Searching for who benefits most and least: An analysis of moderators of the TRUE Dads fatherhood intervention.

Evaluations of interventions to promote fathers' involvement in family life typically focus on whether or not the intervention has a positive impact. Some evaluations also attempt to describe mediators that explain how the intervention is linked to specific outcomes. An evaluation of TRUE Dads, a Randomized Clinical Trial of a couples-based fatherhood intervention for low-income families, reported results that addressed these two issues. Reporting new analyses, the present study addresses a question asked in only a very few fatherhood intervention studies: Are there moderator variables that define characteristics of participants who benefit most or least from the intervention? A total of 46 potential moderators of 2 significant intervention outcomes - reductions in personal distress and in negative evaluations of the parents' relationship with each other - were selected from a 5-domain risk/protective model of family functioning (Cowan & Cowan, 2018. Journal of Family Theory & Review, 92, 111) and from a set of demographic variables associated with these outcomes. An additional 24 potential moderators were tested on 4 outcomes that did not have direct intervention effects. Only 6 of the 70 moderator tests were statistically significant. The intervention provided greater reductions in parents' personal distress when fathers had more economic resources, co-parents had higher levels of education, and the parents were living in the same household on entering the study. There were greater reductions in negative aspects of their couple or co-parenting relationship when the parents at enrollment described more difficulties in the parent-child relationship, fathers were more involved in the children's daily care and were living in the household with their child. No other moderators were found. The results support the conclusion that TRUE Dads was equally effective for a relatively wide range of participants. This search for potential moderators of TRUE Dads outcomes is presented as an example of a needed direction in the evaluation of fatherhood interventions.

TRUE Dads: The impact of a couples-based fatherhood intervention on family relationships, child outcomes, and economic self-sufficiency.

TRUE Dads, a federally funded Responsible Fatherhood intervention, aims to strengthen three of men's key roles in the family: (1) as fathers, building and maintaining positive engagement with their child; (2) as partners, maintaining a positive relationship with their co-parent; and (3) as providers, through fostering employment and economic self-sufficiency. A feature of the program is that low-income fathers and their co-parenting partners participate together in 6 3-hour group workshops, followed by optional participation in an additional 6 3-hour workshops. Fathers in the intervention condition were offered a chance to participate in a 2-week employment program. 1,042 co-parenting teams were recruited and randomly assigned to TRUE Dads' group intervention (60%) or a no-treatment control group (40%). In analyses of single measures, one year after study entry, compared with no-treatment controls, TRUE Dads program participants reported fewer depressive symptoms, less destructive couple communication and domestic violence, and increased employment for fathers. Using expanded latent variable measures of core constructs, Structural Equation Modeling revealed indirect effects of the intervention, in which reductions in both parents' negative symptoms and destructive couple communication were associated with (a) reductions in negative parenting qualities and children's behavior problems and (b) increases in fathers' economic self-sufficiency. Reducing parents' personal distress and improving relationship quality between co-parents appears to be important to enhancing fathers' positive family engagement. From a family policy perspective, the results suggest that integration rather than separation of healthy marriage, responsible fatherhood, and employment programs could provide synergistic power to programs designed to strengthen low-income families.

