AzTrials
AzTrials

Mental Health IssueWODNCT04813042

Determining the Effectiveness of Working Out Dads to Reduce Mental Health Difficulties in Fathers of Young Children

A study testing Working Out Dads in people with Mental Health Issue, run by Murdoch Childrens Research Institute at 1 site in Australia.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

This is an individually randomised trial, where Working Out Dads (WOD) will be delivered as a group intervention. Participants will be randomised to one of two groups: either WOD or usual care.The trial aims to test the effectiveness and cost-effectiveness of WOD, a 6-week week group-based peer support intervention… Read more about this study

Who is it for?
Ages 18 years and older, men onlyHealthy volunteers can take part
Conditions the study is for
Mental Health Issue
What is being tested?
Working Out Dads
Could I receive a placebo?
No, everyone receives an active treatment
How many people
293 participants
Where
1 siteAustralia
Study dates
24 Jun 2021to 30 Nov 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

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

Who may be able to join

  • Be aged 18 years or older
  • Be biological or step-father, or male caregiver of a child aged 0-4 years
  • Be in regular weekly contact with the child, even if non-resident parent
  • Be sufficiently fluent in English to complete surveys and participate in the intervention
  • Have mental health difficulties above the symptomatic cut-point (score of 20+) on the K10.
  • AND/OR
  • Have at least two risk factors for poor mental health/suicide including: (a) history of mental health difficulties; (b) relationship difficulties; (c) high work-related stress; (d) unemployment; or (e) have a child with sleep difficulties, a disability, chronic illness or other special health care need.

Who cannot join

  • Has a severe mental health disorder - self reported psychosis, substance use dependency, prescribed anti-psychotic medication that may require more intensive mental health interventions and treatment
  • Has an overt indicator of family violence - self-reported intervention order or court case for family violence
  • Has child protection service involvement

Trial locations and contacts

1 site in 1 country.

Australia1 site
  • Murdoch Children's Research Institute

    Parkville, Victoria, 3052

Other trials in Australia

About this study

Official title: The Working Out Dads (WOD) Trial: Comparing the Effectiveness of a Group Peer-Support Intervention (WOD) With Usual Care in Reducing the Mental Health Difficulties of Fathers of Young Children

This is an individually randomised trial, where Working Out Dads (WOD) will be delivered as a group intervention. Participants will be randomised to one of two groups: either WOD or usual care.The trial aims to test the effectiveness and cost-effectiveness of WOD, a 6-week week group-based peer support intervention, in reducing fathers' mental health difficulties in early parenthood.

Read the detailed description

This is an individually randomised trial, where Working Out Dads (WOD) will be delivered as a group intervention.

The primary aim of this study is to test the effectiveness and cost-effectiveness of WOD in reducing fathers' mental health difficulties in early parenthood. A second aim is to identify barriers and facilitators for sustained use and scalability of the WOD program and its adaptation across Victoria and Australia in the future.

Participants will be 280 fathers of young children (0-4 years) who are experiencing mental health difficulties or at risk of poor mental health and suicide. Approximately 140 fathers will be randomised to WOD, and 140 fathers randomised to usual care.

Fathers will be recruited from four Victorian Local Government Areas (LGAs): Wyndham, Whittlesea, Geelong, and Ballarat. Within these sites, fathers will be recruited through maternal and child health, medical and family support services.

Data will be collected via self-report surveys at baseline, 10 weeks, 24 weeks, 18 months, and 3 years. The assessment at 24 weeks will also include a telephone interview with a researcher (blinded) to assess mental health. In August 2022, an optional 72-week follow-up was added to the study design.

Participants will be randomised in a 1:1 ratio to the two treatment arms. A statistician not directly involved in the analysis of the trial results will prepare the randomisation schedule using permuted block randomisation, stratified by LGA, using a random number generator on a computer. The schedule will be held by the independent statistician and embedded within the web-based data management system.

Treatment arms:

Intervention condition - WOD: Fathers will attend a WOD group within approximately two weeks of randomisation and within four weeks of baseline assessment. WOD is a 6-week group-based peer support intervention. WOD's weekly sessions consists of 1-hour group discussion focused on common challenges and risk factors for poor mental health in early fatherhood, followed by a 30-minute group exercise session. Fathers in the WOD intervention condition will also have access to online resources and a father-managed WhatsApp group.

