A non-randomized controlled study to assess the impact of the “Appui Parental”, an early and intensive support programme for vulnerable families: Study protocol

IF 1.2 4区 医学 Q4 NEUROSCIENCES
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Abstract

Introduction

Early home visit programmes have been developed to help parents build an adequate relationship with their baby and to prevent child developmental delays and affective disorders. The “Appui Parental” programme is an intervention carried out by nursery nurses to provide intensive parental support to vulnerable families. Before extending this programme, it seemed necessary to evaluate its impact objectively.

Objectives

The main aim is to determine the impact of the “Appui Parental” programme on the change in the child's symptoms. The secondary objectives are to evaluate its effects on mother-child interactions, self-assessed parental competence, perception of social support, primary caregiver's anxiety-depression symptoms, alliance with the nursery nurse, frequency of out-of-home placements, and nursery nurses’ stress.

Method

This non-randomized prospective multicentre study would include 44 families who receive the “Appui Parental” intervention for a one to 20-month-old child (intervention group) and 44 families with the same vulnerability criteria who receive care as usual by the maternal and child protection services (control group). The child, parents, mother-child interaction, nursery nurse-mother alliance, and nursery nurse's stress will be assessed at month one and month 18 after inclusion. Comparisons between groups will be performed.

Conclusion

This study should provide the public authorities with objective data on this programme's impact and allow them to pursue its generalization. For professionals, the study should confirm the interest in close early parental support through home visits or should lead to rethinking some aspects of the programme.
一项非随机对照研究,目的是评估 "父母支持计划"(Appui Parental)的影响,这是一项针对弱势家庭的早期强化支持计划:研究方案。
简介制定早期家访计划的目的是帮助父母与婴儿建立适当的关系,预防儿童发育迟缓和情感障碍。Appui Parental "计划是由托儿所护士实施的一项干预措施,旨在为弱势家庭的父母提供强化支持。在推广该计划之前,似乎有必要对其影响进行客观评估:主要目的是确定 "父母支持 "计划对儿童症状变化的影响。次要目标是评估该计划对母婴互动、父母能力自评、社会支持感、主要照顾者的焦虑抑郁症状、与育婴师的合作、家庭外安置的频率以及育婴师的压力等方面的影响:这项非随机的前瞻性多中心研究将包括 44 个接受 "Appui Parental "干预的 1 至 20 个月大儿童的家庭(干预组)和 44 个具有相同脆弱性标准、接受母婴保护服务机构照常护理的家庭(对照组)。在纳入干预组后的第 1 个月和第 18 个月,将对儿童、父母、母子互动、育婴师与母亲的联盟以及育婴师的压力进行评估。结论:这项研究将为公共当局提供有关该计划影响的客观数据,并使他们能够继续推广该计划。对于专业人士来说,这项研究应能确认通过家访为父母提供早期密切支持的意义,或促使他们重新思考该计划的某些方面。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.60
自引率
7.40%
发文量
162
审稿时长
6-12 weeks
期刊介绍: Une revue française de renommée internationale. - Un comite de rédaction représentant tous les aspects de la prise en charge psychiatrique du patient. - Une sélection rigoureuse d''articles faisant l''objet de plusieurs expertises. - Des travaux d''auteurs et de chercheurs de renommée internationale. - Des indexations dans les grandes bases de données (Current Contents, Excerpta Medica, etc.). - Un facteur d''impact qui témoigne de la grande notoriété de la revue. La tribune des publications originales de haut niveau. - Une très grande diversité des sujets traités, rigoureusement sélectionnés à travers des sommaires dynamiques : - des éditoriaux de médecins référents, - une revue de presse sur les actualités internationales, - des articles originaux pour approfondir vos connaissances, - des mises au point et des cas cliniques pour engager votre réflexion sur les indications et choix possibles au travers de mises en situation clinique, - des dossiers thématiques pour faire le tour d''une question. - L''actualité de l''AFPB : L''Encéphale publie régulièrement des comptes rendus de l''Association française de psychiatrie clinique.
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