Fathers
Conditions
Brief summary
This impact evaluation aims to determine if the addition of 10 hours of domestic violence prevention programming is effective at improving outcomes among those program participants who are randomly assigned to the treatment group. Both study groups will receive standard TYRO Champion Dads services (the TYRO Dads and TYRO Core Communication evidence-based curricula, plus support services), but only the treatment group will be offered the additional Ray of Hope curriculum hours focused on mitigating risk factors related to domestic violence.
Detailed description
Anthem Strong Families (ASF) is reviewing the Ray of Hope curriculum as a possible addition to standard TCD services to better meet the needs of populations that may have unmet needs to address domestic violence in their families. The Ray of Hope curriculum is designed to help participants develop communication and conflict management skills like Core Communication but is a more robust approach since it adds a sharp focus on the dynamics of domestic violence and related risk factors. The impact of the addition of the Ray of Hope curriculum will be assessed by comparing outcomes for participants who receive standard TYRO Champion Dads (TCD) services, which includes the TYRO curriculum plus support services, and participants who receive both standard services plus 10 Ray of Hope curriculum hours. Goal 1: determine if treatment group participants who receive enhanced TCD services report healthier parenting attitudes compared to control group participants who receive only standard TCD services 6 months after TCD enrollment. Goal 2: determine if treatment group participants who receive enhanced TCD services report healthier partner relationship behavior compared to control group participants who receive only standard TCD services 6 months after TCD enrollment. Goal 3: determine if treatment group participants who receive enhanced TCD services report healthier parenting behavior compared to control group participants who receive only standard TCD services 6 months after TCD enrollment. Goal 4: determine if treatment group participants who receive enhanced TCD services report healthier co-parenting behavior compared to control group participants who receive only standard TCD services 6 months after TCD enrollment.
Interventions
OTHERStandard Servies + Ray of Hope Curriculum
Standard services delivered as primary services to participants in both study groups under a shared condition are: 20 hours of TYRO Dads curricula and 6 hours of Core Communication curricula. Optional services available to both study groups by selecting 1-3 hours of coursework from menu of courses that address a variety of needs.
OTHERStandard Services
Standard services delivered as primary services to participants in both study groups under a shared condition are: 20 hours of TYRO Dads curricula and 6 hours of Core Communication curricula.
Sponsors
Anthem Strong Families
Midwest Evaluation & Research
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Standard services delivered as primary services to participants in both study groups under a shared condition are: 20 hours of TYRO Dads curricula and 6 hours of Core Communication curricula. Optional services available to both study groups by selecting 1-3 hours of coursework from menu of courses that address a variety of needs.
Eligibility
Sex/Gender
MALE
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Adult (age 18 and older) * Father (children must be no more than 24 years of age) * must have no open criminal cases (can be deferred)
Exclusion criteria
* Minor (under the age of 18) * Not a father * Has an open criminal case
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Primary Outcome Measures 1: Healthy Parenting Behavior | change from baseline to 6-months after enrollment | What is the impact of enhanced TCD services (treatment) compared to standard TCD services only (control) on healthy parent behavior 6 months after TCD enrollment? * Average of 11 survey items that relate to frequency of positive interactions with participant's youngest child using categories on a five-point scale where 1 is never and 5 is every day or almost every day * Higher scores are always positive The 11 items are measured as a construct. All items are added together and divided by 11 to create the construct score. maximum score of 5.0, minimum score of 1.0 |
| Primary Outcome Measures 2: Healthy Parenting Behavior | baseline to 6-months after enrollment | What is the impact of enhanced TCD services (treatment) compared to standard TCD services only (control) on healthy parent behavior 6 months after TCD enrollment? • 1 survey item measures the reported frequency of fighting with their child on a five-point scale where 1 is never and 5 is every day or almost every day o A lower score is better maximum score of 5.0, minimum score of 1.0 |
