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. 2024 Nov 12;14(11):e078386. doi: 10.1136/bmjopen-2023-078386

Table 3. Summary of included studies (n=37). Modified Joanna Briggs Institute data extraction tool was used.

Author, year Methodology Method Phenomena of interest (aim) Sample size/participants Setting/city/country Data analysis
Baldwin et al, 20194 Qualitative Semi-structured interviews. Postnatal To develop an understanding of men’s experiences of first time fatherhood, their mental health and well-being needs 21 first time fathers with children <12 months.Ages 20 to >60 years (10 Indian, seven white, 1 Spanish, 1 Black African, 1 Black Caribbean, 1 Pakistan, very highly educated) National Health Service London boroughs UK Framework analysis
Baldwin et al, 202128 Mixed methods Online pre/post questionnaires, and semi-structured telephone interviews. Antenatal and postnatal To test the feasibility and acceptability of the Promotional Guide system with first time fathers and pilot potential outcome measures to assess their mental health and well-being 10 first time fathers were interviewed for the qualitative section (highly educated, mix of ethnicities 10 interviewed not specifically stated) UK London NHS Organisations Framework analysis
Baral and Guzman, 202129 Mixed methods Structured interview questions.Postnatal To understand the anxieties and coping of new fathers with postnatal depression 7 first time fathers with postnatal depression. Few weeks after birth(all but one employed) Selected from 10 barangays, Cabanatuan City, Philippines Grounded theory analysis
Barclay et al, 199630 Qualitative Focus groups. Antenatal This paper reports on research conducted with men who were attending antenatal classes with their partners who were pregnant for the first time 53 first time fathers (75% Australian, mainly higher education) Australia 2 Sydney Hospitals1 community health centre Grounded theory analysis
Dallos and Nokes, 201131 Qualitative Semi-structured interviews. Postnatal This study attempts to map the experience of fathers following the birth of a child 5 First time fathers. (white British, mixture of professionals) UK Parenting Groups Interpretive phenomenological approach
Darwin et al, 201715 Qualitative Semi-structured interviews. Postnatal 5–10 months Fathers’ views of their own mental health experiences within the perinatal period 19 first time and subsequent fathers. Aged 25–44 years. Baby 0–12 months. (18/19 white British, highly educated) Yorkshire UK BaBY epidemiological cohort Thematic analysis
Deave and Johnson, 200849 Cross sectional study Semi-structured interviews in pregnancy and 3–4 months postnatal To explore the needs of first time fathers in relation to the care, support and education provided by healthcare professionals during the antenatal period 20 partners of women first time fathers (all white British except 1 Asian and 1 Brazilian) UK South West EnglandHealthcare provider Content analysis
Edhborg et al, 201619 Qualitative Semi-structured interviews3–4 months postnatal To describe fathers’ experiences of the first year postpartum, when they showed depressive symptoms 3–6 months postpartum 19 first time fathers (17 Swedish, 1 non-Swedish, 15 higher education) Sweden, Stockholm Qualitative content analysis
Fagerskiold 200850 Qualitative Interviews. Postnatal To explore first time fathers’ experiences during early infancy of their children 20 first time fathers aged 20–48 years (mainly higher education) Southern SwedenRegional social insurance offices Grounded theory
Ngai and Lam, 202051 Qualitative Semi-structured interviews. Postnatal To explore men’s experience of first time fatherhood and coping in Hong Kong 44 first‐time fathers (all Chinese, 2 main caregivers) Hong Kong, China Thematic analysis
Fenwick and Bayes, 201255 Qualitative Two semi-structured interviews. Prenatal and postnatal To explore and describe men’s experiences of pregnancy and childbirth expectations 12 expectant fathers (first time/experienced not reported).Interviews took place during pregnancy and after childbirth Australia Australian Teaching Hospital Thematic analysis
Finnbogadottir, et al, 200332 Qualitative Narrative interview form and qualitative content text. Antenatal To describe first time expectant fathers ‘experiences of pregnancy 7 first time and expectant fathers (all Swedish, varied educational levels) Sweden Antenatal Clinic Content text analysis
