This application requests support for a study to examine the effects of an intervention aimed at increasing paternal involvement in African American non-resident fathers. Although the number of children living without fathers has grown nationally, the greatest percentage of children living apart from their fathers is found among African American (AA) families. Two thirds of all AA children in the United States live in households without their biological father. Father presence is important to the emotional, social and developmental wellbeing of children throughout the child's life. Positive father involvement is also important to the health and wellbeing of fathers themselves. Therefore, the purpose of this project is to test the Building Bridges to Fatherhood (BBTF) program, an innovative video-based fatherhood program developed with the guidance of a Fathers Advisory Council. The purpose of the BBTF program is to increase and sustain paternal involvement among AA fathers and their young children (2-5 years). The BBTF program will be tested in a randomized clinical trial among 180 families of young children across 2 large predominantly African American areas (west-side and south-side) of a large Midwestern city. Fathers will be recruited via key informants from multiple community sites (i.e. churches, barbershops, community centers, schools, day care centers, local business establishments, dry cleaners, and sports venues) and randomly assigned to either the BBTF intervention or a Financial Literacy (FL) attention control group. Participants will be assessed at pre-intervention, 12 weeks and 24 weeks using self-report measures completed by fathers and the child's biological mother and participate in a booster session at 18 weeks. Dependent variables include: paternal involvement (material and in-kind [non-monetary] support and direct father/child interaction), father parenting competence (self-efficacy, satisfaction, parenting skills and knowledge), father psychological wellbeing (self-esteem, general and racial stress), father communication and problem solving, and father and maternal reports of child behavior and development (cognitive, emotional, and social). Further, father-mother relationship quality will be examined for its mediating effect on fathers' outcomes and paternal involvement. This application builds on our prior research: (1) refining an effective and culturally relevant parent training model so that it has enhanced social and contextual validity for African American non- resident fathers, and (2) providing a real-world intervention for fathers that has as its primary aim to facilitate and sustain father involvement i early childhood, before father estrangement becomes entrenched and intractable. This study is consistent with the NINR goals for the 21st century to address cultural and ethnic disparities in health promotion and intervention activities by developing innovative, culturally responsive, evidence-based interventions that are tailored to the individual.

Public Health Relevance

This application to test an innovative culturally relevant fatherhood program for increasing and sustaining paternal involvement among African American (AA) non-resident fathers is relevant to public health because over two-thirds of AA children live in homes without their fathers. Children with fathers who are continuously and actively involved have better behavioral, social, and emotional development and fathers who are continuously and actively involved with their children also fare better than fathers who are not. Thus, an effective fatherhood program holds great promise for improving the health outcomes and social well-being of children and fathers.

National Institute of Health (NIH)
National Institute of Nursing Research (NINR)
Research Project (R01)
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Special Emphasis Panel (ZRG1-HDM-X (03)S)
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Roary, Mary
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Rush University Medical Center
Other Health Professions
Schools of Nursing
United States
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Julion, Wrenetha A; Sumo, Jen'nea; Bounds, Dawn T (2018) A tripartite model for recruiting African-Americans into fatherhood intervention research. Public Health Nurs 35:420-426
Julion, Wrenetha A; Sumo, Jen'nea; Bounds, Dawn T et al. (2016) 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 49:29-39
Julion, Wrenetha A; Breitenstein, Susan M; Waddell, Donald (2012) Fatherhood intervention development in collaboration with African American non-resident fathers. Res Nurs Health 35:490-506