| Primary Outcome Measure 3: Healthy Co-parenting Behavior | change from baseline to 6-months after enrollment | What is the impact of enhanced TCD services (treatment) compared to standard TCD services only (control) on healthy co-parent behavior 6 months after TCD enrollment? • 11 survey items measure the reported frequency of agreement with key co-parenting behaviors using categories on a 5-point scale (1 'Strongly Disagree', 2 'Disagree', 3 'Neither Agree Nor Disagree', 4 'Agree', 5 'Strongly Agree'). The 11 items are measured as a construct. All items are added together and divided by 11 to create the construct score. The higher the score, the better the outcome. maximum score of 5.0, minimum score of 1.0 |
| Primary Outcome Measures 4: Healthy Partner Relationship Behavior | change from baseline to 6-months after enrollment | • Average of 8 survey items related to frequency of disagreement with partner on different topics using categories on a 5-point scale where 1 is never and 5 is always Lower scores are positive and show a better outcome. The 8 items are measured as a construct. All items are added together and divided by 8 to create the construct score. maximum score of 5.0, minimum score of 1.0 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Secondary Outcome Measure 1: Healthy Parenting Attitudes | baseline to 6-months after enrollment | What is the impact of enhanced TCD services (treatment) compared to standard TCD services only (control) on healthy parenting attitudes 6-months after TCD enrollment? • 7 survey items measure the reported frequency of healthy parenting attitudes using categories on a 5-point scale (1 'Always', 2 'Often', 3 'Rarely', 4 'Sometimes', 5 'Never'). The 7 items are measured as a construct. All items are added together and divided by 7 to create the construct score. The lower the score, the better the outcome. maximum score of 5.0, minimum score of 1.0 |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Treatment-Enhanced Services (Standard + Ray of Hope) Treatment group participants receive standard and enhanced services. Standard services are delivered as primary services to participants in both study groups under a shared condition, and they are: 20 hours of TYRO Dads curricula and 6 hours of Core Communication curricula. Finally, only the treatment group receives 10 hours of the Ray of Hope curriculum as an enhanced service. Optional services are available to both study groups by selecting 1-3 hours of coursework from a menu of courses in the Mini-Clinic that address a variety of needs.
Standard Servies + Ray of Hope Curriculum: Standard services delivered as primary services to participants in both study groups under a shared condition are: 20 hours of TYRO Dads curricula and 6 hours of Core Communication curricula. Optional services available to both study groups by selecting 1-3 hours of coursework from menu of courses that address a variety of needs.
Standard Services: Standard services delivered as primary services to participants in both study groups under a shared condition are: 20 hours of TYRO Dads curricula and 6 hours of Core Communication curricula. | 382 |
| Control-Standard Services Only standard services are delivered to participants in the control group under a shared condition with the treatment group, and they are: 20 hours of TYRO Dads curricula and 6 hours of Core Communication curricula. Optional services are available to both study groups by selecting 1-3 hours of coursework from a menu of courses that address a variety of needs.
Standard Services: Standard services delivered as primary services to participants in both study groups under a shared condition are: 20 hours of TYRO Dads curricula and 6 hours of Core Communication curricula. | 366 |
| Total | 748 |
Baseline characteristics
| Characteristic | Treatment-Enhanced Services (Standard + Ray of Hope) | Control-Standard Services | Total |
|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 5 Participants | 5 Participants | 10 Participants |
| Age, Categorical Between 18 and 65 years | 377 Participants | 361 Participants | 738 Participants |
| Age, Continuous | 37.92 years | 37.72 years | 37.82 years |
| Race (NIH/OMB) American Indian or Alaska Native | 7 Participants | 11 Participants | 18 Participants |
| Race (NIH/OMB) Asian | 5 Participants | 4 Participants | 9 Participants |
| Race (NIH/OMB) Black or African American | 139 Participants | 103 Participants | 242 Participants |
| Race (NIH/OMB) More than one race | 75 Participants | 95 Participants | 170 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 1 Participants | 0 Participants | 1 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 155 Participants | 153 Participants | 308 Participants |
| Sex: Female, Male Female | 3 Participants | 1 Participants | 4 Participants |
| Sex: Female, Male Male | 379 Participants | 365 Participants | 744 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 382 | 0 / 366 |
| other Total, other adverse events | 0 / 382 | 0 / 366 |
| serious Total, serious adverse events | 0 / 382 | 0 / 366 |
Outcome results
Primary
Primary Outcome Measure 3: Healthy Co-parenting Behavior
