Father and non-birth parent experience of child and family health services: a systematic review and meta-synthesis
Catina Adams
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Abstract
This study aimed to synthesise global research examining the experiences of fathers and non-birth parents using child and family health services, and to identify the facilitators and barriers to father- and non-birth parent-inclusive practice.
A systematic review, using the Joanna Briggs Institute mixed-methods approach, and meta-synthesis of the data were performed. We undertook a quality appraisal of the research using the Quality Assessment with Diverse Studies (QuADS) tool. An initial systematic search was conducted of four scientific databases (ProQuest Central, CINAHL, MEDLINE, EMBASE) in January 2023, and updated in February 2024. Results were reported according to the PRISMA guidelines with no patient or public contribution.
We identified thirty-five studies for inclusion. Thirty-one papers identified barriers to inclusive practice, such as program design (n = 15), traditional gender roles and gatekeeping (n = 11), and lack of workforce knowledge and skills (n = 11). Facilitators of inclusive practice included factors such as explicit inclusion (n = 14), support with transition to parenthood (n = 11), connection with other fathers (6), and attention to the father’s health and well-being (n = 13). The four papers that concerned same-sex parents identified additional and specific barriers experienced by same-sex parents, including discrimination and homophobic attitudes.
We found barriers and facilitators of father and non-birth parent engagement in child and family health services at individual, community, and health service levels, with organisational and cultural barriers impacting inclusive practice. Inclusive practice for fathers and non-birth parents entails the development of environments, policies, and programs that actively involve and support the father and non-birth parent in all aspects of parenting and family life. Strategies include systematic outreach to fathers and non-birth parents, customising activities to fathers’ and non-birth parents’ preferences, and addressing their needs.
Keywords: child and family health, fathers, inclusive practice, maternal and child health, meta-synthesis, non-birth parents, systematic review, transition to parenting.
References
Adams C, Hooker L, Taft A (2021) Threads of practice: enhanced maternal and child health nurses working with women experiencing family violence. Global Qualitative Nursing Research 8,.
| Crossref | Google Scholar |
Allport BS, Johnson S, Aqil A, Labrique AB, Nelson T, Kc A, Carabas Y, Marcell AV (2018) Promoting father involvement for child and family health. Academic Pediatrics 18, 746-753.
| Crossref | Google Scholar | PubMed |
Baldwin S, Malone M, Murrells T, Sandall J, Bick D (2021) A mixed-methods feasibility study of an intervention to improve men’s mental health and wellbeing during their transition to fatherhood. BMC Public Health 21, 1813.
| Crossref | Google Scholar |
Bennett E, Berry K, Emeto TI, Burmeister OK, Young J, Shields L (2017) Attitudes to lesbian, gay, bisexual and transgender parents seeking health care for their children in two early parenting services in Australia. Journal of Clinical Nursing 26, 1021-1030.
| Crossref | Google Scholar | PubMed |
Boykin A, Miller E, Garfield CF, Jones KA (2022) Pediatric provider practices in engaging young fathers at pediatric visits. Pediatric Nursing 48, 278-282.
| Crossref | Google Scholar |
Cabrera NJ (2020) Father involvement, father-child relationship, and attachment in the early years. Attachment & Human Development 22, 134-138.
| Crossref | Google Scholar | PubMed |
Cabrera NJ, Volling BL, Barr R (2018) Fathers are parents, too! Widening the lens on parenting for children’s development. Child Development Perspectives 12, 152-157.
| Crossref | Google Scholar |
Campbell S, McCalman J, Redman-MacLaren M, Canuto K, Vine K, Sewter J, McDonald M (2018) Implementing the Baby One Program: a qualitative evaluation of family-centred child health promotion in remote Australian Aboriginal communities. BMC Pregnancy and Childbirth 18, 73.
| Crossref | Google Scholar |
Cardenas SI, Morris AR, Marshall N, Aviv EC, Martínez García M, Sellery P, Saxbe DE (2022) Fathers matter from the start: the role of expectant fathers in child development. Child Development Perspectives 16, 54-59.
| Crossref | Google Scholar |
Carlson J, Edleson JL, Kimball E (2014) First-time fathers’ experiences of and desires for formal support: a multiple lens perspective. Fathering 12, 242-261.