TRUE Dads, una intervención en la paternidad responsable financiada con fondos federales, tiene como finalidad fortalecer tres de los papeles fundamentales de los hombres en la familia: 1) como padres, construir y mantener un compromiso positivo con su hijo; 2) como compañeros de cocrianza, mantener una relación positiva con el otro padre; y 3) como proveedores, fomentar el empleo y la autonomía económica. Una característica del programa es que los padres de bajos recursos y sus compañeros de cocrianza participan juntos en 6 talleres grupales de 3 horas, y luego pueden participar de manera opcional en otros 6 talleres de 3 horas. A los padres del grupo de intervención se les ofreció una oportunidad de participar en un programa de empleo de dos semanas. Se convocó a 1042 equipos de cocrianza, los cuales fueron asignados aleatoriamente a una intervención grupal de TRUE Dads (60%) o a un grupo de referencia sin tratamiento (40%). En los análisis de medidas simples, un año después del ingreso en el estudio, en comparación con los integrantes del grupo de referencia sin tratamiento, los participantes del programa TRUE Dads informaron menos síntomas depresivos, menos comunicación destructiva de pareja y violencia doméstica, y un aumento del empleo para los padres. Usando medidas variables latentes ampliadas de constructos centrales, el modelo de ecuación estructural reveló efectos indirectos de la intervención, en los cuales las reducciones en los síntomas negativos y la comunicación destructiva de la pareja en ambos padres estuvieron asociadas con (a) disminuciones de las cualidades negativas de crianza y de los problemas de conducta de los niños, y (b) aumentos de la autonomía económica de los padres. La reducción del distrés personal de los padres y la mejora de la calidad de la relación entre los copadres parece ser importante para mejorar el compromiso familiar positivo de los padres. Desde una perspectiva de política familiar, los resultados indican que la integración, en lugar de la separación de un matrimonio saludable, la paternidad responsable y los programas de empleo podrían aportar poder sinérgico a los programas diseñados para fortalecer a las familias de bajos recursos.

Attachment goes to court: child protection and custody issues.

Attachment theory and research are drawn upon in many applied settings, including family courts, but misunderstandings are widespread and sometimes result in misapplications. The aim of this consensus statement is, therefore, to enhance understanding, counter misinformation, and steer family-court utilisation of attachment theory in a supportive, evidence-based direction, especially with regard to child protection and child custody decision-making. The article is divided into two parts. In the first, we address problems related to the use of attachment theory and research in family courts, and discuss reasons for these problems. To this end, we examine family court applications of attachment theory in the current context of the best-interest-of-the-child standard, discuss misunderstandings regarding attachment theory, and identify factors that have hindered accurate implementation. In the second part, we provide recommendations for the application of attachment theory and research. To this end, we set out three attachment principles: the child's need for familiar, non-abusive caregivers; the value of continuity of good-enough care; and the benefits of networks of attachment relationships. We also discuss the suitability of assessments of attachment quality and caregiving behaviour to inform family court decision-making. We conclude that assessments of caregiver behaviour should take center stage. Although there is dissensus among us regarding the use of assessments of attachment quality to inform child custody and child-protection decisions, such assessments are currently most suitable for targeting and directing supportive interventions. Finally, we provide directions to guide future interdisciplinary research collaboration.

Fathers' and mothers' attachment styles, couple conflict, parenting quality, and children's behavior problems: an intervention test of mediation.

A diverse sample of 239 primarily low-income couples participated in a random controlled trial of the Supporting Father Involvement couples group intervention. In this report, we examined the value of adding measures of fathers' attachment style and parenting to mothers' measures in order to explain variations in children's behavior problems. We also tested the hypothesis that the link between intervention-induced reductions in couple conflict and reductions in anxious/harsh parenting can be explained by intervention effects on parents' attachment insecurity or on anxiety and depression. Fathers' attachment security and parenting behavior added significantly to mothers' in accounting for children's internalizing and externalizing problem behaviors. Fathers' anxious attachment style and anxiety/depression mediated the link between post-intervention reductions in parental conflict and anxious/harsh parenting. For mothers, only improvements in attachment security accounted for those links. The findings support the need for attachment researchers to consider the contributions of both parents to their children's development.

Parents as Partners: A U.K. Trial of a U.S. Couples-Based Parenting Intervention For At-Risk Low-Income Families.

Despite the well-established links between couple relationship quality and healthy family functioning, and burgeoning evidence from the international intervention field, there is little or no evidence of the efficacy of couples-based interventions from the United Kingdom (U.K.). This study explored whether the Parents as Partners (PasP) program, a group-based intervention developed in the United States, brought about the same benefits in the U.K. The evaluation is based on 97 couples with children from communities with high levels of need, recruited to PasP because they are at high risk for parent and child psychopathology. Both mothers and fathers completed self-report questionnaires assessing parents' psychological distress, parenting stress, couple relationship quality and conflict, fathers' involvement in child care and, importantly, children's adjustment. Multilevel modeling analysis comparing parents' responses pre- and postintervention not only showed substantial improvements for both parents on multiple measures of couple relationship quality, but also improvements in parent and child psychopathology. Analyses also indicated most substantial benefits for couples displaying poorest functioning at baseline. The findings provide initial evidence for the successful implementation of PasP, an American-origin program, in the U.K., and add support for the concept of the couple relationship as a resource by which to strengthen families.

