Father and non-birth parent experience of child and family health services: a systematic review and meta-synthesis

Catina Adams; Shannon Bennetts; Lael Ridgway; Leesa Hooker; Christine East; Kristina Edvardsson

doi:10.1071/py24228

journal article Open Access Jun 05, 2025

Father and non-birth parent experience of child and family health services: a systematic review and meta-synthesis

Catina Adams

Shannon Bennetts Lael Ridgway Leesa Hooker

Christine East Kristina Edvardsson

Australian Journal of Primary Health Vol. 31 No. 3 · CSIRO Publishing

View at Publisher Save 10.1071/py24228

Abstract

Background
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.

Methods
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.

Results
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.

Conclusion
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.

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References

65

[1]

Adams "Threads of practice: enhanced maternal and child health nurses working with women experiencing family violence." Global Qualitative Nursing Research (2021) 10.1177/23333936211051703

[2]

Allport "Promoting father involvement for child and family health." Academic Pediatrics (2018) 10.1016/j.acap.2018.03.011

[3]

Australian Bureau of Statistics (2022) Same-sex couples living together in Australia. Government of Australia, Canberra.

[4]

Baldwin "A mixed-methods feasibility study of an intervention to improve men’s mental health and wellbeing during their transition to fatherhood." BMC Public Health (2021) 10.1186/s12889-021-11870-x

[5]

Bennett "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 (2017) 10.1111/jocn.13595

[6]

Boykin "Pediatric provider practices in engaging young fathers at pediatric visits." Pediatric Nursing (2022) 10.62116/pnj.2022.48.6.278

[7]

Cabrera "Father involvement, father-child relationship, and attachment in the early years." Attachment & Human Development (2020) 10.1080/14616734.2019.1589070

[8]

Fathers Are Parents, Too! Widening the Lens on Parenting for Children's Development

Natasha J Cabrera, Brenda L Volling, Rachel Barr

Child Development Perspectives 2018 10.1111/cdep.12275

[9]

Campbell "Implementing the Baby One Program: a qualitative evaluation of family-centred child health promotion in remote Australian Aboriginal communities." BMC Pregnancy and Childbirth (2018) 10.1186/s12884-018-1711-7

[10]

Cardenas "Fathers matter from the start: the role of expectant fathers in child development." Child Development Perspectives (2022) 10.1111/cdep.12436

[11]

Carlson "First-time fathers’ experiences of and desires for formal support: a multiple lens perspective." Fathering (2014)

[12]

Carryer "Nursing: the answer to the primary health care dilemma." Collegian (2015) 10.1016/j.colegn.2015.05.001

[13]

Clifford-Motopi "Hearing from First Nations Dads: qualitative yarns informing service planning and practice in urban Australia." Family Relations (2022) 10.1111/fare.12731

[14]

[15]

Comrie-Thomson "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 (2021) 10.1016/j.socscimed.2021.114475

[16]

Cooke "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 (2019) 10.33235/ajcfhn.16.2.3-10

[17]

Cooklin "What matters for working fathers? Job characteristics, work-family conflict and enrichment, and fathers’ postpartum mental health in an Australian cohort." Social Science & Medicine (2015) 10.1016/j.socscimed.2015.09.028

[18]

Cui "The effects of paternal perinatal depression on socioemotional and behavioral development of children: a meta-analysis of prospective studies." Psychiatry Research (2020) 10.1016/j.psychres.2020.112775

[19]

de Montigny "Professionals’ positive perceptions of fathers are associated with more favourable attitudes towards including them in family interventions." Acta Paediatrica (2017) 10.1111/apa.13970

[20]

de Montigny "Assessing the impacts of an interdisciplinary programme supporting father involvement on professionals’ practices with fathers: a qualitative study." Journal of Clinical Nursing (2020) 10.1111/jocn.15176

[21]

Diniz "Father involvement during early childhood: a systematic review of the literature." Journal of Family Theory & Review (2021) 10.1111/jftr.12410

[22]

Edvardsson "Giving offspring a healthy start: parents’ experiences of health promotion and lifestyle change during pregnancy and early parenthood." BMC Public Health (2011) 10.1186/1471-2458-11-936

[23]

Engström "Mothers in same-sex relationships-Striving for equal parenthood: a grounded theory study." Journal of Clinical Nursing (2019) 10.1111/jocn.14971

[24]

Ferguson "Early intervention and holistic, relationship-based practice with fathers: evidence from the work of the Family Nurse Partnership." Child & Family Social Work (2015) 10.1111/cfs.12059

