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A brief, task-shifted treatment to improve father depression and child outcomes in Kenya: A pilot effectiveness-implementation trial

Award Number: K23MH128742
ORGANIZATION: NATIONAL INSTITUTE OF MENTAL HEALTH
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP
PERIOD OF PERFORMANCE START DATE: 09/01/2024
PERIOD OF PERFORMANCE END DATE: 01/13/2028

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A brief, task-shifted treatment to improve father depression and child outcomes in Kenya: A pilot effectiveness-implementation trial - Depression is the leading cause of disability worldwide, yet over 75% of people do not receive treatment. This gap is especially large for men. Treating men is essential to reducing the burden of depression given its impact on families and children with men's mental health (MH) predicting poor parenting and child MH. Although treating parent depression has been shown to improve parental MH, parenting, and child MH; men and fathers have been missing from MH care and clinical trials. MH care relevant to fathers is needed. The goal of the K23 is to expand the candidate's skillset and prepare her to conduct independent research on scalable interventions for father MH to improve child MH. Through a combination of seminars, scientific conferences, collaborative publications, and mentorship from leading experts, the candidate will develop competency in 1) execution of randomized control trials using implementation science designs; 2) exploration of mechanism of change using mixed methods; 3) understanding factors that shape implementation. The candidate will apply knowledge and skills gained through training to conduct a pilot randomized control trial (RCT). The candidate will leverage partnerships with AMPATH and Moi Teaching and Referral Hospital (MTRH) in Kenya. She will also build on preliminary work with AMPATH/MTRH that showed proof-of-concept for 'Learn, Act, Engage, Dedicate' (LEAD), a 5-session task-shifted behavioral activation intervention and motivational interviewing for fathers. Proof-of-concept findings with nine fathers and families were promising with high participant satisfaction and improvements in father depression. This supports pursuit of a pilot RCT, proposed here, in a Hybrid Type I study to explore LEAD preliminary effectiveness and implementation. Specifically, the candidate will conduct a pilot RCT with fathers randomized to either LEAD or a waitlist control group to (Aim 1) explore change in fathers' MH; (Aim 2) explore drivers of change in father MH, father parenting, and child MH (or non-response); and (Aim 3) explore the feasibility and acceptability of implementing a task-shifted MH treatment for fathers. Kenya is a critical testing ground for this work: with fewer than two psychiatrists per million people and virtually no accessible outpatient-level MH care, successfully designing and delivering treatment for fathers demands the kind of innovation in reach, format, and peer delivery that produces findings with applicability to communities across the United States where need is high but access to care is limited. Results from this context can lay the foundation for future studies in high-need areas of the United States, leveraging existing community strengths to fill care gaps. Results will inform an R01 proposal for a Hybrid Type II trial and proposal to adapt and deploy LEAD in the US. Together, the training, research, and partnerships in the proposed award will support testing of a scalable MH treatment delivered by peer-father counselors with potential for engaging men and improving father and child MH, contributing to the NIMH's goal of maximizing public health impact of research.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $155,950 )
2026	2026	FLORIDA INTERNATIONAL UNIVERSITY	11200 SW 8TH ST	MIAMI	FL	33199	MIAMI-DADE	USA	Mental Health Research Grants	000	4	7/1/2026	NON-COMPETING CONTINUATION	$155,950
														Subtotal = $155,950

Issue Date FY: 2025 ( Subtotal = $75,600 )
2025	2025	FLORIDA INTERNATIONAL UNIVERSITY	11200 SW 8TH ST	MIAMI	FL	33199	MIAMI-DADE	USA	Mental Health Research Grants	003	3	9/15/2025	SUPPLEMENT FOR EXPANSION	$75,600
2025	2024	FLORIDA INTERNATIONAL UNIVERSITY	11200 SW 8TH ST	MIAMI	FL	33199	MIAMI-DADE	USA	Mental Health Research Grants	001	3	11/22/2024	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$0
2025	2024	FLORIDA INTERNATIONAL UNIVERSITY	11200 SW 8TH ST	MIAMI	FL	33199	MIAMI-DADE	USA	Mental Health Research Grants	000	3	11/7/2024	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$0
2025	2023	RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC.	1051 RIVERSIDE DR	NEW YORK	NY	10032	NEW YORK	USA	Mental Health Research Grants	002	2	3/3/2025	NON-COMPETING CONTINUATION	$0
														Subtotal = $75,600

Issue Date FY: 2024 ( Subtotal = $187,810 )
2024	2024	FLORIDA INTERNATIONAL UNIVERSITY	11200 SW 8TH ST	MIAMI	FL	33199	MIAMI-DADE	USA	Mental Health Research Grants	001	3	7/31/2024	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$187,810
2024	2023	RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC.	1051 RIVERSIDE DR	NEW YORK	NY	10032	NEW YORK	USA	Mental Health Research Grants	000	2	7/26/2024	NON-COMPETING CONTINUATION	$0
														Subtotal = $187,810

Issue Date FY: 2023 ( Subtotal = $193,100 )
2023	2023	RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC.	1051 RIVERSIDE DR	NEW YORK	NY	10032	NEW YORK	USA	Mental Health Research Grants	000	2	8/31/2023	NON-COMPETING CONTINUATION	$193,100
2023	2023	RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC.	1051 RIVERSIDE DR	NEW YORK	NY	10032	NEW YORK	USA	Mental Health Research Grants	001	2	9/26/2023	NON-COMPETING CONTINUATION	$0
														Subtotal = $193,100

Issue Date FY: 2022 ( Subtotal = $195,339 )
2022	2022	RESEARCH FOUNDATION FOR MENTAL HYGIENE INC	1051 RIVERSIDE DR	NEW YORK	NY	10032	NEW YORK	USA	Mental Health Research Grants	000	1	9/14/2022	NEW	$195,339
														Subtotal = $195,339

Grand Total All Awards = $807,799

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A brief, task-shifted treatment to improve father depression and child outcomes in Kenya: A pilot effectiveness-implementation trial

Award Number: K23MH128742

ORGANIZATION: NATIONAL INSTITUTE OF MENTAL HEALTH

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

PERIOD OF PERFORMANCE START DATE: 09/01/2024

PERIOD OF PERFORMANCE END DATE: 01/13/2028

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