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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

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journal contribution
posted on 01.12.2022, 00:00 authored by Rebecca GialloRebecca Giallo, M Seymour, A Fogarty, C Hosking, L A Williams, A Cooklin, A Grobler, J Ride, L Leach, B Oldenburg, C Wood, R Borschmann, J O’Brien, K Evans, K Treyvaud, C Garfield, S Brown, J Nicholson
Abstract
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.

History

Journal

BMC Psychiatry

Volume

22

Issue

1

Article number

111

Pagination

1 - 12

Publisher

BioMed Central

Location

London, England

ISSN

1471-244X

eISSN

1471-244X

Language

English

Publication classification

C1 Refereed article in a scholarly journal