Usual care condition: Fathers will receive the clinical care typically provided by an early parenting or community health service to parents experiencing mental health difficulties. Within two weeks of baseline assessment, Tweddle's Clinical Manager will conduct a brief telephone consultation to: (a) enquire about mental health symptoms and conduct a risk assessment for suicidal ideation; (b) provide referral options to telephone support services (e.g., PANDA, MensLine); and (c) encourage visiting a general practitioner to discuss accessing a mental health care plan.

Being tested
Working Out Dads, Usual care
Keywords
mental health, fathers, men, early fatherhood, peer group intervention
Medical subject headings
Psychological Well-Being, Multiple Endocrine Neoplasia Type 1

What participants receive

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

  • Working Out DadsBehavioural

    The WOD is a manualised group intervention underpinned by solution-focused therapy and social cognitive theories. Psychoeducation about the transition to fatherhood and its potential impacts on wellbeing and family relationships is provided. Fathers are encouraged to share practical ideas for managing stress, revisit previous strategies, validate what they are doing well, and explore solutions.

    The group discussion is followed by a structured group fitness session provided by a personal trainer. This session focuses on body weight exercises, cardio-based activities, stretching, mobility and incidental activity.

    Fathers in the WOD study arm receive 10 weeks of encouraging text messages - one each week during the intervention, and four in the weeks after. These will be sent via the WhatsApp group created for each WOD group. These text messages and the WhatsApp group are designed to facilitate fathers' active engagement with the intervention, and to maintain contact with each other.

  • Usual careBehavioural

    Also called Talking about being a Dad

    The Usual Care arm, also known as 'Talking about being dad' comprises a telephone consultation with a qualified mental health professional. Topics including in this consultation include: (a) discuss family and fathering; (b) health and wellbeing; (c) mental health symptoms and conduct a risk assessment for suicidal ideation; (d) current supports and support needs; (e) provide referral options to telephone support services (PANDA; MensLine); and (f) encourage a general practitioner visit to discuss a mental health care plan.

Study groups in NCT04813042
Study groupRoleWhat they receive
Working Out DadsExperimentalFathers allocated to the Working Out Dads (WOD) arm will receive the intervention program. WOD is a 6-week manualised program. The weekly 90 minute sessions combine a one hour facilitated discussion by a male facilitator trained in delivery of WOD and a 30-minute gym workout provided by a personal trainer. The group size ranges from 6-10 fathers, with 14 groups running over the study period. The weekly sessions are provided in the evenings, in local gyms or a community setting (e.g., maternal child health centre, local council rooms, local hall, local park, Tweddle Child \& Family Health Service).
Receives: Behavioral: Working Out Dads
Usual CareActive comparatorFathers allocated to the Usual Care arm will receive the clinical care typically provided to parents experiencing mental health difficulties by an Early Parenting Centre or community health service. Within 2 weeks of baseline assessment, Usual Care participants will receive a brief psychological consultation from Tweddle's Clinical Manager.
Receives: Behavioral: Usual care

What is being measured

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

  1. Kessler Psychological Distress Scale, mean difference in total scale scores between the Working Out Dads and Usual Care arms

    The 10-item Kessler Psychological Distress Scale (K10) assesses depressive and anxiety symptoms in the last 4 weeks. Scores range from 10-50 with higher scores indicating greater levels of psychological distress. Rationale: The K10 is widely used in clinical trials for common mental health disorders, and is consistent with a transdiagnostic approach proposing a common set of psychological distress symptoms underlie mood and anxiety disorders.

    Measured: post intervention at week 24

Secondary outcomes (47)
  1. The Mini International Neuropsychiatric Interview mean difference in proportion of depressive, suicidal, and anxiety mental health disorders between Working Out Dads and Usual Care arms

    The Mini International Neuropsychiatric Interview (MINI) will be used to determine clinically significant depressive, suicidal or anxiety mental health disorders. Administered via telephone by trained staff, this 15-minute structured diagnostic interview assesses 17 common DSM-5 and ICD-10 psychiatric disorders. It is well validated for use in clinical trials and epidemiological studies. In this prevention trial, we predict a higher proportion of fathers in the usual care arm (vs. the intervention arm) will have ongoing or emerging clinically significant depressive, suicidal or anxiety mental health disorders by 6 months

    Measured: post intervention at week 24

  2. The Depression Anxiety Stress Scale-21mean difference scale scores between Working Out Dads and Usual Care arms

    The Depression Anxiety Stress Scale-21 (DASS-21) assesses symptoms of depression, anxiety, and stress in the past week (21 items). Scores on each scale range from 0-42 with higher scores indicating a greater severity of symptoms.Clinical ranges are available. Excellent reliability and validity has been demonstrated in Australian population-based samples. The DASS-21 is routinely used by early parenting services.