Fletcher et al, 202054 Mixed methods Phone calls with counsellors (time period not specified) The present study examines fathers’ contacts with the Perinatal Anxiety and Depression Australia (PANDA) National Helpline 129 fathers were included within the phone call service (first time/experienced not reported) Australia (PANDA) National Helpline Thematic analysis
Gottfredsdottir, 200556 Qualitative Focus group interviews. Weeks 27–37 gestation The objective of the study was to explore prospective first time fathers' views concerning fatherhood in relation to this new emphasis on their right to parental leave 15 first time fathers. Average age 24 years (all mixed social class and education level) Iceland Reykjavik Antenatal Clinic Thematic analysis
Hall, 199433 Qualitative Semi-structured interviews. Postnatal Explore fathers process of redefining their roles as spouses, workers and fathers 10 first time fathers in dual earner families (8 Caucasian and 2 Chinese Caucasian) Canada Through occupational nurses Grounded theory analysis
Hodgson et al, 202134 Qualitative Semi-structured interviews. Postnatal To explore men’s transition to fatherhood 12 first time fathers with a child <2 years (11 white British and 1 white other) UK Sheffield University Research Grounded theory analysis
Johannsson et al, 201635 Mixed methods Self-report questionnaires. Antenatal and postnatal The aim was to explore what concerns Swedish fathers had about parenting difficulties at 2 months after the birth of their baby 827 fathers (first time/experienced not reported). (Majority Swedish, mainly highly educated) Sweden Prospective Longitudinal Cohort Study Content analysis
Johanssonet al, 202036 Qualitative Interviews. Postnatal The study aims were to explore the lived experiences of mothers and fathers of postpartum depression and parental stress after childbirth 5 fathers (first time/experienced not reported). Aged 30–40 years (highly educated) Sweden Child Health Centre Interpretive phenomenological approach
Kowlessaret al, 201437 Qualitative Interviews. 7–12 months after birth The objective of this study was to explore the experiences of fathers during their first year as parents to fully capture their experiences and transition to parenthood 10 first time fathers (all white British) UK Manchester Antenatal Classes NHS Interpretive phenomenological approach
Lagarto and Duaso, 202238 Qualitative Semi-structured interviews. Antenatal This study explored fathers’ experiences of paternal–fetal attachment 10 fathers to be (first time/experienced not reported) (8 white European, 2 BAME background). Aged 29–40 years UK London NHS Interpretive phenomenological approach
Ling, Cheng, Shorey (2021)39 Qualitative Semi-structured interviews. Postnatal The aim of this study was to explore distressed fathers’ experiences and needs in the early postpartum period 12 fathers (not restricted to first time fathers), aged ≥21 years (Chinese, Malay and Indian) Singapore Public Hospital Thematic analysis
Machin, 201540 Mixed methods Semi-structured interviews 6 months postnatal Study aims to explore the experiences of first time fathers 15 first time fathers (12 white British, 1 white other, 1 mixed white, 1 black Caribbean, 1 Indian). Higher education UK OxfordshireNational Childbirth Trust Type of analysis unknown
Nesporova, 201941 Longitudinal qualitative Interviews. 2 in pregnancy, 1 postnatal The study focuses on the transition to fatherhood and the life changes which fatherhood effects in men’s everyday lives 16 fathers (first time/experienced not reported). (All European) Czech Republic International TransPARENT Project Comparative thematic analysis
Palsson et al, 201742 Qualitative Interviews 1 month after baby was born To describe first time fathers’ experiences of their prenatal preparation in relation to challenges met in the early parenthood period 15 first time fathers,19–37 years (12 European,1 Macedonia, 1 Iran, 1 Sri Lanka). Mixed education levels Southern Sweden postnatal units Interpretive phenomenological approach
Pedersen et al, 202157 Qualitative Semi-structured interviews. Postnatal This study aimed to explore the lived experiences of men or fathers with paternal perinatal depression and to understand the barriers and facilitators of help seeking among fathers with paternal perinatal depression 8 fathers with paternal perinatal depression (first time/experienced not reported).(All Danish citizens) Denmark CopenhagenPregnancy and Paternity Groups online Interpretive phenomenological approach