Enhancing Father Involvement in Low-Income Families: A Couples Group Approach to Preventive Intervention.

To address the problem of fathers' absence from children's lives and the difficulty of paternal engagement, especially among lower income families, government agencies have given increasing attention to funding father involvement interventions. Few of these interventions have yielded promising results. Father involvement research that focuses on the couple/coparenting relationship offers a pathway to support fathers' involvement while strengthening family relationships. Relevant research is reviewed and an exemplar is provided in the Supporting Father Involvement intervention and its positive effects on parental and parent-child relationships and children's outcomes. The article concludes with policy implications of this choice of target populations and the need to develop new strategies to involve fathers in the lives of their children.

A more optimistic perspective on government-supported marriage and relationship education programs for lower income couples.

Comments on the original article by Matthew D. Johnson (see record 2012-08242-001). It is important to challenge some of Johnson's points about the effectiveness and reach of interventions to lower income couples and couples of color and his suggested prioritization of basic over applied research. With emerging findings and practical knowledge gained in lower income communities from all across the United States over the past decade, we see evidence to support optimism for the potential utility of marriage and relationship education (MRE) programs to help disadvantaged and minority couples. Accordingly, continued support for these efforts is justified. We anticipate that the potential of these first-generation programs will only increase as the research Johnson called for advances our understanding of low-income and minority couple relationships, as more programs are rigorously evaluated, and as we learn and disseminate best practices from programs now in the field.

Couples' groups for parents of preschoolers: ten-year outcomes of a randomized trial.

This paper reports the results of a 10-year follow-up of two variations of a couples' group preventive intervention offered to couples in the year before their oldest child made the transition to kindergarten. One hundred couples were randomly assigned to (1) a low-dose control condition, (2) a couples' group meeting for 16 weeks that focused more on couple relationship issues among other family topics, or (3) a couples' group meeting for 16 weeks that focused more on parenting issues among other family issues, with an identical curriculum to condition (2). Earlier papers reported that both variations of the intervention produced positive results on parent-child relationships and on the children's adaptation to kindergarten and first grade, and that the groups emphasizing couple relationships also had additional positive effects on couple interaction quality. The present paper uses growth curve analyses to examine intervention effects extending from the children's transition to kindergarten to the transition to high school-10 years after the couples groups ended. There were 6-year positive effects of the pre-kindergarten interventions on observed couple interaction and 10-year positive effects on both parents' marital satisfaction and the children's adaptation (hyperactivity and aggression). Discussion includes a focus on the implications of these results for family policy, clinical practice, and the need to include a couples focus in preventive interventions to strengthen family relationships and enhance children's adaptation to school.

Marriage and fatherhood programs.

To improve the quality and stability of couple and father-child relationships in fragile families, researchers are beginning to consider how to tailor existing couple-relationship and father-involvement interventions, which are now targeted on married couples, to the specific needs of unwed couples in fragile families. The goal, explain Philip Cowan, Carolyn Pape Cowan, and Virginia Knox, is to provide a more supportive developmental context for mothers, fathers, and, especially, the children in fragile families. The authors present a conceptual model to explain why couple-relationship and father-involvement interventions developed for middle- and low-income married couples might be expected to provide benefits for children of unmarried parents. Then they summarize the extensive research on existing couple-relationship and father-involvement interventions, noting that only a few of the programs for couples and a handful of fatherhood programs have been systematically evaluated. Of those that have been evaluated, few have included unmarried couples as participants, and none has investigated whether interventions may have different effects when unmarried fathers live with or apart from the child. Furthermore, although the funders and creators of most programs for couples or for fathers justify their offerings in terms of potential benefits for children, the authors note that the programs rarely assess child outcomes systematically. Next, the authors consider whether interventions for working-class or middle-class fathers or couples that have shown benefits for family members and their relationships might be helpful to fragile families, in which the parents are not married at the time of their child's birth. Because evidence suggests that couple-oriented programs also have a positive effect on father involvement, the authors recommend integrating couple and fatherhood interventions to increase their power to reduce the risks and enhance the protective factors for children's development and well-being. The authors emphasize the need for more research on program development to understand the most effective ways to strengthen co-parenting by couples who are the biological parents of a child but who have relatively tenuous, or already dissolved, relationships with one another. In closing, the authors summarize how far the family-strengthening field has come and offer suggestions for where it might go from here to be helpful to fragile families.