    Measured: post intervention at week 10

  3. The Depression Anxiety Stress Scale-21 mean difference scale scores between the Working Out Dads and Usual Care arms

    The Depression Anxiety Stress Scale-21 (DASS-21) assesses symptoms of depression, anxiety, and stress in the past week (21 items). Scores on each scale range from 0-42 with higher scores indicating a greater severity of symptoms. Clinical ranges are available. Excellent reliability and validity has been demonstrated in Australian population-based samples. The DASS-21 is routinely used by early parenting services.

    Measured: post intervention at week 24

  4. The Depression Anxiety Stress Scale-21 mean difference scale scores between the Working Out Dads and Usual Care arms

    The Depression Anxiety Stress Scale-21 (DASS-21) assesses symptoms of depression, anxiety, and stress in the past week (21 items). Scores on each scale range from 0-42 with higher scores indicating a greater severity of symptoms. Clinical ranges are available. Excellent reliability and validity has been demonstrated in Australian population-based samples. The DASS-21 is routinely used by early parenting services.

    Measured: post intervention at week 72

  5. The Suicidal Ideation Attributes Scale mean difference in total scale scores between the Working Out Dads and Usual Care arms

    The Suicidal Ideation Attributes Scale is a 5-item screener for the presence and severity of suicidal thoughts in the last month based on frequency, controllability, closeness to attempt, level of distress, and impact on daily functioning. Scores range from 0-50 with higher scores indicating a greater severity of suicidal ideation. Any ideation is indicative of risk for suicidal behaviour; scores >21 indicate high risk. Online administration has been validated (N=1352 Australian adults), and it has excellent reliability (Cronbach α=0.91) and validity.

    Measured: post intervention at week 10

  6. The Suicidal Ideation Attributes Scale mean difference in total scale scores between the Working Out Dads and Usual Care arms

    The Suicidal Ideation Attributes Scale is a 5-item screener for the presence and severity of suicidal thoughts in the last month based on frequency, controllability, closeness to attempt, level of distress, and impact on daily functioning. Scores range from 0-50 with higher scores indicating a greater severity of suicidal ideation. Any ideation is indicative of risk for suicidal behaviour; scores >21 indicate high risk. Online administration has been validated (N=1352 Australian adults), and it has excellent reliability (Cronbach α=0.91) and validity.

    Measured: post intervention at week 24

  7. The Suicidal Ideation Attributes Scale mean difference in total scale scores between the Working Out Dads and Usual Care arms

    The Suicidal Ideation Attributes Scale is a 5-item screener for the presence and severity of suicidal thoughts in the last month based on frequency, controllability, closeness to attempt, level of distress, and impact on daily functioning. Scores range from 0-50 with higher scores indicating a greater severity of suicidal ideation. Any ideation is indicative of risk for suicidal behaviour; scores >21 indicate high risk. Online administration has been validated (N=1352 Australian adults), and it has excellent reliability (Cronbach α=0.91) and validity.

    Measured: post intervention at week 72

  8. The Medical Outcomes Study-Social Support Survey mean difference in total scale scores between the Working Out Dads and Usual Care arms

    The Medical Outcomes Study-Social Support Survey (MSSS). The 14 items assess tangible, emotional, affective and positive support. Scores range from 14-70 with higher scores indicating greater levels of perceived social support. Excellent reliability (Cronbach's α=0.88) and validity have been established.

    Measured: post intervention at week 24

  9. The Medical Outcomes Study-Social Support Survey mean difference in total scale scores between the Working Out Dads and Usual Care arms

    The Medical Outcomes Study-Social Support Survey (MSSS). The 14 items assess tangible, emotional, affective and positive support. Scores range from 14-70 with higher scores indicating greater levels of perceived social support. Excellent reliability (Cronbach's α=0.88) and validity have been established.

