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Mental Health Wellness 1NCT03552783

Mental Health Intervention for Black Fathers

A study testing FFL + Cognitive Behavioral Therapy and Fathers for a Lifetime (FFL) only in people with Mental Health Wellness 1, run by University of Nebraska at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to examine the feasibility of implementing a mental health intervention, using individual and group Cognitive Behavior Therapy (CBT), embedded into Fathers for a Lifetime; an existing parenting program for fathers. Read more about this study

Who is it for?
Ages 19 years and older, men onlyHealthy volunteers can take part
Conditions the study is for
Mental Health Wellness 1
What is being tested?
FFL + Cognitive Behavioral Therapy and Fathers for a Lifetime (FFL) only
Could I receive a placebo?
No, everyone receives an active treatment
How many people
10 participants
Where
1 siteUnited States
Study dates
8 Mar 2019to 20 Jan 2020
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 19 years and older
  • Men only
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • African American men
  • Father
  • 19 or older at the time of the enrollment
  • Fluent in English (speaking and reading)
  • Reside within the specific zip codes: 68104, 68110, 68111, 68112, and 68131

Who cannot join

  • Females
  • Not speaking English

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Charles Drew Health Center, Inc.

    Omaha, Nebraska, 68111

Other trials in United States

About this study

Official title: Get Your Mind Right: Feasibility of a Mental Health Intervention for African American Fathers in North Omaha

The purpose of this study is to examine the feasibility of implementing a mental health intervention, using individual and group Cognitive Behavior Therapy (CBT), embedded into Fathers for a Lifetime; an existing parenting program for fathers. The study will also assess the mental health status and daily functioning of fathers participating in the intervention and comparison arms. The mental health treatments available for parents focused on prevention and treatment of mothers or families but rarely was there a focus on fathers. Our study will use an existing parenting program for fathers to provide a mental health treatment for African American fathers with the intent of creating an effective treatment to screen, diagnosis, increase access to mental health services, and provide mental health treatment. By improving fathers' mental health, we can expect to see improvement in daily functioning, parent-parent interactions, parent-child interactions, increase confidence in parenting skills, and a decrease in parental stress.

Read the detailed description

The intervention will utilize the Cognitive Behavioral Therapy (CBT), an evidence-based psychotherapeutic approach to addressing mental health issues ranging from anxiety, depression, and other mental illnesses. CBT is based on a cognitive model, the way that individuals perceive a situation is more closely connected to their reaction than the situation itself. The purpose of CBT is to help people focus on how to solve their current problems. The therapist helps the patient learn how to identify distorted or unhelpful thinking patterns, recognize and change inaccurate beliefs, relate to others in more positive ways, and change behaviors accordingly. Participants in the intervention arm will receive 12 weekly, one-hour, group CBT sessions, and three, one-hour, one-on-one therapy sessions throughout the 12-week Father For a LIfetime (FFL) program. We will implement an individual and group CBT mental health intervention that will align with the topics addressed in the FFL weekly curriculum. For instance, the group CBT intervention will examine methods to build resiliency, develop skills to remain calm in stressful situations, learn coping skills when separated from their child/children, and learn how to cope with strained relationships. The FFL curriculum is adapted from the Wise Guys: Male Responsibility Curriculum, an evidence-informed curriculum designed to engage males in the prevention of pregnancies. The curriculum topics are broken into three categories: 1) personal responsibility, 2) responsibility to your child and 3) responsibility to your family and community. Figure 1 below displays the topic description covered each week within each category. The intention of our proposed therapeutic mental health intervention is to improve mental health status utilizing CBT in a group setting and initiating treatment of specific mental illnesses in the one-on-one therapy sessions to meet the unique needs of the father that may not be addressed in a group setting. Participants will receive the intervention immediately after the FFL programming concludes.