Working models of attachment to parents and partners: implications for emotional behavior between partners.

This study examined whether working models of attachment are associated with observed positive emotion, sadness, and anger during marital conflict. Individuals (n = 176) from a longitudinal study of families participated in the current cross-sectional study. Narrative interviews assessed the unique and combined contribution of attachment representations based on parents (adult attachment) and partner (couple attachment). The influence of partner's attachment, depression symptoms, and sex of participant was also examined. Hierarchical linear models demonstrated that one's couple attachment security predicts one's observed positive emotion, whereas the partner's couple attachment security predicts one's observed negative emotion. Partner's depression symptoms moderated the effects of partner's couple attachment. Adult attachment was not related to observed emotional behavior between partners. These findings have important clinical implications for individual, couple, and family therapy.

Linking marital conflict and children's adjustment: the role of young children's perceptions.

Young children's (n = 96) perceptions and appraisals of their parents' marital conflict were evaluated at age 5 and again at age 6. Concurrent reports of marital conflict by each parent and teachers' reports of children's classroom adjustment served as criteria against which to evaluate the validity of young children's perceptions. Children's perceptions of their parents' marital relationship were significantly correlated with spouses' reports at ages 5 and 6, as well as correlated with teacher reports of internalizing and externalizing problems. Consistent with the cognitive-contextual theory, children's tendency to blame themselves for their parents' conflict partially mediated the link between marital conflict and children's internalizing symptoms. In contrast, children's reports that they become involved in their parents' conflict partially mediated the effect of marital conflict on externalizing problems.

Adult attachment, couple attachment, and children's adaptation to school: an integrated attachment template and family risk model.

Most attachment theorists assume that parenting style is the central mechanism linking the quality of parents' attachment with their parents and adaptation in their children. Outside the attachment tradition, family risk models assume that many family factors affect children's adaptation, chief among them being couple relationship quality. The present study tests an integrated model that considers both theoretical and empirical links between attachment theory and family risk research. Seventy-three fathers and mothers whose first child was about to make the transition to elementary school were administered the Adult Attachment Interview and a new Couple Attachment Interview. The parents were also observed in separate visits during kindergarten year in interaction with each other and with their child. At the end of first grade, we obtained children's academic achievement test results and teachers' checklist observations of internalizing and externalizing behaviors. Structural equations revealed that a family risk model that includes information from working models of attachment and observations of couple interaction predicts substantial variation in children's adaptation to elementary school.

Attachment, Marital Satisfaction, and Divorce During the First Fifteen Years of Parenthood.

This study examines two overlapping longitudinal samples of U.S. couples with children, covering a period of 15 years after the first child's birth. The first sample extended from the pregnancy with a first child until that child was 5.5 years old; the second from ages 4.5 to 14.5. Growth curve analyses revealed that marital satisfaction declined over 15 years for both husbands and wives. Attachment security measured in the second sample was associated with greater marital satisfaction, but did not buffer against declines in marital satisfaction over time. Husbands' lower initial level of marital satisfaction measured around the first child's transition to school was the only significant predictor of marital dissolution. The discussion emphasizes theoretical and practical implications of these findings.

Unresolved loss in the Adult Attachment Interview: implications for marital and parenting relationships.

This study examined links between the unresolved loss of a significant person and current functioning in marital and parenting relationships. Participants were 80 women who had experienced loss, their husbands, and their preschool children. Unresolved loss was assessed using the Adult Attachment Interview, and individual, marital, and parenting adaptation was assessed through videotaped observations and women's self-reports. As predicted, women with unresolved loss displayed less positive emotion and more anxiety and anger with both their husbands and children, compared to women who were not unresolved. They also displayed less authoritative and more authoritarian parenting styles with their children. Yet unresolved women did not report more individual or relationship difficulties, suggesting that direct observations are needed to assess the implications of unresolved loss for family functioning.