    Measured: post intervention at week 10

  10. The Medical Outcomes Study-Social Support Survey mean difference in total scale scores between the Working Out Dads and Usual Care arms

    The Medical Outcomes Study-Social Support Survey (MSSS). The 14 items assess tangible, emotional, affective and positive support. Scores range from 14-70 with higher scores indicating greater levels of perceived social support. Excellent reliability (Cronbach's α=0.88) and validity have been established.

    Measured: post intervention at week 72

  11. Perceived Need for Care Questionnaire (modified version), mean difference in proportion with unmet need between the Working Out Dads and Usual Care arms

    A modified version of the Perceived Need for Care Questionnaire will be used to ask fathers if they needed mental health care but could not access (same time period). Fathers will be as either as either 0= having no unmet need, or 1= having unmet needs.

    Measured: post intervention at week 24

  12. Perceived Need for Care Questionnaire (modified version), mean difference in proportion with unmet need between the Working Out Dads and Usual Care arms

    A modified version of the Perceived Need for Care Questionnaire will be used to ask fathers if they needed mental health care but could not access (same time period). Fathers will be as either as either 0= having no unmet need, or 1= having unmet needs.

    Measured: post intervention at week 72

  13. The Revised Attitudes Towards Seeking Professional Psychological Help Scale mean difference in total scale scores between the Working Out Dads and Usual Care arms

    The 10-item Revised Attitudes Towards Seeking Professional Psychological Help Scale.Scores range from 0-30 with higher scores indicating a more positive attitude towards help-seeking. Excellent reliability has been established in Australian samples (Cronbach's α=0.77).

    Measured: post intervention at week 24

  14. The Karitane Parenting Confidence Scale mean difference in total scale scores between the Working Out Dads and Usual Care arms

    The Karitane Parenting Confidence Scale (KPCS) is a 15-item measure that assesses parents' perceived parenting self-efficacy or sense of competence in their parenting abilities. Scores range from 0-45 with higher scores indicating a greater level of parenting self-efficacy. The scale has documented excellent internal consistency, test-retest reliability, convergent and discriminant validity with mothers of young children.

    Measured: post intervention at week 24

  15. The Child-Parent Relationship Scale- short form mean difference in total scale scores between the Working Out Dads and Usual Care arms

    The Child-Parent Relationship Scale- short form (CPRS) is a 15-item measure which assess parents' perceptions of their relationship with their child. The measure is comprised of two subscales: closeness and conflict. Scores on the Conflict subscale range between 8-40 with higher scores indicating greater levels of perceived parent-child conflict. Scores on the closeness subscale range between 7-35 with higher scores indicating greater parent-child closeness.

    Measured: post intervention at week 24

  16. Health Service Use cost, mean difference in cost of healthcare use between the Working Out Dads and Usual Care arms

    Service use will be assessed by self-reported cost of healthcare services accessed (prior to baseline and during the study period) and by examination of Medicare data. Higher cost will indicate a greater expense of health care use.

    Measured: post intervention at week 24

  17. Health Service Use, mean difference in number of healthcare use between the Working Out Dads and Usual Care arms

    Service use will be assessed by self-reported number of healthcare services accessed (prior to baseline and during the study period) and by examination of Medicare data. Higher numbers will indicate a higher frequency of health care use.

    Measured: post intervention at week 24

  18. Health Service Use, mean difference in number of healthcare use between the Working Out Dads and Usual Care arms

    Service use will be assessed by self-reported number of healthcare services accessed (prior to baseline and during the study period) and by examination of Medicare data. Higher numbers will indicate a higher frequency of health care use.

    Measured: post intervention at week 72

  19. The Assessment of Quality of Life 8 dimension, mean difference in preference weighted health related quality of life utility scores between the Working Out Dads and Usual Care arms

    The Assessment of Quality of Life 8 dimension (AQoL-8D), is a validated tool assessing quality of life impacts in the economic evaluation. Australian population normative data are available and will be used to determine preference weighted health related quality of life utility scores ranging from 0-1 with higher scores indicating higher quality of life. The AQoL-8D is particularly suited to measuring mental health aspects of quality of life.