The intervention will be delivered by a gender and culturally-matched Licensed Mental Health Professional (LIMHP) who will be trained to deliver the curriculum by the co-investigator and Senior Director of Behavioral Health Services at Charles Drew Health Center. In addition, the men will receive three one-on-one therapy sessions with a Charles Drew LIMHP that will be completed by the end of the FFL program. Participants in the comparison arm will receive the standard, 12-week program curriculum. Our proposed study falls within the T3 translational spectrum, which includes testing an intervention within a community setting by observing and gathering information on implementation to determine feasibility or effectiveness.

Being tested
FFL + Cognitive Behavioral Therapy, Fathers for a Lifetime (FFL) only
Keywords
fathers, parenting, African American

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • FFL + Cognitive Behavioral TherapyBehavioural

    Participants in the intervention arm will receive the standard, 12-week program curriculum of Fathers for a Lifetime in addition to 12 weekly, one-hour, group CBT sessions, and three (3), one-hour, one-on-one therapy sessions throughout the 12-week FFL program. We will implement an individual and group CBT mental health intervention that will align with the topics addressed in the FFL weekly curriculum.

  • Fathers for a Lifetime (FFL) onlyBehavioural

    The participants in the comparison arm will receive the standard, 12-week program curriculum of Fathers for a Lifetime. The curriculum is broken into three categories:

    1. Personal responsibility
    2. Personal responsibility to your child
    3. Responsibility to your family and community
Study groups in NCT03552783
Study groupRoleWhat they receive
Fathers for a Lifetime (FFL) onlyActive comparatorThe participants in the comparison arm will receive the standard, 12-week program curriculum of Father For a Lifetime.
Receives: Behavioral: Fathers for a Lifetime (FFL) only
FFL + Cognitive Behavioral TherapyExperimentalThe participants in the intervention will receive will the standard, 12-week program curriculum of Father For a Lifetime and the Cognitive Behavioral Therapy. The intervention will be delivered by a gender and culturally-matched Licensed Mental Health Professional (LIMHP). In addition, the men will receive three one-on-one therapy sessions with a Charles Drew LIMHP that will be completed by the end of the FFL program.
Receives: Behavioral: FFL + Cognitive Behavioral Therapy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Attrition

    Follow-up rate: participants who completed the 12 weeks program

    Measured: 12 weeks post-randomization

Secondary outcomes (6)
  1. Mental health status

    Defined according to the National Institute of Mental Health definition and DSM-V criteria

    Measured: Baseline; 12 weeks post-randomization

  2. Mental health diagnoses

    National Institute of Mental Health definition and Diagnostic Statistical Manual (DSM)-V criteria

    Measured: Baseline; 12 weeks post-randomization

  3. Daily functioning

    Four out of five domains of the Daily Living Activities (DLA-20) Functional Assessment: coping skills, communication, family relationships, and social networking.

    Measured: Baseline; 12 weeks post-randomization

  4. Number of FFL participants screened

    Number of participants who completed the Intake Form and the DLA-20

    Measured: Baseline

  5. Refusal rates for participation

    Number of participants who decline to participate in the study

    Measured: Baseline; 12 weeks post-randomization

  6. Adherence to study procedures

    Participants who successfully followed the procedure

    Measured: Baseline; 12 weeks post-randomization

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Jun 2018
  2. Study start8 Mar 2019
  3. Primary completion30 Nov 2019
  4. Study completion20 Jan 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Diagnosis
Allocation
Randomised
Intervention model
Parallel groups
Model description
The intervention will be a quasi-experimental study. The participants will be randomized into one of two study arms: Father For a Lifetime (FFL) + Cognitive Behavioral Therapy (CBT) (intervention arm) or FFL only (comparison arm).
Masking
Single blind
Who is masked
Participant
Enrolment
10 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03552783
Sponsor's protocol ID
0092-18-EP
Status last verified
Sep 2023
First submitted
16 Apr 2018
Last updated
29 Sep 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Only the entities involved in the study will have access to the participants' data. The data will be collected and temporarily stored at Charles Drew Health Center (the recruitment site). The participants' data will be stored and analyzed at the Center to Reduce Health Disparities/University of Nebraska Medical Center.

