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Child Development and Early Interaction: PERL Research Protocol, a Preventive Home Visiting Program, Randomized

Sophie Buchheit^1,2, Bernard Kabuth^1,2, Marie-Christine Colombo³

¹Pôle Universitaire de Psychiatrie de l'Enfant et de l'Adolescent, Centre Psychothérapique de Nancy, Laxou, France.

Frontiers in Psychiatry

|July 19, 2021

Summary

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This summary is machine-generated.

This study evaluated a home visiting program by nurses to support parents and improve child development, aiming to reduce health inequalities from early childhood. The intervention showed promise in enhancing parent-baby interaction and child developmental milestones.

Area of Science:

Public Health
Early Childhood Development
Health Inequality Research

Background:

Early childhood is critical for mitigating health disparities linked to social inequalities.
Parenting support and home visitation programs can effectively assist families during this sensitive period.
France's maternal and child welfare services (PMIs) are positioned to enhance parenting support through adapted interventions.

Purpose of the Study:

To assess the impact of a preventive home visiting program on young children's development and parent-baby interactions.
To evaluate the effectiveness of specifically-trained nurses delivering home visits within existing public health services.
To explore a model for reducing social inequalities in health through early-age support via public services.

Main Methods:

Keywords:

development early childhood early interaction home visiting prevention randomized controlled trial

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A single-center, randomized, controlled interventional trial (PERL study) involving 64 families.
Intervention group received 12 home visits in year 1, 6 in year 2, and 4 in years 3-4 by PMI nurses.
Outcomes measured at 4 and 24 months included child developmental milestones, parent-baby interaction, maternal sensitivity, attachment, and maternal psychopathology.

Main Results:

The study protocol is designed to measure the effects of home visits on child development and parent-child interactions.
Specific results regarding the impact on developmental milestones, socio-emotional skills, and maternal psychopathology are pending data analysis.
The trial aims to provide data on the effectiveness and cost-efficiency of nurse-led home visiting interventions.

Conclusions:

Home visits by trained nurses can be a valuable, cost-effective addition to existing preventive programs.
This intervention model aligns with public health goals of reducing social inequalities by supporting families from birth.
The PERL study provides a framework for strengthening early childhood support services and promoting equitable health outcomes.