Recruitment, Retention, and Intervention Outcomes from the Dedicated African American Dad (DAAD) Study

Perinatal Intervention Desires of New Fathers Who Have a History of Child Maltreatment: A Mixed Methods Study

A history of child maltreatment (CM) can lead to poorer perinatal mental health and early parenting outcomes. New fathers who experienced CM may have unique needs that could be addressed with trauma-specific fatherhood programs. This sequential mixed-methods study compares the intervention desires of fathers with and without a history of CM, explores trauma-specific considerations for intervention development, and identifies barriers to participating in perinatal fatherhood programs. We surveyed 371 first-time fathers of young children (birth - 30 months) online. One third (33%, n = 123) had a history of CM, and we interviewed 15 of them. Participants desired basic parenting skills programs with optional trauma-specific add-ons. Trauma-specific topics included managing relationships, sleep, and emotions like low mood, anger, or irritability. Many lacked positive fathering role models and sought connections with other fathers who had experienced CM. Trauma-specific perinatal interventions could support fathers with a history of CM in interrupting the intergenerational transmission of trauma.

Preliminary Evaluation of a Citizen Scientist Educational Curriculum Aimed at Engaging Black Men in Lung Cancer Early Detection Screening

This article describes an educational program to engage African American men as citizen scientists (CSs) and future research partners in a lung cancer screening project. We provide an overview of the curriculum used, the structure and format of the educational sessions, and associated educational outcomes. Furthermore, we describe lessons learned in the engagement of African American men as CS in community-based lung-health equity research. The CS educational program included five group-based sessions delivered through zoom. The educational curriculum was adapted from the University of Florida Citizen Scientist program and tailored to address lung health and the contextual experiences of African American men. Each session lasted 90 minutes. Pre- and post-test measures were collected to examine changes in knowledge, comfort, health literacy, research interests, and medical mistrust. Eight African American men completed the CS educational program. Attendance rates were high for each session (100%). Seven participants completed additional human subject research certification. Improvements were observed from pre- to post-test in participants' level of knowledge, comfort, and health literacy but not medical mistrust. CS reported the most interest in participating in research aimed to identify important community strengths and problems. Study findings suggest that it was feasible to deliver an online citizen scientist educational program designed to prepare participants to serve as partners in a lung cancer screening intervention for African American men. Results suggest the educational program has the potential to improve key outcomes including completion of regulatory training and increased research-related knowledge, comfort, and health literacy.

The Transition to Fatherhood, Contextual Stress, and Substance Abuse: A Prospective Analysis of Rural, Emerging Adult Black American Men

Background: Among Black American emerging adult men (∼aged 18-25), the early transition to fatherhood is often marred by numerous contextual stressors related to racial discrimination and socioeconomic instability. The strain of transitioning to fatherhood while experiencing high levels of contextual stress may evidence escalations in substance misuse over time as men may turn to substances to cope with the stress of complex life transitions. However, research examining these associations are scarce. Objective: This study aimed to investigate the influence of contextual stress on the association between fatherhood and substance misuse. Hypotheses were tested using multiple linear regression with 3 waves of data from 476 Black American men aged 19 to 22 at baseline living in resource-poor communities in the rural South. Results: Results demonstrated that fatherhood status was associated, prospectively, with Black American fathers' substance misuse when exposure to contextual stress was high but not low. Conclusions: Findings underscore the need for substance misuse prevention programs to (a) support Black American fathers in coping with race-related stress and (b) integrate robust socioeconomic stability services in order in disrupt patterns of future substance misuse by improving Black American men's experience of the transition to fatherhood.