[25]

Fisher "Gender-informed, psychoeducational programme for couples to prevent postnatal common mental disorders among primiparous women: cluster randomised controlled trial." BMJ Open (2016) 10.1136/bmjopen-2015-009396

[26]

Forbes "Fathers’ involvement in perinatal healthcare in Australia: experiences and reflections of Ethiopian-Australian men and women." BMC Health Services Research (2021) 10.1186/s12913-021-07058-z

[27]

Forbes "Engaging culturally diverse fathers in maternal and family healthcare: experiences and perspectives of healthcare professionals." Health Promotion Journal of Australia (2023) 10.1002/hpja.769

[28]

Gold "Does time with dad in childhood pay off in adolescence?" Journal of Marriage and Family (2020) 10.1111/jomf.12676

[29]

Gonzalez "Intervention and implementation characteristics to enhance father engagement: a systematic review of parenting interventions." Clinical Child and Family Psychology Review (2023) 10.1007/s10567-023-00430-x

[30]

Gruson-Wood "The problem of heteronormativity in family-based health promotion: centring gender transformation in Ontario, Canada." Canadian Journal of Public Health (2023) 10.17269/s41997-023-00760-x

[31]

Guterman "Promoting father involvement in early home visiting services for vulnerable families: findings from a pilot study of “Dads matter”." Child Abuse & Neglect (2018) 10.1016/j.chiabu.2017.10.017

[32]

Harrison "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 (2021) 10.1186/s12913-021-06122-y

[33]

Hjalmhult "Parental groups during the child’s first year: an interview study of parents’ experiences." Journal of Clinical Nursing (2014) 10.1111/jocn.12528

[34]

Hrybanova "First-time fathers’ experiences of professional support from child health nurses." Scandinavian Journal of Caring Sciences (2019) 10.1111/scs.12690

[35]

Humphries "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 (2015) 10.1017/s1463423615000031

[36]

Kelsall-Knight "Non-biological lesbian mothers’ experiences of accessing healthcare for their children." Nursing Children and Young People (2020) 10.7748/ncyp.2020.e1237

[37]

Kerppola "Parental empowerment—Lesbian, gay, bisexual, trans or queer parents’ perceptions of maternity and child healthcare." International Journal of Nursing Practice (2019) 10.1111/ijn.12755

[38]

Kroll "Early father involvement and subsequent child behaviour at ages 3, 5 and 7 years: prospective analysis of the UK Millennium Cohort Study." PLoS ONE (2016) 10.1371/journal.pone.0162339

[39]

Laffar "Influences that affect health visitors’ ability to work with fathers who are perpetrators of domestic abuse." Journal of Health Visiting (2021) 10.12968/johv.2021.9.6.246

[40]

Lovett "Are nurses meeting the needs of men in primary care?" Australian Journal of Primary Health (2017) 10.1071/py16106

[41]

Lumivero (2023) NVivo Version 15 Lumivero.

[42]

Machin "Mind the gap: The expectation and reality of involved fatherhood." Fathering: A Journal of Theory, Research, and Practice about Men as Fathers (2015)

[43]

Marjadi "Twelve tips for inclusive practice in healthcare settings." International Journal of Environmental Research and Public Health (2023) 10.3390/ijerph20054657

[44]

Mcginnis "Engaging at-risk fathers in home visiting services: effects on program retention and father involvement." Child & Adolescent Social Work Journal (2019) 10.1007/s10560-018-0562-4

[45]

Osborne "Engaging fathers: expanding the scope of evidence-based home visiting programs." Family Relations (2022) 10.1111/fare.12636

[46]

The PRISMA 2020 statement: an updated guideline for reporting systematic reviews

Matthew J Page, Joanne E McKenzie, Patrick M Bossuyt et al.

BMJ 2021 10.1136/bmj.n71

[47]

Parry "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 (2019) 10.1017/s1463423619000768

[48]

Pearson "A mixed-methods approach to systematic reviews." JBI Evidence Implementation (2015) 10.1097/xeb.0000000000000052

[49]

Philippopoulos "More than just pronouns – gender-neutral and inclusive language in patient education materials: suggestions for patient education librarians." Journal of the Medical Library Association (2023) 10.5195/jmla.2023.1723

[50]

Ramchandani "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 (2013) 10.1111/j.1469-7610.2012.02583.x

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Published: Jun 05, 2025
Vol/Issue: 31(3)
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Catina Adams