Promoting Parental Skills and Enhancing Attachment in Early Childhood

Assistance Publique - Hôpitaux de Paris440 enrolled

Overview

Child psychological/behavioural disorders such as withdrawal may persist when the psychosocial context is unfavourable. Health promotion strategies (Olds' paradigm) have proved their efficacy in vulnerable populations. CAPEDP project sets out to evaluate a program of home visits in France

This program aims at reducing psychosocial disorders and promoting mental health, social support and attachment amongst at-risk young women and their family. 440 primigravida (pregnant women) will be randomised into two groups. The first group will receive routine follow-up as currently provided by national community health and social services. The second group will receive home visits by community workers. These visits will start during pregnancy and will continue up to the child's second birthday.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Masking

NONE

Enrollment

440

Conditions

Behavioral Disorders

Interventions

Promoting Parental Skills and Enhancing AttachmentBEHAVIORAL

The first group will receive routine follow-up as currently provided by national community health and social services.

had home visits by community workers during pregnancyBEHAVIORAL

had home visits by community workers during pregnancy to the child's second birthday.

Eligibility

Sex: FEMALEMax age: 26 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Being less than 26 years old * Being pregnant for less than 27 weeks * Being primiparous * Living in the study area * Being socially vulnerable: less than 12 years of education AND/OR socially isolated AND/OR eligible for a public health insurance for people with low resources. Exclusion Criteria: * Refusal to participate * Not able to speak French * Having a medical follow-up which necessitates regular contact with health professional * Not having health insurance * Persons for whom follow up at 27 months is impossible (evaluation at baseline)

Locations (1)

Bichat-Claude Bernard Hospital

Paris, France

Outcomes

Primary Outcomes

Mothers' scores on a postnatal depression scale (baseline, and when the child is 3, 6 and 12 months old)

Time frame: baseline, and when the child is 3, 6 and 12 months old

Parental competencies (when the child is 3, 12 and 18 months old)

Time frame: when the child is 3, 12 and 18 months old

Child mental health (when the child is 18 and 24 months old)

Time frame: when the child is 18 and 24 months old

Secondary Outcomes

Child attachment (when the child is 18 months old)

Time frame: when the child is 18 months old

Family use of medical and social services (baseline, and when the child is 3, 6, 12 and 24 months old)

Time frame: baseline, and when the child is 3, 6, 12 and 24 months old

Family social support (baseline, and when the child is 3, 12 and 24 months old)

Time frame: baseline, and when the child is 3, 12 and 24 months old

Mother's self-esteem as a parent (when the child is 3, 12 and 24 months old)

Time frame: when the child is 3, 12 and 24 months old

Child psychomotor development (when the child is 6, 12 and 24 months old)

Time frame: when the child is 6, 12 and 24 months old

Mother's knowledge about child development (baseline, and when the child is 3 and 24 months old)

Time frame: baseline, and when the child is 3 and 24 months old

Data from ClinicalTrials.gov

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