A Regional Partnership to Improve Outcomes Through Fatherhood Engagement

Study Overview
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Brief Summary
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Montefiore will engage fathers in families at risk of substance misuse in the Bronx. Families will be referred from Bronx community-based providers if identified at risk of substance use concerns, and will be randomly assigned to receive services as usual as part of the comparison group, or to receive enhanced services as part of the program group. Enhanced services include: (1) Motivational Enhancement; (2) referral to Healthy, Empowered, Resilient, and Open (HERO) Dads fatherhood engagement program; (3) Contingency Management; and (4) Case Management.

Official Title
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A Regional Partnership for New York City to Improve Well-Being and Child Welfare Outcomes Among Families at Risk of Substance Misuse Through Fatherhood Engagement

Conditions
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Substance Use, Child Abuse, Child Neglect, Fathers, Father-Child Relations

Intervention / Treatment
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* Behavioral: Motivational Enhancement
* Behavioral: HERO Dads Fatherhood Program
* Behavioral: Contingency Management
* Behavioral: Case Management


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: (i) is a custodial or non-custodial father, (ii) who has at least one child under the age of 18, (iii) someone in the family is identified as at-risk for substance use Exclusion Criteria: The placement of all children in the family in foster care

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Services as Usual<br>Randomly assigned to receive services as usual | |
| Experimental: Enhanced Fatherhood Services through Regional Partnership Grant Round 7 (RPG7)<br>Randomly assigned to receive enhanced RPG7 services (motivational enhancement, fatherhood engagement services, contingency management, case management) | Behavioral: Motivational Enhancement<br>* To encourage intrinsic motivation to engage in fatherhood activities<br>Behavioral: HERO Dads Fatherhood Program<br>* Fatherhood engagement curriculum to increase awareness, knowledge, and skills for parenting and co-parenting<br>Behavioral: Contingency Management<br>* To reinforce healthy behaviors, including attendance at services<br>Behavioral: Case Management<br>* Referrals to treatment, social services, and employment services<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Child well-being, as measured by: Child Behavior Checklist | This is a standardized self-report measure widely used in the measure of child behavior and child well-being. A separate form is used for children aged 1.5-5, and 6-18. The questionnaire is completed by the caregiver using a series of Likert scales (0=absent, 1=sometimes, 2=often occurs). There are 113 questions, measuring a series of internalizing (e.g., anxious/ depressed, depressed, somatic complaints) and externalizing (e.g., attention problems, rule-breaking behavior, aggression) symptoms over the prior 6-months. Raw scores are standardized into t-scores, with elevated scores reflecting greater symptomatology when compared to a gender and aged normed population. | Baseline | 
| Child well-being, as measured by: Child Behavior Checklist | This is a standardized self-report measure widely used in the measure of child behavior and child well-being. A separate form is used for children aged 1.5-5, and 6-18. The questionnaire is completed by the caregiver using a series of Likert scales (0=absent, 1=sometimes, 2=often occurs). There are 113 questions, measuring a series of internalizing (e.g., anxious/ depressed, depressed, somatic complaints) and externalizing (e.g., attention problems, rule-breaking behavior, aggression) symptoms over the prior 6-months. Raw scores are standardized into t-scores, with elevated scores reflecting greater symptomatology when compared to a gender and aged normed population. | Follow Up (6-months after Baseline) |