Publications

  • Sinkewicz M, Lee R. Prevalence, Comorbidity, and Course of Depression Among Black Fathers in the United States. Research on Social Work Practice 21(3): 289-297, 2011.

  • Klonoff EA, Landrine H, & Ullman JB. Racial discrimination and psychiatric symptoms among Blacks. Cultural Diversity and Ethnic Minority Psychology 5: 329-339, 1999.

  • Landrine H, Elisabeth A, Klonoff EA. The Schedule of Racist Events: A Measure of Racial Discrimination and a Study of Its Negative Physical and Mental Health Consequences. Journal of Black Psychology 22: 144-168, 1996.

  • Clifford LB, Mavaddat R, Hsu SY. The Experience and Consequences of Perceived Racial Discrimination: A Study of African Americans. Journal of Black Psychology 26: 165-180, 2000.

  • Sellers SL, Bonham V, Neighbors HW, Amell JW. Effects of racial discrimination and health behaviors on mental and physical health of middle-class African American men. Health Educ Behav. 2009 Feb;36(1):31-44. doi: 10.1177/1090198106293526. Epub 2006 Nov 27.

    PubMed 17130248
  • Rosin RD. Perspectives--IJS Issue No. 4, 2009. Int J Surg. 2009 Aug;7(4):277-8. doi: 10.1016/j.ijsu.2009.07.007. Epub 2009 Jul 23. No abstract available.

    PubMed 19631298
  • DeNavas-Walt C, Proctor PD, Smith J. Income, poverty, and health insurance coverage in the United States: 2006. Washington, DC: U.S. Census Bureau. 2007.

  • Huang CC, Warner LA. Relationship characteristics and depression among fathers with newborns. Soc Serv 79: 95-118, 2005.

  • DeKlyen M, Brooks-Gunn J, McLanahan S, Knab J. The mental health of married, cohabiting, and non-coresident parents with infants. Am J Public Health. 2006 Oct;96(10):1836-41. doi: 10.2105/AJPH.2004.049296. Epub 2006 Mar 29.

    PubMed 16571717
  • Amrock SM, Weitzman M. Parental psychological distress and children's mental health: results of a national survey. Acad Pediatr. 2014 Jul-Aug;14(4):375-81. doi: 10.1016/j.acap.2014.02.005. Epub 2014 May 29.

    PubMed 24882378
  • Paulson JF, Dauber S, Leiferman JA. Individual and combined effects of postpartum depression in mothers and fathers on parenting behavior. Pediatrics. 2006 Aug;118(2):659-68. doi: 10.1542/peds.2005-2948.

    PubMed 16882821
  • Kane P, Garber J. The relations among depression in fathers, children's psychopathology, and father-child conflict: a meta-analysis. Clin Psychol Rev. 2004 Jul;24(3):339-60. doi: 10.1016/j.cpr.2004.03.004.

    PubMed 15245835
  • Das Eiden R, Leonard KE. Paternal alcoholism, parental psychopathology, and aggravation with infants. J Subst Abuse. 2000;11(1):17-29. doi: 10.1016/s0899-3289(99)00016-4.

    PubMed 10756511
  • McMahon TJ, Winkel JD, Rounsaville BJ. Drug abuse and responsible fathering: a comparative study of men enrolled in methadone maintenance treatment. Addiction. 2008 Feb;103(2):269-83. doi: 10.1111/j.1360-0443.2007.02075.x.

    PubMed 18199306
  • Beardslee WR, Gladstone TR, Wright EJ, Cooper AB. A family-based approach to the prevention of depressive symptoms in children at risk: evidence of parental and child change. Pediatrics. 2003 Aug;112(2):e119-31. doi: 10.1542/peds.112.2.e119.

    PubMed 12897317

Questions about this trial

What is this clinical trial studying?

A study testing FFL + Cognitive Behavioral Therapy and Fathers for a Lifetime (FFL) only in people with Mental Health Wellness 1, run by University of Nebraska at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 29 Sep 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Attrition (time frame: 12 weeks post-randomization). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03552783, which also lists 51 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Sep 2023.

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