    Measured: post intervention at week 24

  20. The Assessment of Quality of Life 8 dimension, mean difference in preference weighted health related quality of life utility scores between the Working Out Dads and Usual Care arms

    The Assessment of Quality of Life 8 dimension (AQoL-8D), is a validated tool assessing quality of life impacts in the economic evaluation. Australian population normative data are available and will be used to determine preference weighted health related quality of life utility scores ranging from 0-1 with higher scores indicating higher quality of life. The AQoL-8D is particularly suited to measuring mental health aspects of quality of life.

    Measured: post intervention at week 72

  21. The Kessler Psychological Distress Scale mean difference in total scale scores between the Working Out Dads and Usual Care arms

    The 10-item Kessler Psychological Distress Scale (K10). assesses depressive and anxiety symptoms in the last 4 weeks. Scores range from 10-50 with higher scores indicating greater levels of psychological distress. Rationale: The K10 is widely used in clinical trials for common mental health disorders, and is consistent with a transdiagnostic approach proposing a common set of psychological distress symptoms underlie mood and anxiety disorders.

    Measured: post intervention at week 10

  22. The Kessler Psychological Distress Scale mean difference in total scale scores between the Working Out Dads and Usual Care arms

    The 10-item Kessler Psychological Distress Scale (K10). assesses depressive and anxiety symptoms in the last 4 weeks. Scores range from 10-50 with higher scores indicating greater levels of psychological distress. Rationale: The K10 is widely used in clinical trials for common mental health disorders, and is consistent with a transdiagnostic approach proposing a common set of psychological distress symptoms underlie mood and anxiety disorders.

    Measured: post intervention at week 72

  23. Health behaviours mean differences in summed scores between the Working Out Dads and Usual Care arms

    Questions related to alcohol use and physical activity from the AUDIT-C and Active Australia Study, respectively, have been included. Seven study designed items have been developed to ask fathers about the extent to which they are engaging in positive health behaviours (e.g., had enough rest and sleep, exercised regularly, had time to self, spent time with family, friends, and partner).

    Measured: post intervention at week 72

  24. Me as a Parent Scale mean difference in total scale scores between the Working Out Dads and Usual Care arms.

    The Me as a Parent Scale (MaaPS) is a 16-item scale assessing parent beliefs about self-efficacy, personal agency, self-management and self-sufficiency.

    Measured: post intervention at week 72

  25. Child-Parent Relationhip Scale mean difference in total scale scores between the Working Out Dads and Usual Care arms.

    The Child-Parent Relationship Scale- short form (CPRS)[39] is a 15-item measure which assess parents' perceptions of their relationship with their child.

    Measured: post intervention at week 72

  26. Parenting Warmth, hostility and engagement in home learning activities- mean difference in total summed scores between the Working Out Dads and Usual Care arms.

    Parenting hostility will be assessed using four adapted items from the Early Childhood Longitudinal Study of Children. Fathers will rate how often they engage in hostile behaviours during interactions with their child. Parenting warmth will be assessed using a modified six-item subscale from the Child Rearing Questionnaire. Fathers will indicate how often they feel close to and express affection toward their child. Parental Involvement Scale is a five-item scale taken from the Growing Up in Australia: Longitudinal Study of Australian Children assessing the frequency in which parents have done the following activities with their child: read from a book, told a story (not from a book), played with toys/games indoors (e.g., board/card games), involved them in everyday activities at home (e.g., cooking/caring for pets), and played a game outdoors or exercise together (e.g., walking, swimming).

    Measured: post intervention at week 72

  27. Uptake of father specific supports and/or activities- mean difference in number of activities taken up between the Working Out Dads and Usual Care arms.

    Study specific questions have been developed to ask fathers about what activities (e.g., joined a fathers' group, stayed in contact with other fathers) they have engaged in since participating in WOD or usual care.

    Measured: post intervention at week 72

  28. The Depression Anxiety Stress Scale-21 mean difference scale scores between the Working Out Dads and Usual Care arms

    The Depression Anxiety Stress Scale-21 (DASS-21) assesses symptoms of depression, anxiety, and stress in the past week (21 items). Scores on each scale range from 0-42 with higher scores indicating a greater severity of symptoms. Clinical ranges are available. Excellent reliability and validity has been demonstrated in Australian population-based samples. The DASS-21 is routinely used by early parenting services.

