ClinicalTrials.gg
Enrolling by invitationNCT07419308Male-CAREUpdated Sep 15, 2026

A Male Caregiver Adaptation Study of the Connecting and Reflecting Experience Parenting Program

An interventional study of Connecting and Reflecting Experience (CARE) Program in Parenting Stress, Parent Child Relationship and Father-Child Relations, sponsored by Montefiore Medical Center. Enrolling by invitation at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-15.

Sponsored by Montefiore Medical Center · Not applicable, Interventional, and Treatment

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Phase
Not applicable
Study type
Interventional
Enrollment
14
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 197 studies in Emotional Regulation with a site in United States — 60 open to participants now, 76 under way, none of them phase 3. Emotional Regulation · United States.

Planned enrollment
169th of 184
14 · median 74
Started
2026
with 17 others
No phase
175 of 197
56 open now
Primary completion
2027-07
later than 45 of 75 live
Registered
182nd of 197
by date

Among the 197 studies in Emotional Regulation with a site in United States, this one is the 169th largest by planned enrollment of the 184 interventional ones that give a count, is one of 18 that started in 2026, is one of 175 with no phase, reaches primary completion later than 45 of the 75 other live ones, and was the 182nd registered.

Emotional Regulation

547 studies on the registry are indexed under Emotional Regulation; 190 are open to participants now.

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Open to participants now

60 of the 197 studies in Emotional Regulation with a site in United States are open now. Recruiting first, the newest first:

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A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 136 Emotional Regulation studies recruiting now, 36 (26%) set no upper age limit and 96 (71%) stop at 75 or younger; 47 take children under 18; 66 take healthy volunteers.

This study: 18 Years and older · all sexes · healthy volunteers too.

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02

Study summary

Male caregivers play a critical role in children's emotional development, yet they are often underrepresented in parenting interventions and may experience unique barriers to emotional engagement and support. This study will evaluate whether a 12-session parenting group therapy program is feasible, acceptable, and appropriate for male-identifying caregivers of children and adolescents receiving mental health services.

The intervention being studied is the Connecting and Reflecting Experience (CARE) parenting program, a mentalizing-focused group therapy designed to strengthen caregivers' ability to reflect on their own and their child's thoughts, feelings, and behaviors. CARE has demonstrated promise in improving parental reflective functioning, reducing parenting stress, and enhancing parent-child relationships in prior studies, but has not yet been evaluated in a group composed exclusively of male-identifying caregivers.

Participants will take part in a 12-session weekly CARE group delivered via telehealth, with each session lasting one hour. Participants will also be asked to complete brief self-report surveys before, during, and after participation in the group. The purpose of the study is to inform future intervention development and determine whether CARE is a useful intervention for groups of male caregivers.

03

Conditions studied

  • Parenting Stress
  • Parent Child Relationship
  • Father-Child Relations
  • Emotional Regulation
  • Fathers

Browse trials for

Keywords

  • Male caregivers
  • Fatherhood
  • Group therapy
  • Mentalizing
  • Parental reflective functioning
  • Attachment
  • Emotional engagement
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Parents or primary caregivers who identify as male or identifies themself as having a male caregiving role (e.g., identifies as a father or "father figure")
  • Caregiver of a child aged 0-17 years
  • Child currently receiving psychiatric or behavioral health services within the Montefiore-Einstein Health System
  • English-speaking
  • Insurance accepted by Montefiore outpatient behavioral health services

Exclusion criteria

Exclusion Criteria:

  • Prior participation in a Connecting and Reflecting Experience (CARE) group
  • Participation in another parenting-focused group or workshop within the past year
  • Current episode of psychosis or mania, or active suicidal ideation requiring a higher level of care
  • Serious psychiatric, neurocognitive, or substance-related difficulties requiring inpatient treatment or that would impede group participation, as determined by the PI or study clinician
  • Limited English fluency
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
14 participants (estimated)

Study arms

  • Experimental
    Connecting and Reflecting Experience (CARE) Program

    Participants will enroll in a 12-session CARE parenting group therapy.