| Google Scholar |
Carryer J, Halcomb E, Davidson PM (2015) Nursing: the answer to the primary health care dilemma. Collegian 22, 151-152.
| Crossref | Google Scholar | PubMed |
Clifford-Motopi A, Fisher I, Kildea S, Hickey S, Roe Y, Kruske S (2022) Hearing from First Nations Dads: qualitative yarns informing service planning and practice in urban Australia. Family Relations 71, 1933-1948.
| Google Scholar |
Comrie-Thomson L, Gopal P, Eddy K, Baguiya A, Gerlach N, Sauvé C, Portela A (2021) How do women, men, and health providers perceive interventions to influence men’s engagement in maternal and newborn health? A qualitative evidence synthesis. Social Science & Medicine 291, 114475.
| Crossref | Google Scholar |
Cooke D, Bennett E, Simpson W, Read K, Kendall G (2019) Father inclusive practice in a parenting and early childhood organisation: the development and analysis of a staff survey. Australian Journal of Child and Family Health Nursing 16, 3-10.
| Crossref | Google Scholar |
Cooklin AR, Giallo R, Strazdins L, Martin A, Leach LS, Nicholson JM (2015) What matters for working fathers? Job characteristics, work-family conflict and enrichment, and fathers’ postpartum mental health in an Australian cohort. Social Science & Medicine 146, 214-222.
| Crossref | Google Scholar | PubMed |
Cui C, Li M, Yang Y, Liu C, Cao P, Wang L (2020) The effects of paternal perinatal depression on socioemotional and behavioral development of children: a meta-analysis of prospective studies. Psychiatry Research 284, 112775.
| Crossref | Google Scholar | PubMed |
de Montigny F, Gervais C, Meunier S, Dubeau D (2017) Professionals’ positive perceptions of fathers are associated with more favourable attitudes towards including them in family interventions. Acta Paediatrica 106, 1945-1951.
| Crossref | Google Scholar | PubMed |
de Montigny F, Gervais C, Larivière-Bastien D, Dubeau D (2020) Assessing the impacts of an interdisciplinary programme supporting father involvement on professionals’ practices with fathers: a qualitative study. Journal of Clinical Nursing 29, 1003-1016.
| Crossref | Google Scholar | PubMed |
Diniz E, Brandão T, Monteiro L, Veríssimo M (2021) Father involvement during early childhood: a systematic review of the literature. Journal of Family Theory & Review 13, 77-99.
| Crossref | Google Scholar |
Edvardsson K, Ivarsson A, Eurenius E, Garvare R, Nyström ME, Small R, Mogren I (2011) Giving offspring a healthy start: parents’ experiences of health promotion and lifestyle change during pregnancy and early parenthood. BMC Public Health 11, 936.
| Crossref | Google Scholar | PubMed |
Engström HA, Häggström-Nordin E, Borneskog C, Almqvist AL (2019) Mothers in same-sex relationships-Striving for equal parenthood: a grounded theory study. Journal of Clinical Nursing 28, 3700-3709.
| Crossref | Google Scholar |
Ferguson H, Gates P (2015) Early intervention and holistic, relationship-based practice with fathers: evidence from the work of the Family Nurse Partnership. Child & Family Social Work 20, 96-105.
| Crossref | Google Scholar |
Fisher J, Rowe H, Wynter K, Tran T, Lorgelly P, Amir LH, Proimos J, Ranasinha S, Hiscock H, Bayer J, Cann W (2016) Gender-informed, psychoeducational programme for couples to prevent postnatal common mental disorders among primiparous women: cluster randomised controlled trial. BMJ Open 6, e009396.
| Crossref | Google Scholar |
Forbes F, Wynter K, Zeleke BM, Fisher J (2021) Fathers’ involvement in perinatal healthcare in Australia: experiences and reflections of Ethiopian-Australian men and women. BMC Health Services Research 21, 1029.
| Crossref | Google Scholar |
Forbes F, Wynter K, Zeleke BM, Fisher J (2023) Engaging culturally diverse fathers in maternal and family healthcare: experiences and perspectives of healthcare professionals. Health Promotion Journal of Australia 34, 691-701.
