Evaluation of the French Maternal and Child Protection Services From 11 French Territories That Have Received Common Intervention Guidelines

Not Applicable

Completed

• Conditions: Parent-Child Relations; Maltreatment by Parent; Mental Health Wellness 1; Parents
• Interventions: Other: PANJO

• Registration Number: NCT03007277
• Lead Sponsor: L'Agence des Nouvelles Interventions Sociales et de Santé

Brief Summary

The PANJO study aims to evaluate, within the French public health services, the impact of a home visitors training on parent-child attachment, families outcomes, use of services and child maltreatment indicators.

Detailed Description

In translation

Study Timeline

• Study Start: 2016-10
• Study First Submitted: 2016-12-02
• Study First Submitted QC: 2016-12-29
• Study First Posted: 2017-01-02
• Primary Completion: 2019-02
• Study Completion: 2019-02
• Status Verified: 2020-02
• Last Update Submitted: 2020-02-18
• Last Update Posted: 2020-02-20

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 447

Inclusion Criteria

• Nulliparous
• Pregnant <32 weeks of amenorrhea
• Answers yes to the following question: "do you feel alone facing the upcoming changes related to your child"

Exclusion Criteria

• Intends to move outside the area in which she can receive the intervention
• Sees a psychologist or psychiatrist at least once per week
• Refuses to participate

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Service as usual	PANJO	246 nulliparous women will be recruited within several maternity wards. They will recieve the services they may request from (a) the maternities, (b) the maternal and child protection services (PMI, usually 1 or 2 home visit without any standards) or any other service available. They will be provided with the address and telephone of the closest maternity ward.
PANJO Intervention	PANJO	201 nulliparous women will be recruited within the PMI public services. Nurses/Midwives will propose to enroll in the PANJO group, which consist in receiving 6 to 12 home visits by a home visitor trained by the PANJO team The visits will consist on 45 to 90-minutes interventions aiming at supporting the family in the everyday challenges they may encounter, and to support the development of qualitative parent-child relationships.

Primary Outcome Measures

Name	Time	Method
Parental self-efficacy	Child 6th month	20-item questionnaire parental evaluating parental self efficacy and coercitive behaviors
Child Maltreatment	Child 6th month	Number of services required within the child protection services
Service Use	Child 6th month	Use of all social and health services by families
Accidents	Child 6th month	Nb of accidents and accidents leading to hospitalization in children
Parental Stress Inventory	Child 6th month	Subscale "parent-child interactions"

Secondary Outcome Measures

Name	Time	Method
Pacotis-Parental Impact	Child 6th and 12th month	Subscale of parental impact self-reported
Edinburgh Postnatal Depression Scale	Child 6th and 12th month	Measure of depression in mothers
Parental Stress Inventory - Parental Distress	Child 6th and 12th month	Measure of Parental Distress
Knowledge of Infant Development Inventory (KIDI questionnaire)	Child 6th and 12th month	Measure of Knowledge of Infant Development

Trial Locations

Locations (1)

Agence Nationale de Santé Publique; 🇫🇷 Saint Denis, France