An approach to preventing coparenting conflict and divorce in low-income families: strengthening couple relationships and fostering fathers' involvement.

In the context of current concern about levels of marital distress, family violence, and divorce, the SFI study is evaluating the effectiveness of an intervention to facilitate the positive involvement of low-income Mexican American and European American fathers with their children, in part by strengthening the men's relationships with their children's mothers. The study design involves a randomized clinical trial that includes assignment to a 16-week couples group, a 16-week fathers group, or a single-session control group. Couples in both group interventions and the control condition include partners who are married, cohabiting, and living separately but raising a young child together. This article presents the rationale, design, and intervention approach to father involvement for families whose relationships are at risk because of the hardships of their lives, many of whom are manifesting some degree of individual or relationship distress. We present preliminary impressions and qualitative findings based on our experience with 257 families who completed the pretest, and the first 160 who completed one postintervention assessment 9 months after entering the study. Discussion centers on what we have learned and questions that remain to be answered in mounting a multisite preventive intervention to strengthen relationships in low-income families.

Promoting healthy beginnings: a randomized controlled trial of a preventive intervention to preserve marital quality during the transition to parenthood.

Couples expecting their first child were randomly assigned to intervention (n=28) and comparison groups (n=38) to assess the efficacy of a couples intervention and examine marital satisfaction trajectories across the transition to parenthood. The primarily European American sample (M age=30 years) completed assessments of marital satisfaction at 5 points from the final trimester of pregnancy to 66 months postpartum. Growth curve analyses indicated a normative linear decline in marital satisfaction. Intervention participants experienced significantly less decline than comparison participants, providing support for the efficacy of the intervention. Comparable childless couples (n=13) did not show a decline in marital satisfaction. The results suggest that early family transitions that strain couple relationships provide critical opportunities for preventive interventions to strengthen marriage.

Can children provide coherent, stable, and valid self-reports on the big five dimensions? A longitudinal study from ages 5 to 7.

Research on early childhood personality has been scarce. Self-reports of Big Five personality traits were measured longitudinally with the Berkeley Puppet Interview when children were 5, 6, and 7 years of age. For comparative purposes, Big Five self-reports were collected in a sample of college students. The children's self-reports showed levels of consistency and differentiation that approached those of the college age sample. Children's personality self-reports demonstrated significant correlations across the 1- and 2-year longitudinal intervals. Substantial and increasing convergence was found between children's self-reports of Extraversion, Agreeableness, and Conscientiousness and conceptually relevant behavior ratings provided by mothers, fathers, and teachers. Children's self-reports of Neuroticism were unrelated to adults' reports but did predict sadness and anxious behavior observed in the laboratory. The results provide the beginnings of an account of how the Big Five dimensions begin to be salient and emerge as coherent, stable, and valid self-perceptions in childhood.

Couple attachment and the quality of marital relationships: method and concept in the validation of the new couple attachment interview and coding system.

This study investigates links between adult attachment and marital quality in 73 married couples, using a new Couple Attachment Interview that was modeled after the Adult Attachment Interview but focuses on the relationship between the partners. A coding system (CAICS) comparing the interview protocol to prototypes for secure, dismissing, and preoccupied attachment styles yielded continuous ratings of all three styles, and categorical classifications of secure/insecure for each partner. The study found direct links between couple attachment and both self-reported and observed marital quality, with all three continuous scores contributing uniquely to the equations. In most cases, the continuous scores explained variation in marital quality after the categorical security scores were entered into the regressions, although categorical scores also contributed uniquely to the explanation of marital quality. Pairing of partners' scores explained significant variance in both self-reported and observed evaluations of the couple relationship. Security of couple attachment served as a mediator in the link between self-reported marital satisfaction and observed marital quality. The results illustrated the interconnection of methodological choices and theoretical advances in the study of attachment and couple relationship quality.