What is the impact of enhanced TCD services (treatment) compared to standard TCD services only (control) on healthy co-parent behavior 6 months after TCD enrollment? • 11 survey items measure the reported frequency of agreement with key co-parenting behaviors using categories on a 5-point scale (1 'Strongly Disagree', 2 'Disagree', 3 'Neither Agree Nor Disagree', 4 'Agree', 5 'Strongly Agree'). The 11 items are measured as a construct. All items are added together and divided by 11 to create the construct score. The higher the score, the better the outcome. maximum score of 5.0, minimum score of 1.0
Time frame: change from baseline to 6-months after enrollment
Population: A low number of participants responded to this item on both the baseline and follow-up.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment-Enhanced Services (Standard + Ray of Hope) | Primary Outcome Measure 3: Healthy Co-parenting Behavior | 3.51 score on a scale | Standard Deviation 0.593 |
| Control-Standard Services | Primary Outcome Measure 3: Healthy Co-parenting Behavior | 3.50 score on a scale | Standard Deviation 0.444 |
Primary
Primary Outcome Measures 1: Healthy Parenting Behavior
What is the impact of enhanced TCD services (treatment) compared to standard TCD services only (control) on healthy parent behavior 6 months after TCD enrollment? * Average of 11 survey items that relate to frequency of positive interactions with participant's youngest child using categories on a five-point scale where 1 is never and 5 is every day or almost every day * Higher scores are always positive The 11 items are measured as a construct. All items are added together and divided by 11 to create the construct score. maximum score of 5.0, minimum score of 1.0
Time frame: change from baseline to 6-months after enrollment
Population: There was a low number of participants who responded to this item in the final analysis in both the baseline and the follow-up.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment-Enhanced Services (Standard + Ray of Hope) | Primary Outcome Measures 1: Healthy Parenting Behavior | 3.88 score on a scale | Standard Deviation 0.871 |
| Control-Standard Services | Primary Outcome Measures 1: Healthy Parenting Behavior | 3.67 score on a scale | Standard Deviation 1.017 |
Primary
Primary Outcome Measures 2: Healthy Parenting Behavior
What is the impact of enhanced TCD services (treatment) compared to standard TCD services only (control) on healthy parent behavior 6 months after TCD enrollment? • 1 survey item measures the reported frequency of fighting with their child on a five-point scale where 1 is never and 5 is every day or almost every day o A lower score is better maximum score of 5.0, minimum score of 1.0
Time frame: baseline to 6-months after enrollment
Population: A low number of participants responded to this item on both the baseline and follow-up.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment-Enhanced Services (Standard + Ray of Hope) | Primary Outcome Measures 2: Healthy Parenting Behavior | 4.5 score on scale | Standard Deviation 0.776 |
| Control-Standard Services | Primary Outcome Measures 2: Healthy Parenting Behavior | 4.74 score on scale | Standard Deviation 0.554 |
Primary
Primary Outcome Measures 4: Healthy Partner Relationship Behavior
• Average of 8 survey items related to frequency of disagreement with partner on different topics using categories on a 5-point scale where 1 is never and 5 is always Lower scores are positive and show a better outcome. The 8 items are measured as a construct. All items are added together and divided by 8 to create the construct score. maximum score of 5.0, minimum score of 1.0
Time frame: change from baseline to 6-months after enrollment
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment-Enhanced Services (Standard + Ray of Hope) | Primary Outcome Measures 4: Healthy Partner Relationship Behavior | 3.94 score on a scale | Standard Deviation 1.027 |
| Control-Standard Services | Primary Outcome Measures 4: Healthy Partner Relationship Behavior | 3.97 score on a scale | Standard Deviation 0.901 |
Secondary
Secondary Outcome Measure 1: Healthy Parenting Attitudes
What is the impact of enhanced TCD services (treatment) compared to standard TCD services only (control) on healthy parenting attitudes 6-months after TCD enrollment? • 7 survey items measure the reported frequency of healthy parenting attitudes using categories on a 5-point scale (1 'Always', 2 'Often', 3 'Rarely', 4 'Sometimes', 5 'Never'). The 7 items are measured as a construct. All items are added together and divided by 7 to create the construct score. The lower the score, the better the outcome. maximum score of 5.0, minimum score of 1.0
Time frame: baseline to 6-months after enrollment
Population: A low number of participants responded to this item on both the baseline and follow-up.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment-Enhanced Services (Standard + Ray of Hope) | Secondary Outcome Measure 1: Healthy Parenting Attitudes | 4.72 score on a scale | Standard Deviation 0.337 |
| Control-Standard Services | Secondary Outcome Measure 1: Healthy Parenting Attitudes | 4.76 score on a scale | Standard Deviation 0.392 |