| Crossref | Google Scholar | PubMed |
Gold S, Edin KJ, Nelson TJ (2020) Does time with dad in childhood pay off in adolescence? Journal of Marriage and Family 82, 1587-1605.
| Crossref | Google Scholar | PubMed |
Gonzalez JC, Klein CC, Barnett ML, Schatz NK, Garoosi T, Chacko A, Fabiano GA (2023) Intervention and implementation characteristics to enhance father engagement: a systematic review of parenting interventions. Clinical Child and Family Psychology Review 26, 445-458.
| Crossref | Google Scholar | PubMed |
Gruson-Wood J, Haines J, Rice C, Chapman GE (2023) The problem of heteronormativity in family-based health promotion: centring gender transformation in Ontario, Canada. Canadian Journal of Public Health 114, 659-670.
| Crossref | Google Scholar | PubMed |
Guterman NB, Bellamy JL, Banman A (2018) Promoting father involvement in early home visiting services for vulnerable families: findings from a pilot study of “Dads matter”. Child Abuse & Neglect 76, 261 272.
| Crossref | Google Scholar | PubMed |
Harrison R, Jones B, Gardner P, Lawton R (2021) Quality assessment with diverse studies (QuADS): an appraisal tool for methodological and reporting quality in systematic reviews of mixed- or multi-method studies. BMC Health Services Research 21, 144.
| Crossref | Google Scholar | PubMed |
Hjalmhult E, Glavin K, Okland T, Tveiten S (2014) Parental groups during the child’s first year: an interview study of parents’ experiences. Journal of Clinical Nursing 23, 2980-2989.
| Crossref | Google Scholar | PubMed |
Hrybanova Y, Ekström A, Thorstensson S (2019) First-time fathers’ experiences of professional support from child health nurses. Scandinavian Journal of Caring Sciences 33, 921-930.
| Crossref | Google Scholar | PubMed |
Humphries H, Nolan M (2015) Evaluation of a brief intervention to assist health visitors and community practitioners to engage with fathers as part of the healthy child initiative. Primary Health Care Research & Development 16, 367-376.
| Crossref | Google Scholar | PubMed |
Kelsall-Knight L, Sudron C (2020) Non-biological lesbian mothers’ experiences of accessing healthcare for their children. Nursing Children and Young People 32, 38-42.
| Crossref | Google Scholar |
Kerppola J, Halme N, Marja-Leena P, Anna MP (2019) Parental empowerment—Lesbian, gay, bisexual, trans or queer parents’ perceptions of maternity and child healthcare. International Journal of Nursing Practice 25, e12755.
| Crossref | Google Scholar |
Kroll ME, Carson C, Redshaw M, Quigley MA (2016) Early father involvement and subsequent child behaviour at ages 3, 5 and 7 years: prospective analysis of the UK Millennium Cohort Study. PLoS ONE 11, e0162339.
| Crossref | Google Scholar |
Laffar K, Elliott H (2021) Influences that affect health visitors’ ability to work with fathers who are perpetrators of domestic abuse. Journal of Health Visiting 9, 246-251.
| Crossref | Google Scholar |
Lovett D, Rasmussen B, Holden C, Livingston PM (2017) Are nurses meeting the needs of men in primary care? Australian Journal of Primary Health 23, 319-322.
| Crossref | Google Scholar | PubMed |
Machin AJ (2015) Mind the gap: The expectation and reality of involved fatherhood. Fathering: A Journal of Theory, Research, and Practice about Men as Fathers 13, 36-59.
| Google Scholar |
Marjadi B, Flavel J, Baker K, Glenister K, Morns M, Triantafyllou M, Strauss P, Wolff B, Procter AM, Mengesha Z, Walsberger S, Qiao X, Gardiner PA (2023) Twelve tips for inclusive practice in healthcare settings. International Journal of Environmental Research and Public Health 20, 4657.
| Crossref | Google Scholar |
Mcginnis S, Lee E, Kirkland K, Smith C, Miranda-Julian C, Greene R (2019) Engaging at-risk fathers in home visiting services: effects on program retention and father involvement. Child & Adolescent Social Work Journal 36, 189-200.
