Methods: We present data from both a small quasi-experimental study and a subsequent larger multisite cluster randomized controlled trial examining a “father inclusion” intervention (dubbed Dads Matter-HV) for perinatal home visitation services. The first quasi-experimental study enrolled 24 families (biological mothers, biological fathers and their infants) comparing standard home visitation versus standard home visitation plus Dads Matter-HV. In the multisite RCT, we enrolled 204 families served by 19 Chicago-based programs and randomly assigned home visitation teams across study conditions. In both studies, we collected self-reported and LENA baseline data from biological mothers and biological fathers at the point of service initiation, and again after the delivery of the Dads Matter-HV enhancement at 4- months. Samples across both studies consisted of approximately two-thirds Latine families, and one-quarter African American families. All families were enrolled during early childhood (from prenatal to child under 24-months old). Prior validation studies have shown that the LENA system equally reliably codes word counts in Spanish and in English.
Results: Congruent with findings from self-reported measures, the initial quasi-experimental study found pre-to-post Dads Matter-HV intervention mean increases of 12.1 father words with their infants per five minute segment (sd = 22.3), while the standard services comparison group showed a mean decrease of 20.3 father words per five minute segment (sd = 41.7), resulting in an overall effect size d = 0.69, favoring the Dads Matter-HV intervention group. While outcome analyses continue from the larger multisite RCT, fathers’ verbalizations (word counts) positively correlate with the fathers’ self-reported involvement with their child (r = 0.25), positively correlate with the quality of the mother-father relationship (r = 0.31), and negatively correlate with abuse in the mother-father relationship (r = -0.28), providing evidence of convergent validity across LENA indices and self-reported hypothesized predictors and correlates.
Conclusions and Implications: This study shows the utility of the LENA algorithmic technology as an important measure of early parent verbalization for both descriptive and intervention studies of fathering in early childhood.