    Behavioral: Connecting and Reflecting Experience (CARE) Program

Interventions

  • BehavioralConnecting and Reflecting Experience (CARE) Program

    The intervention consists of weekly one-hour mentalizing-focused parenting group sessions with up to seven male-identifying caregivers per group and one to two trained facilitators. CARE is a therapy focused on parents' reflective capacity, or the ability to consider how our own and our children's thoughts, feelings, intentions, and other mental states shape behavior and parent-child relationships.

06

What researchers measure

Primary outcomes

  1. Change from Baseline to Post-Treatment in Parenting Stress

    Change in parenting stress from baseline will be measured using the total score on a self-reported questionnaire: the 36-item Parenting Stress Index, Short-Form (PSI-SF; Abidin, 2012). Item responses are rated on a 5-point Likert scale ranging from 1 (Strongly Disagree) to 5 (Strongly Agree). Scores are summed to generate a total score ranging from 36 to 180. Raw scores can be converted to percentile based on a normed sample. Higher raw and percentile scores indicate higher levels of parenting stress. Scores falling between the 16th and 84th percentiles are considered within the normal range of parenting stress, scores between the 85th and 89th percentiles are considered high, and scores at the 90th percentile and above are considered in the clinically significant range.

    Time frame: The PSI-SF will be administered at baseline (approximately 0-2 weeks pre-treatment) and at post-treatment (after completion of Session 12, approximately 15 weeks after baseline measurement).

  2. Change from Baseline to Post-Treatment in Parental Reflective Functioning

    Change in parental reflective functioning from baseline will be measured using the 18-item Parental Reflective Functioning Questionnaire (PRFQ; Luyten et al., 2017). This measure assesses three dimensions of reflective functioning: Prementalizing Modes, Certainty about Mental States, and Interest and Curiosity about Mental States. Scores are measured using a 7-point Likert scale ranging from 1 (Strongly Disagree) to 7 (Strongly Agree) across three subscales, with higher scores indicating higher levels of that specific dimension. Subscale scores are calculated and reported as mean scores (range 6 to 42). Although clinical thresholds have not been established, adaptive reflective functioning is characterized by low Prementalizing Modes, mid-range Certainty about Mental States, and high Interest and Curiosity about Mental States.

    Time frame: The PRFQ will be administered at baseline (approximately 0-2 weeks pre-intervention) and at post-intervention (after completion of Session 12, approximately 15 weeks after baseline measurement).

  3. Change from Baseline to Post-Treatment in Restrictive Emotionality

    Change in restrictive emotionality from baseline will be measured using a subscale on a self-reported questionnaire: the Restrictive Emotionality subscale of the Male Role Norms Inventory-Revised (MRNI-R; Levant et al., 2007). The subscale consists of 8 items rated on a 7-point Likert-type scale ranging from 1 (Strongly Disagree) to 7 (Strongly Agree). A mean subscale score is calculated, with possible scores ranging from 8 to 56. Though threshold scores have not been established for the MRNI-R, higher subscale scores indicate greater endorsement of restrictive emotionality norms, reflecting beliefs emphasizing emotional control and limited emotional expression, whereas lower subscale scores indicate greater emotional openness and comfort with emotional expression.

    Time frame: The Restrictive Emotionality Subscale of the MRNI-R will be administered at baseline (approximately 0-2 weeks pre-treatment) and at post-treatment (after completion of Session 12, approximately 15 weeks after baseline measurement)

  4. Change from First Session to Post-Treatment in Therapeutic Group Processes

    Changes in therapeutic group processes from after the first group session attended to post-intervention will be assessed using subscales from a self-report questionnaire, the revised Therapeutic Factors Inventory-19 (TFI-19; Joyce et al., 2011). Items are rated on a 7-point Likert scale ranging from 1 (strongly disagree) to 7 (strongly agree). Subscale scores are calculated as the mean of item ratings (mean score range: 1-7), with higher scores indicating stronger perceptions of the corresponding therapeutic factors within the CARE group. The four subscales include Instillation of Hope (4 items; score range: 4-28), Secure Emotional Expression (7 items; score range: 7-49), Awareness of Relational Impact (5 items; score range: 5-35), and Social Learning (3 items; score range: 3-21).

    Time frame: The TFI-19 will be administered after participants attend their first group session (approximately 0-2 weeks after baseline measurement) and again at post-treatment (after completion of Session 12, approximately 15 weeks after baseline measurement).

  5. Post-Treatment Ratings of Feasibility

    Intervention feasibility will be measured by Feasibility of Intervention Measure (FIM; Weiner et al., 2017). The FIM is a 4-item subscale that measures the extent to which a new treatment or innovation can be successfully used or carried out by the caregiver in this setting. All items are scored on a 5-point Likert scale, from 1 (Completely disagree) to 5 (Completely agree). Higher scores correlate with greater feasibility of the implementation of the intervention.

    Time frame: This survey will be administered at post-treatment (i.e., after completion of Session 12, approximately 15 weeks after baseline measurement).

  6. Post-Treatment Ratings of Acceptability

    Intervention acceptability will be measured by Acceptability of Intervention Measure (AIM; Weiner et al., 2017). The AIM is a 4-item subscale that measures the extent to which a new treatment or innovation is found to be acceptable by the caregiver within this setting. All items are scored on a 5-point Likert scale, from 1 (Completely disagree) to 5 (Completely agree). Higher scores correlate with greater acceptability of the intervention.

    Time frame: This survey will be administered at post-treatment (i.e., after completion of Session 12, approximately 15 weeks after baseline measurement).

  7. Post-Treatment Ratings of Appropriateness

    Intervention appropriateness will be measured by Intervention Appropriateness Measure (IAM; Weiner et al., 2017). The IAM is a 4-item subscale that measures the extent to which a new treatment or innovation is deemed to be appropriate by the caregiver within this setting. All items are scored on a 5-point Likert scale, from 1 (Completely disagree) to 5 (Completely agree). Higher scores correlate with greater appropriateness of the intervention.

    Time frame: This survey will be administered at post-treatment (i.e., after completion of Session 12, approximately 15 weeks after baseline measurement).

  8. Post-Treatment Ratings of Outcomes and Feedback

    Participants will complete a post-intervention feedback survey. Quantitative items include six 10-point Likert scale questions assessing caregivers' comfort with emotional expression in group, overall satisfaction, perceived helpfulness for caregivers' emotional well-being, perceived helpfulness for the caregiver-child relationship, perceived emotional challenge of participating in the group, and challenge attending sessions (min score = 1, not at all; max score = 10, extremely). Higher scores indicate greater improvement or acceptability, with the exception of items related to perceived challenge for which higher scores indicate lower feasibility and acceptability. Caregivers also rate change in comfort in expressing emotions relative to the start of the group on a 5-point Likert scale (min score = 1, much less comfortable; max score = 5, much more comfortable). Participants indicate whether they would recommend CARE to other male caregivers using a 2-point scale (1 = Yes, 0 = No).

    Time frame: This survey will be administered at post-treatment (i.e., after completion of Session 12, approximately 15 weeks after baseline measurement).

  9. Post-Treatment Participant Group Attendance

    Participant attendance will be tracked, and the average number of group sessions completed by participants at the end of the intervention will be summarized using the mean number of sessions attended.

    Time frame: Time Frame: This survey will be administered at post-treatment (i.e., after completion of Session 12, approximately 15 weeks after baseline measurement).

07

Study locations

1 site
  • Montefiore ACUTE Psychiatry
    The Bronx, New York 10461, United States
08

References and documents

Publications

  • Abidin, R. R. (2012). Parenting Stress Index (4th ed.) Short Form manual. PAR, Inc.
  • Benbassat, N., & Priel, B. (2012). Fathers' reflective function and their children's psychopathology: Intergenerational transmission of risk? Journal of Family Psychology, 26(5), 915-925
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  • Burlingame, G. M., Wells, M. G., & Lambert, M. J. (1996). Youth Outcome Questionnaire. In M. J. Lambert (Ed.), The use of psychological testing for treatment planning and outcome assessment (pp. 403-429). Lawrence Erlbaum Associates
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  • Jakupcak, M., Salters, K., Gratz, K. L., & Roemer, L. (2003). Masculinity and emotionality: An investigation of men's primary and secondary emotional responding. Sex Roles, 49(3), 111-120.
  • Jakupcak, M., Tull, M. T., & Roemer, L. (2005). Masculinity, shame, and fear of emotions as predictors of men's expressions of anger and hostility. Psychology of Men & Masculinity, 6(4), 275-284
  • Joyce, A. S., MacNair-Semands, R., Tasca, G. A., & Ogrodniczuk, J. S. (2011). Factor structure and validity of the Therapeutic Factors Inventory-Short Form. Group Dynamics: Theory, Research, and Practice, 15(3), 201.
  • Katzman, W., & Papouchis, N. (2025). Fathers' reflective functioning: Its relationship to traditional masculine ideology, alexithymia, and emotion socialization [Manuscript submitted for publication]. Department of Clinical Psychology, Long Island University, Brooklyn.
  • Kucer A, Derella OJ, Kilbride A, Zayde A. Therapeutic Alliance and Group Cohesion Across Telehealth Delivery of Mentalizing-focused Parenting Groups. Int J Group Psychother. 2024 Apr;74(2):122-148. doi: 10.1080/00207284.2024.2319627. Epub 2024 Mar 21. PubMed 38513156 ↗
  • Levant RF. Research in the psychology of men and masculinity using the gender role strain paradigm as a framework. Am Psychol. 2011 Nov;66(8):765-76. doi: 10.1037/a0025034. PubMed 22082409 ↗
  • Levant, R. F., Allen, P. A., & Lien, M. C. (2014). Alexithymia in men: How and when do emotional processing deficiencies occur? Psychology of Men & Masculinity, 15(3), 324-334.
  • Levant, R. F., Good, G. E., Cook, S. W., O'Neil, J. M., Smalley, K. B., Owen, K., & Richmond, K. (2006). The Normative Male Alexithymia Scale: Measurement of a gender-linked syndrome. Psychology of Men & Masculinity, 7(4), 212-224
  • Levant, R. F., Hall, R. J., Williams, C. M., & Hasan, N. T. (2009). Gender differences in alexithymia. Psychology of men & masculinity, 10(3), 190
  • Levant, R. F., Richmond, K., Majors, R. G., Inclan, J. E., Rossello, J. M., Heesacker, M., … & Sellers, A. (2003). A multicultural investigation of masculinity ideology and alexithymia. Psychology of Men & Masculinity, 4(2), 91-99
  • Levant, R. F., Smalley, K. B., Aupont, M., House, A. T., Richmond, K., & Noronha, D. (2007). Initial validation of the male role norms inventory-revised (MRNI-R). The Journal of men's Studies, 15(1), 83-100
  • Luyten P, Mayes LC, Nijssens L, Fonagy P. The parental reflective functioning questionnaire: Development and preliminary validation. PLoS One. 2017 May 4;12(5):e0176218. doi: 10.1371/journal.pone.0176218. eCollection 2017. PubMed 28472162 ↗
  • Mostoller, A. M., & Mickelson, K. D. (2024). Masculinity and mental well-being: The role of stigma attached to help-seeking among men. Sex Roles, 90(3), 353-362
  • Munder T, Wilmers F, Leonhart R, Linster HW, Barth J. Working Alliance Inventory-Short Revised (WAI-SR): psychometric properties in outpatients and inpatients. Clin Psychol Psychother. 2010 May-Jun;17(3):231-9. doi: 10.1002/cpp.658. PubMed 20013760 ↗
  • Nijssens, L., Vliegen, N., & Luyten, P. (2020). The Parental Reflective Functioning Questionnaire-Infant version: Factor structure and relation to parenting and infant attachment. Psychoanalytic Psychology, 37(3), 267-277