    Measured: post intervention at 156 weeks (3 years)

  29. The Suicidal Ideation Attributes Scale mean difference in total scale scores between the Working Out Dads and Usual Care arms

    The Suicidal Ideation Attributes Scale is a 5-item screener for the presence and severity of suicidal thoughts in the last month based on frequency, controllability, closeness to attempt, level of distress, and impact on daily functioning. Scores range from 0-50 with higher scores indicating a greater severity of suicidal ideation. Any ideation is indicative of risk for suicidal behaviour; scores >21 indicate high risk. Online administration has been validated (N=1352 Australian adults), and it has excellent reliability (Cronbach α=0.91) and validity.

    Measured: post intervention at week 156 (3 years)

  30. The Medical Outcomes Study-Social Support Survey mean difference in total scale scores between the Working Out Dads and Usual Care arms

    The Medical Outcomes Study-Social Support Survey (MSSS). The 14 items assess tangible, emotional, affective and positive support. Scores range from 14-70 with higher scores indicating greater levels of perceived social support. Excellent reliability (Cronbach's α=0.88) and validity have been established.

    Measured: post intervention at week 156 (3 years)

  31. Perceived Need for Care Questionnaire (modified version), mean difference in proportion with unmet need between the Working Out Dads and Usual Care arms

    A modified version of the Perceived Need for Care Questionnaire will be used to ask fathers if they needed mental health care but could not access (same time period). Fathers will be as either as either 0= having no unmet need, or 1= having unmet needs.

    Measured: post intervention at week 156 (3 years)

  32. The Child-Parent Relationship Scale- short form mean difference in total scale scores between the Working Out Dads and Usual Care arms

    The Child-Parent Relationship Scale- short form (CPRS) is a 15-item measure which assess parents' perceptions of their relationship with their child. The measure is comprised of two subscales: closeness and conflict. Scores on the Conflict subscale range between 8-40 with higher scores indicating greater levels of perceived parent-child conflict. Scores on the closeness subscale range between 7-35 with higher scores indicating greater parent-child closeness.

    Measured: post intervention at week 156 (3 years)

  33. Health Service Use, mean difference in number of healthcare use between the Working Out Dads and Usual Care arms

    Service use will be assessed by self-reported number of healthcare services accessed (prior to baseline and during the study period). An adapted reduced number if items will be used for the 3 year follow up. Higher numbers will indicate a higher frequency of health care use.

    Measured: post intervention at week 156 (3 years)

  34. The Kessler Psychological Distress Scale mean difference in total scale scores between the Working Out Dads and Usual Care arms

    The 10-item Kessler Psychological Distress Scale (K10). assesses depressive and anxiety symptoms in the last 4 weeks. Scores range from 10-50 with higher scores indicating greater levels of psychological distress. Rationale: The K10 is widely used in clinical trials for common mental health disorders, and is consistent with a transdiagnostic approach proposing a common set of psychological distress symptoms underlie mood and anxiety disorders.

    Measured: post intervention at week 156 (3 years)

  35. Me as a Parent Scale mean difference in total scale scores between the Working Out Dads and Usual Care arms.

    The Me as a Parent Scale (MaaPS) is a 16-item scale assessing parent beliefs about self-efficacy, personal agency, self-management and self-sufficiency.

    Measured: post intervention at week 156 (3 years)

  36. Parenting Warmth, hostility and engagement in home learning activities- mean difference in total summed scores between the Working Out Dads and Usual Care arms.

    Parenting hostility will be assessed using four adapted items from the Early Childhood Longitudinal Study of Children. Fathers will rate how often they engage in hostile behaviours during interactions with their child. Parenting warmth will be assessed using a modified six-item subscale from the Child Rearing Questionnaire. Fathers will indicate how often they feel close to and express affection toward their child. Parental Involvement Scale is a five-item scale taken from the Growing Up in Australia: Longitudinal Study of Australian Children assessing the frequency in which parents have done the following activities with their child: read from a book, told a story (not from a book), played with toys/games indoors (e.g., board/card games), involved them in everyday activities at home (e.g., cooking/caring for pets), and played a game outdoors or exercise together (e.g., walking, swimming).

    Measured: post intervention at week 156 (3 years)

  37. Uptake of father specific supports and/or activities- mean difference in number of activities taken up between the Working Out Dads and Usual Care arms.

    Study specific questions have been developed to ask fathers about what activities (e.g., joined a fathers' group, stayed in contact with other fathers) they have engaged in since participating in WOD or usual care.

