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Working out dads (WOD): a study protocol for a randomised controlled trial of a group-based peer support intervention
Rebecca Giallo1,2,3, Monique Seymour4, Alison Fogarty4
1Murdoch Children's Research Institute, 50 Flemington Road, Parkville, Victoria, 3052, Australia. rebecca.giallo@mcri.edu.au.
Insights
New fathers experiencing mental health issues can benefit from the Working Out Dads (WOD) peer support program. This study evaluates WOD
Area of Science:
- Mental Health Research
- Public Health Interventions
- Perinatal Psychiatry
Background:
- Paternal mental health challenges affect 1 in 10 new fathers, impacting families and children.
- Evidence-based interventions for fathers' mental health are scarce.
- Early intervention is crucial for paternal well-being and child development.
Purpose of the Study:
- To assess the effectiveness of the Working Out Dads (WOD) peer support group intervention.
- To evaluate the cost-effectiveness of WOD for fathers of young children.
- To reduce psychological distress and mental health symptoms in new fathers.
Main Methods:
- A parallel-arm randomized controlled trial (RCT) comparing WOD to usual care.
- 280 fathers of young children (0-4 years) at risk for or experiencing mental health difficulties.
- Primary outcome: Psychological distress (Kessler Psychological Distress Scale - K10) at 24 weeks.
Main Results:
- The study will provide data on the effectiveness of WOD in reducing paternal psychological distress.
- Secondary outcomes include suicidal ideation, depression, anxiety, stress, social support, and quality of life.
- Economic evaluation will assess health service use and healthcare costs.
Conclusions:
- This trial examines a novel group-based peer support intervention for fathers' mental health.
- Findings will inform policy and potential large-scale implementation of the WOD program.
- The study aims to improve mental health outcomes for fathers and their families.
Background:
Approximately one in ten men experience mental health difficulties during the early years of fatherhood, and these can have negative impacts on children and families. However, few evidence-based interventions targeting fathers' mental health are available. The aim of the trial is to evaluate the effectiveness and cost-effectiveness of Working Out Dads (WOD) - a facilitated peer support group intervention for fathers of young children, in reducing psychological distress and other mental health symptoms.
Methods:
This trial will employ a parallel-arm randomised controlled trial (RCT) to evaluate the effectiveness and cost effectiveness of WOD peer support group intervention compared to usual care (a 30-min mental health and service focused phone consultation with a health professional). A total of 280 fathers of young children (aged 0-4 years) who are experiencing mental health difficulties and/or are at risk of poor mental health will be recruited. Randomisation and analyses will be at the level of the individual participant. The primary outcome is psychological distress symptoms, measured by the Kessler Psychological Distress Scale (K10) from baseline to 24 weeks post randomisation. A range of secondary outcomes will be assessed including suicidal ideation; mental health disorders, specific symptoms of depression, anxiety, and stress; social support, quality of life, health service use, and health care costs. Data will be collected at baseline, 10- and 24 weeks post-randomisation.
Discussion:
This trial will examine the effectiveness of a novel group-based peer support intervention in reducing the psychological distress and other mental health symptoms of fathers compared to usual care. The economic and process evaluation will guide policy decision making along with informing the future implementation of WOD on a larger scale if effectiveness is demonstrated.
Trial Registration:
The current trial has been registered with ClinicalTrials.gov (Registration ID - NCT04813042 ). Date of Registration: March 22nd, 2021.
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