Behavioral Disorders
Conditions
Keywords
Child mental disorder, Home visit, Postnatal depression, Social Support, Random selection
Brief summary
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
Detailed description
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.
Interventions
BEHAVIORALPromoting Parental Skills and Enhancing Attachment
The first group will receive routine follow-up as currently provided by national community health and social services.
BEHAVIORALhad home visits by community workers during pregnancy
had home visits by community workers during pregnancy to the child's second birthday.
Sponsors
Ministry of Health, France
Assistance Publique - Hôpitaux de Paris
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
No minimum to 26 Years
Healthy volunteers
Yes
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)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mothers' scores on a postnatal depression scale (baseline, and when the child is 3, 6 and 12 months old) | baseline, and when the child is 3, 6 and 12 months old |
| Parental competencies (when the child is 3, 12 and 18 months old) | when the child is 3, 12 and 18 months old |
| Child mental health (when the child is 18 and 24 months old) | when the child is 18 and 24 months old |
Secondary
| Measure | Time frame |
|---|---|
| Family social support (baseline, and when the child is 3, 12 and 24 months old) | 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) | when the child is 3, 12 and 24 months old |
| Child psychomotor development (when the child is 6, 12 and 24 months old) | 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) | baseline, and when the child is 3 and 24 months old |
| Mother's mental health (baseline, and when the child is 3 and 24 months old) | baseline, and when the child is 3 and 24 months old |
| Mother's working alliance with home visitor (not for control group) (when the child is 3, 6, 12 and 24 months old) | not for control group,when the child is 3, 6, 12 and 24 months old |
| Social-demographic data (all follow-up points: baseline, and when the child is 3, 6, 12, 18 and 24 months old) | baseline, and when the child is 3, 6, 12, 18 and 24 months old |
| Mother's attachment (at baseline) | at baseline |
| Child attachment (when the child is 18 months old) | 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) | baseline, and when the child is 3, 6, 12 and 24 months old |
Countries
France
Outcome results
None listed