    Measured: post intervention at week 156 (3 years)

  38. Perceived burdensomeness and thwarted belongingness difference in mean item response scores between the Working Out Dads and Usual Care arms.

    The Interpersonal Needs Questionnaire (INQ) (45) is a 15-item measure that assesses perceived burdensomeness (6 items) and thwarted belongingness (9 items), constructs that are proximal causes of desire for suicide. Participants rate items such as "These days the people in my life would be better off if I were gone" on a seven-point scale ranging from 1 "Not at all true for me", through 4 "Somewhat true for me", to 7 "Very true for me". Items are scored as a mean item response with higher scores indicating higher perceived burdensomeness and thwarted belongingness. This measure has been well validated for use in Western populations and has demonstrated good internal consistency, and construct, factorial, and convergent validity. (45)

    Measured: post intervention at week156 (3 years)

  39. professional help-seeking attitudes- mean difference in total scale scores between the Working Out Dads and Usual Care arms

    The Barriers to Help Seeking Scale (BHSS)[33]. The 31-items measure men's perceived barriers to help-seeking for a wellbeing problem. The scale comprises of five subscales: (a) Need for Control and Self-reliance; (b) Minimizing Problems and Resignation; (c) Concrete Barriers and Distrust of Caregivers; (d) Privacy; and (e) Emotional Control. Good construct validity for subscales has been reported along the validity between BHHS and other measures of gender role conflict and attitudes to help-seeking.

    Measured: post intervention at week 156 (3 years)

  40. professional help-seeking attitudes- mean difference in total scale scores between the Working Out Dads and Usual Care arms

    The Barriers to Help Seeking Scale (BHSS)[33]. The 31-items measure men's perceived barriers to help-seeking for a wellbeing problem. The scale comprises of five subscales: (a) Need for Control and Self-reliance; (b) Minimizing Problems and Resignation; (c) Concrete Barriers and Distrust of Caregivers; (d) Privacy; and (e) Emotional Control. Good construct validity for subscales has been reported along the validity between BHHS and other measures of gender role conflict and attitudes to help-seeking.

    Measured: post intervention at week 24 weeks

  41. Co-parenting. The Coparenting Relationship Scale, mean difference in subscale scores between WODand the Usual careintervention arms.

    The Coparenting Relationship Scale consists of 35 items (e.g., my co-parent asks my opinion on issues related to parenting, my co-parent has lots of patience with our child, my relationship with my co-parent is stronger now than before we had a child), comprising seven subscales (Coparenting Agreement, Coparenting Closesness, Exposure to Conflict, Coparenting Support, Coparenting Undermining, Endorse Co-parent Parenting, and Division of Labor). Each item is rated on a 7-point scale, ranging from 0=Not true of us/Never to 6=Very true of us/Often. Particular items are reverse scored, and then summed. The scale is ideal for examining the role of coparenting in diverse family contexts. The subscales have excellent internal reliability with parent populations in the US and Australia.

    Measured: 156 - weeks post randomisation - (3 years)

  42. Interparental conflict. mean difference in total scale scores on the Co-parental Communication Scale between the Working Out Dads and Usual Care arms

    IPC will be assessed using a subscale from the Co-parental Communication Scale used in the Longitudinal Study of Australian Children. This scale consists of five items assessing how often parents engage in verbal conflict (e.g. 'How often do you argue?') and one item assessing how often they engage in physical conflict (e.g. 'How often do you have arguments with your partner that end up with people pushing, hitting, kicking or shoving?'). The items are rated on a 5-point scale from 1 = never to 5 = always. Items scores were summed, with higher scores indicating more frequent IPC. The scale has excellent reliability and validity in Australian father populations .

    Measured: post intervention at week 156 (3 years)

  43. Work to family conflict mean difference in total scores across 4 adapted items between the Working Out Dads and Usual Care arms

    A 4-item adaptation of the scales authored by Marshall and Barnett will assess employment-related constraints on family life and parenting (e.g., 'Because of my work responsibilities, I have missed out on home or family activities that I would like to take part in) and constraints from family responsibilities that affect employment (e.g. 'Because of my family responsibilities, my work time is less enjoyable and more pressured). The items are rated on a 5 point scale ranging from 1 = strongly disagree to 5 = strongly agree, creating a total scale score with higher scores indicating more work-family conflict. The scale has excellent internal reliability in Australian parent populations.

