Evaluating text4FATHER Messaging to Support First-Time Expectant Fathers and Promote Family Health from Mid-Pregnancy to Early Postnatal Period

What this Trial Is About

This research aims to evaluate a text messaging program called text4FATHER designed to engage first-time fathers-to-be throughout pregnancy and up to two months after birth. The goal is to support the health and well-being of infants, mothers, and fathers by increasing fathers knowledge and involvement during this important period. Father engagement has been linked to better infant development and family well-being, but it has not been fully utilized, especially for first-time fathers. The study compares the text4FATHER program, which sends twice-weekly messages containing resource links and behavior support content starting from mid-pregnancy through two months postnatal, with usual care that involves typical maternity support for fathers. These messages include videos, infographics, and instructions aimed at improving fathers confidence and engagement. The intervention targets behavior changes to benefit the infant, mother, and father. Participants will be assessed before starting the program and again at seven months using scales that measure parenting confidence, self-efficacy, and father engagement. The study collects data on how fathers respond to the texts and their involvement with the family. The research is sponsored by Johns Hopkins University and will continue through June 2027, involving recruitment via social media across the U.S.

text4FATHER R21: Social Media - Efficacy Trial