Methods: Male service members (N = 148; M age = 37.48, 90% White) who had been deployed to combat zones and their families were randomized into the 14-week ADAPT intervention or control group. At baseline, fathers’ cardiac activity was recorded during a neutral and conflict resolution family interaction task (4-5 min each). RSA indices were computed as the normalized unit of high frequency (0.15~0.40Hz) spectral powers. RSA reactivity was operationalized as the difference of the two indices (RSA[neutral] – RSA[conflict]); higher RSA reactivity indicates greater parasympathetic functioning during emotional challenges. At both baseline and 1 year follow-up, behaviors during family interaction tasks were video-taped and rated on parenting behavior categories including problem-solving, positive involvement, harsh discipline, encouragement, and monitoring. Structural equation modeling was used for moderation analysis.
Results: Fathers’ RSA reactivity was normally distributed (M = 5.17, SD = 14.55, Range: [-37.32, 47.02]). Our measurement model consisting of two latent constructs (parenting at baseline and 1 year) showed good fit to the data: χ2 (29) = 40.27, p > .05, CFI = .97, RMSEA = .05, SRMR = .06. Parenting at follow-up was regressed on intent-to-treat (ADAPT=1, control = 0), mean-centered RSA reactivity, interaction (intent-to-treat*RSAreactivity), baseline parenting, child sex and age, and fathers’ deployment times and length. This structural model fit the data well, χ2 (85) = 102.7, p > .05, CFI = .95, RMSEA = .05, SRMR = .06. We found a significant moderation effect, B = 0.01, β = 0.38, p < .01. Fathers with higher RSA reactivity (at least 0.65 SD above the M) had more improved parenting at 1-year compared to those with lower RSA reactivity.
Conclusions: This study represents the first evidence showing that RSA reactivity is a moderator of post-deployed fathers’ responsivity to a parenting intervention. The findings have important implications for personalized intervention practices.