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

Evaluation de l'Intervention Des Services de Protection Maternelle et Infantile de 11 départements français Ayant bénéficié d'un référentiel Commun d'Intervention à Domicile (Projet Panjo : Promotion de la Santé et de l'Attachement Des Nouveau-nés et de Leurs Jeunes Parents : un Outil de Renforcement Des Services de PMI)

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.

Study Overview

• Status: Completed
• Conditions: Parent-Child Relations; Parents; Mental Health Wellness 1; Maltreatment by Parent
• Intervention / Treatment: Other: PANJO

Detailed Description

In translation

• Study Type: Interventional
• Enrollment (Actual): 447
• Phase: Not Applicable

Contacts and Locations

Study Locations

• France
  • Saint Denis, France, 93203
    • Agence Nationale de Santé Publique

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (ADULT, OLDER_ADULT)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: Female

Description

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 Plan

How is the study designed?

Design Details

• Primary Purpose: PREVENTION
• Allocation: NON_RANDOMIZED
• Interventional Model: PARALLEL
• Masking: NONE

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
EXPERIMENTAL: PANJO Intervention; 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.	Other: PANJO; PANJO consists on a 6 to 12 home visitation intervention aiming at supporting the parents, supporting their upcoming then relationship with their first newbord child and to help them reaching all services they may need.
ACTIVE_COMPARATOR: Service as usual; 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.	Other: PANJO; PANJO consists on a 6 to 12 home visitation intervention aiming at supporting the parents, supporting their upcoming then relationship with their first newbord child and to help them reaching all services they may need.

What is the study measuring?

Primary Outcome Measures

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

Secondary Outcome Measures

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

Collaborators and Investigators

• Sponsor: L'Agence des Nouvelles Interventions Sociales et de Santé
• Collaborators: Université du Québec a Montréal; Institut national de prevention et d'education pour la sante
• Investigators: Principal Investigator: Thomas Saïas, Ph.D., L'Agence des Nouvelles Interventions Sociales et de Santé

Publications and helpful links

General Publications

• Saïas, T, Delawarde, C, Colson, S, Planche, M, Vallée, V, Du Roscoät, E, Bonnard, A, Bodard, J, Dugravier, R. De l'expérimentation scientifique à l'implantation dans les services publics : le projet Panjo. Revue Francophone Internationale de Recherche Infirmière, 2 : 232-241, 2016.

Study record dates

Study Major Dates

• Study Start: October 1, 2016
• Primary Completion (ACTUAL): February 1, 2019
• Study Completion (ACTUAL): February 1, 2019

Study Registration Dates

• First Submitted: December 2, 2016
• First Submitted That Met QC Criteria: December 29, 2016
• First Posted (ESTIMATE): January 2, 2017

Study Record Updates

• Last Update Posted (ACTUAL): February 20, 2020
• Last Update Submitted That Met QC Criteria: February 18, 2020
• Last Verified: February 1, 2020

More Information

Terms related to this study

• Other Study ID Numbers: PANJO

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO