Evidence map›Paper›PMID 41126098›Full record

ArticleBMC public health2025

Building a theory of change to guide fatherhood programming to prevent family violence: a comparison of two programs.

Anjalee Kohli, Kate Doyle, Jasmine Uysal, Dickens Ojamuge, Emmanuel Karamage, Rebecka Lundgren

Abstract readComparative Study
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Anjalee KohliGeorgetown University, Washington D.C, USA.ORCID http://orcid.org/0000-0001-7227-0489
Kate DoyleEquimundo: Center for Masculinities and Social Justice, Brussels, Belgium.
Jasmine UysalCenter on Gender Equity and Health, University of California San Diego, 9500 Gilman Drive, Mail Code 0507 La Jolla, San Diego, CA, 92093, USA. juysal@health.ucsd.edu.ORCID http://orcid.org/0000-0002-0425-3174
Dickens OjamugeSave the Children International, 9500 Gilman Drive, Mail Code 0507, Kampala, Uganda.
Emmanuel KaramageRwanda Men's Resource Center, Kigali, Rwanda.
Rebecka LundgrenCenter on Gender Equity and Health, University of California San Diego, 9500 Gilman Drive, Mail Code 0507 La Jolla, San Diego, CA, 92093, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFatherhood programs have increasingly been recognized as a promising approach to prevent violence against women and children (VAWC), yet there remains limited synthesis across programs to clarify the core components that drive change. Most existing studies focus on individual program evaluations. Identifying shared principles or pathways can inform broader implementation and scale. To address this gap, this analysis identified program elements that effectively engage fathers to reduce VAWC by conducting a case analysis of two evidence-based fatherhood programs, Bandebereho and REAL (Responsible, Engaged, and Loving) Fathers, and presenting a joint Theory of Change (TOC).

methodsPrograms were identified through a rapid review of evidence on fatherhood violence prevention programs and selected for their engagement of fathers, published evaluations with positive effects in reducing violence against women and children, adaptation and scale-up in a low resource setting, and having at least one available representative. Authors met regularly over 18-months conducting a desk review of program documentation, building understanding on program strategies and evidence, discussing similarities and differences between the programs, and identifying key elements. Analysis was collated in an excel matrix and utilized to create a pictorial TOC which was reviewed and validated by researchers and implementers from each program.

resultsThe TOC highlights program principles, key stakeholders, training, program components, change catalysts, and intermediate outcomes on the pathway to impact. Despite being developed in unique contexts by different teams, programs displayed strikingly similar components and pathways of change leading to measured outcomes demonstrating positive impacts on prevention of violence against women and children.

conclusionsThis TOC reflects evidence-based insights into the core components and pathways through which fatherhood programs may reduce violence against women and children. Although developed from two rigorously evaluated programs, the shared elements identified can serve as a foundation for future research and program development. This initial framework can help guide intervention design, implementation, monitoring and evaluation to promote effectiveness and sustainability in future violence prevention initiatives that engage fathers. Further testing and validation across diverse contexts are needed to assess the theories broader relevance.

Indexed as

Domestic ViolenceFathersFemaleHumansMaleProgram EvaluationDomestic violenceFathersInterventionsMale engagementParentsTheoryViolence against childrenViolence against womenViolence prevention

Identifiers

PMID41126098
PMCPMC12542366

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.