  • Petts, R. J., Shafer, K. M., & Essig, L. (2018). Does adherence to masculine norms shape fathering behavior? Journal of Marriage and Family, 80(3), 704-720.
  • Rutherford HJ, Booth CR, Luyten P, Bridgett DJ, Mayes LC. Investigating the association between parental reflective functioning and distress tolerance in motherhood. Infant Behav Dev. 2015 Aug;40:54-63. doi: 10.1016/j.infbeh.2015.04.005. Epub 2015 Jun 1. PubMed 26025253 ↗
  • Shafer, K., Jensen, T. M., Pace, G. T., & Larson, J. H. (2019). The effects of traditional masculinity ideology on father involvement and closeness with children. Journal of Family Issues, 40(4), 509-531
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  • Stover CS. Fathers for change: a new approach to working with fathers who perpetrate intimate partner violence. J Am Acad Psychiatry Law. 2013;41(1):65-71. PubMed 23503178 ↗
  • Stover, C. S., Carlson, M., Patel, S., & Manseau, H. (2020). Evaluation of a statewide implementation of Fathers for Change, a fathering intervention for families impacted by partner violence. Journal of Child and Family Studies, 29(10), 2807-2818
  • Suchman NE, DeCoste C, Castiglioni N, McMahon TJ, Rounsaville B, Mayes L. The Mothers and Toddlers Program, an attachment-based parenting intervention for substance using women: post-treatment results from a randomized clinical pilot. Attach Hum Dev. 2010 Sep;12(5):483-504. doi: 10.1080/14616734.2010.501983. PubMed 20730641 ↗
  • Tager, D., Good, G. E., & Brammer, S. (2010). "Walking over 'em": Relations between emotion dysregulation, masculine norms, and intimate partner abuse in men. Psychology of Men & Masculinity, 11(3), 233-247
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  • Wang, Y. (2021). Fathers' reflective functioning and children's socio-emotional outcomes: A moderated mediation model. Infant and Child Development, 30(2), e2214
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  • Zayde A, Derella OJ, Kilbride A. Safe haven in adolescence: Improving parental reflective functioning and youth attachment and mental health with the Connecting and Reflecting Experience. Infant Ment Health J. 2023 Mar;44(2):268-283. doi: 10.1002/imhj.22042. Epub 2023 Mar 2. PubMed 36862314 ↗
  • Zayde A, Kilbride A, Kucer A, Willis HA, Nikitiades A, Alpert J, Gabbay V. Connection During COVID-19: Pilot Study of a Telehealth Group Parenting Intervention. Am J Psychother. 2022 Jun 15;75(2):67-74. doi: 10.1176/appi.psychotherapy.20210005. Epub 2021 Sep 16. PubMed 34525847 ↗
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Individual participant data

Plan to share: No — This is a small pilot study, and data sharing is not planned at this stage.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Mar 2026 (actual). Primary completion is estimated for Jul 2027, 16 months after the start.

Of 391 non-industry interventional studies with no phase under Emotional Regulation, half reached primary completion within 18 months of starting (the median), counting those still running; a quarter within 6 and three quarters within 36. This study's planned 16 months is below that.

Counting every sponsor, half of 397 studies reached it within 18 months; a quarter within 6 and three quarters within 36.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 10, 2026
First posted
Feb 19, 2026
StartActual
Mar 19, 2026
Primary completionEst.
Jul 2027
CompletionEst.
Jul 2027
Last update
Sep 15, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 15, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07419308
Responsible party
Sponsor
First posted
Feb 19, 2026
Start date
Mar 19, 2026
Primary completion
Jul 2027 (estimated)
Completion
Jul 2027 (estimated)
Last update
Sep 15, 2026

Study contacts

Olivia Derella
principal investigator · Montefiore Medical Center/Albert Einstein College of Medicine
Amanda Zayde, Psy.D.
principal investigator · Montefiore Medical Center/Albert Einstein College of Medicine

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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