Rayburn et al, 202160 Mixed methods Open ended qualitative responses from satisfaction surveys. Antenatal and postnatal The study examined the feasibility and acceptability of Becoming Fathers, a brief intervention for expectant and new fathers that combined education and self-care skills like mindfulness in a supportive group format 6 fathers first time and expectant completed whole study, started with 21 USA Obstetric Clinics and Childbirth classes Thematic analysis
Rominov et al, 201853 Qualitative Semi-structured face to face. Postnatal To explore men’s experiences of seeking support for their mental health and parenting in the perinatal period and identify their specific support needs during this time 20 fathers (first time/experienced not reported) who were expecting or parenting an infant <2 years. Mainly Australian Australia University Research Content analysis
Shorey et al, 201743 Qualitative Semi-structured interview. Postnatal To explore first time fathers’ postnatal experiences and support needs in the early postpartum period 15 first time fathers (Chinese/Malay/Indian, highly educated) Singapore Public Tertiary Hospital Postnatal Wards Thematic analysis
Shorey et al, 201858 Qualitative Interviews. 6 months postnatal This study aims to understand fathers’ expectations, needs, and experiences in infant care during the early postpartum period in Singapore 50 first time and experienced fathers (Chinese/Malay/Indian, highly educated) Singapore Postnatal Wards Public Hospital Thematic analysis
Shorey et al, 201944 Qualitative Semi-structured interviews. 6 months postnatal This study aims to understand paternal involvement within the 6 month postpartum period to identify the challenges and needs of Singaporean fathers 50 first time and experienced fathers (varied ethnicities) Singapore Postnatal Wards Public Hospital Thematic analysis
John et al, 200552 Qualitative In-depth audiotaped interviews6–12 weeks after birth To explore fathers’ perspectives on the experiences, processes and life changes in the early weeks of fatherhood 18 first time fathers (western/European, highly educated) Australia QueenslandPublic Hospital postnatal wards Thematic analysis
Tehrani et al, 201559 Qualitative Individual open ended interviews 32 −40 weeks of pregnancy The purpose of this study was to explore how first time fathers describe their experiences of pregnancy 26 Iranian and Moslem first time fathers (highly educated) Iran Tehran Public Health Prenatal Care Clinics Qualitative content analysis
Wilkes et al, 201245 Qualitative In-depth interviews. Antenatal To explore the experiences of prospective adolescent fathers regarding their impending fatherhood 7 adolescent expectant fathers (first time/experienced not reported) (white European, 3/7 unemployed, aged 16–22 years) Australia Antenatal Clinic at Maternity Centre Narrative analysis
Clifford-Motop et al, 202246 Qualitative Semi-structured interviews. Postnatal This qualitative study explores the experiences and perceptions of new and expectant First Nations fathers in an urban setting in Australia 8 First Nations fathers first time and experienced, 18–33 years,5/8 unemployed Australia Substudy Indigenous Birthing Descriptive phenomenological analysis
Davenport and Swami, 202347 Qualitative Semi-structured interviews. Postnatal To explore postnatal depression experiences among fathers in the UK 8 fathers UK, first time and experienced fathers, 27–41 years,7 white British, 1 Asian UK University research Interpretive phenomenological approach
Kaner, et al, 202361 Cross sectional study Session transcripts and 2 year post-intervention surveys. Postnatal This study explores an innovative online group intervention for new fathers, focusing on participation experience of fathers in the online programme 122 first time Israeli fathers. Median age 33 years. Highly educated Israel Online Discussion Group Thematic analysis
Reay et al, 202348 Cross sectional study Free text response questions. Postnatal This research explores the barriers fathers face to seeking help for paternal perinatal depression 50 fathers first time and experienced fathers, 18–65 years UK Online Qualtrics survey Thematic analysis