة عشوائية محكومة ، تربية مشتركة ، عائلات السود ، مشاركة الأب ، الصحة النفسية للرضيع |
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