| Crossref | Google Scholar |
Osborne C, DeAnda J, Benson K (2022) Engaging fathers: expanding the scope of evidence-based home visiting programs. Family Relations 71, 1159-1174.
| Crossref | Google Scholar |
Page MJ, Mckenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, Chou R, Glanville J, Grimshaw JM, Hróbjartsson A, Lalu MM, Li T, Loder EW, Mayo-Wilson E, Mcdonald S, Mcguinness LA, Stewart LA, Thomas J, Tricco AC, Welch VA, Whiting P, Moher D (2021) The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 372, 1-9.
| Crossref | Google Scholar |
Parry YK, Ankers MD, Abbott S, Willis L, Thorpe L, O’Brien T, Richards C (2019) Antenatal dads and first year families program: a qualitative study of fathers’ and program facilitators’ experiences of a community-based program in Australia. Primary Health Care Research & Development 20, e154.
| Crossref | Google Scholar |
Pearson A, White H, Bath-Hextall F, Salmond S, Apostolo J, Kirkpatrick P (2015) A mixed-methods approach to systematic reviews. JBI Evidence Implementation 13, 121-131.
| Crossref | Google Scholar |
Philippopoulos E (2023) More than just pronouns – gender-neutral and inclusive language in patient education materials: suggestions for patient education librarians. Journal of the Medical Library Association 111, 734-739.
| Crossref | Google Scholar | PubMed |
Ramchandani PG, Domoney J, Sethna V, Psychogiou L, Vlachos H, Murray L (2013) Do early father–infant interactions predict the onset of externalising behaviours in young children? Findings from a longitudinal cohort study. Journal of Child Psychology and Psychiatry 54, 56-64.
| Crossref | Google Scholar | PubMed |
Riggs E, Yelland J, Szwarc J, Wahidi S, Casey S, Chesters D, Fouladi F, Duell-Piening P, Giallo R, Brown S (2016) Fatherhood in a new country: a qualitative study exploring the experiences of Afghan men and implications for health services. Birth 43, 86-92.
| Crossref | Google Scholar | PubMed |
Rollans M, Kohlhoff J, Meade T, Kemp L, Schmied V (2016) Partner involvement: negotiating the presence of partners in psychosocial assessment as conducted by midwives and child and family health nurses. Infant Mental Health Journal 37, 302-312.
| Crossref | Google Scholar | PubMed |
Rominov H, Giallo R, Pilkington PD, Whelan TA (2018) “Getting help for yourself is a way of helping your baby:” Fathers’ experiences of support for mental health and parenting in the perinatal period. Psychology of Men & Masculinity 19, 457-468.
| Crossref | Google Scholar |
Ross NJ, Church S, Hill M, Seaman P, Roberts T (2012) The perspectives of young men and their teenage partners on maternity and health services during pregnancy and early parenthood. Children & Society 26, 304-315.
| Crossref | Google Scholar |
Sherriff N, Panton C, Hall V (2014) A new model of father support to promote breastfeeding. Community Practitioner 87, 20-24.
| Google Scholar | PubMed |
Shorey S, Dennis C-L, Bridge S, Chong YS, Holroyd E, He H-G (2017) First-time fathers’ postnatal experiences and support needs: a descriptive qualitative study. Journal of Advanced Nursing 73, 2987-2996.
| Crossref | Google Scholar | PubMed |
Stargel LE, Fauth RC, Goldberg JL, Ann EM (2020) Maternal engagement in a home visiting program as a function of fathers’ formal and informal participation. Prevention Science 21, 477-486.
| Crossref | Google Scholar | PubMed |
Thomas J, Harden A (2008) Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Medical Research Methodology 8, 45.
| Crossref | Google Scholar | PubMed |
Wells MB, Varga G, Kerstis B, Sarkadi A (2013) Swedish child health nurses’ views of early father involvement: a qualitative study. Acta Paediatrica 102, 755-761.
| Crossref | Google Scholar | PubMed |
Wells MB, Kerstis B, Andersson E (2021) Impacted family equality, self-confidence and loneliness: a cross-sectional study of first-time and multi-time fathers’ satisfaction with prenatal and postnatal father groups in Sweden. Scandinavian Journal of Caring Sciences 35, 844-852.
| Crossref | Google Scholar | PubMed |