    Measured: post intervention at week 156 (3 years)

  44. Total difficulticulties mean difference in total scores between the Working Out Dads and Usual Care arms

    The Strengths and Difficulties Questionnaire Parent version is a widely used tool designed to assess psychological adjustment in children. The measure consists of 25-items divided into five subscales: emotional symptoms, conduct problems, hyperactivity-inattention, peer problems and prosocial behaviour. The first four of these 5-item subscales can be totaled to provide a total difficulties score with higher scores indicating more difficulty. This measure has been extensively validated, including in Australian populations and has demonstrated strong internal reliability across subscales, as well as sound internal and external validity.

    Measured: post intervention at week 156 (3 years)

  45. positive health behaviours mean difference in total scores between the Working Out Dads and Usual Care arms

    Questions related to alcohol use and physical activity from the AUDIT-C and Active Australia Study, respectively, have been included. Seven study designed items have been developed to ask fathers about the extent to which they are engaging in positive health behaviours (e.g., had enough rest and sleep, exercised regularly, had time to self, spent time with family, friends, and partner). An open-ended question about self-care has also been included.

    Measured: post intervention at week 156 (3 years)

  46. Difference in occurance of self-harm ideation or behaviour between the Working Out Dads and Usual Care arms

    Two items adapted from LSAC study derived measures will be asked to assess whether participants have either thought about, or intentionally hurt themselves during the past 12 months. Participants respond with either yes or no to both items

    Measured: post intervention at week 156 (3 years)

  47. Difference in occurance of lietime suicide attempt between the Working Out Dads and Usual Care arms

    Participants will be asked if they have ever made a suicide attempt during their lifetime using a single item from Ten to Men

    Measured: post intervention at week 156 (3 years)

Timeline

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

  1. First posted24 Mar 2021
  2. Study start24 Jun 2021
  3. Primary completion31 May 2024
  4. Study completion30 Nov 2026 (estimated)

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
This is a parallel group randomised controlled trial. The treatment (Working Out Dads 6-week group intervention) will be compared to usual care (brief consultation + resources + referral). Randomisation and analyses will be at the level of the individual participant and adjusted for clustering at the level of the WOD group and Local Government Area (LGA) as a stratification variable. For the primary analysis, the model based mean K10 score in each trial arm will be compared at post-intervention and at the 6-month follow-up (primary outcome).
Masking
None (open label)
Enrolment
293 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04813042
Sponsor's protocol ID
69411
Acronym
WOD
Status last verified
Dec 2025
First submitted
10 Mar 2021
Last updated
8 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: The de-identified data set collected for analysis of the WOD Trial will be available for six months after publication of the primary outcome. The study protocol, data dictionary and analysis plan will also be made available. Medicare and Pharmaseutical Benefits Scheme data will not be available. The de-identified data set will only be made available to researchers from a recognised research institute: (i) who sign a data access agreement accepting MCRI's conditions for access and appropriate acknowledgement, (ii) whose proposed use and analysis plan has been approved by the Sponsor Investigator and the Trial Steering Committee, and (iii) whose proposed use has been reviewed and accepted by the Royal Children's Hospital Human Research Ethics Committee.

Publications

  • Giallo R, Seymour M, Fogarty A, Hosking C, Williams LA, Cooklin A, Grobler A, Ride J, Leach L, Oldenburg B, Wood C, Borschmann R, O'Brien J, Evans K, Treyvaud K, Garfield C, Brown S, Nicholson J. Working out dads (WOD): a study protocol for a randomised controlled trial of a group-based peer support intervention for men experiencing mental health difficulties in early fatherhood. BMC Psychiatry. 2022 Feb 12;22(1):111. doi: 10.1186/s12888-022-03698-5.

    PubMed 35151305

Questions about this trial

What is this clinical trial studying?

A study testing Working Out Dads in people with Mental Health Issue, run by Murdoch Childrens Research Institute at 1 site in Australia.

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 7 inclusion and 3 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: under way, not looking for participants, as of the sponsor's last update on 8 Oct 2026. 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 Australia. 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?

This study is still under way. Results are not available in the source record yet.

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?

Kessler Psychological Distress Scale, mean difference in total scale scores between the Working Out Dads and Usual Care arms (time frame: post intervention at week 24). 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 NCT04813042, which also lists 1 linked publication.

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 8 Oct 2026.

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