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Les visites à domicile en périnatalité : enquête auprès des puéricultrices de PMI en Haute-Garonne

20 Sep 2017-
TL;DR: In this article, a traversé menee en 2017 en Haute-Garonne, les results mettent en valeur l'impossibilite de realiser une prevention universelle a domicile and the necessite de cibler des facteurs de vulnerabilite.
Abstract: La visite a domicile (VAD) dans le domaine de la perinatalite est un outil universellement reconnu de prevention et de soutien a la parentalite. En France, ces VAD sont effectuees par la Protection maternelle et infantile (PMI) et il existe a ce jour peu d'etudes sur leurs pratiques. L'objectif de ce travail est de faire un etat des lieux de l'activite de visites a domicile des puericultrices de PMI, a travers une enquete menee en 2017 en Haute-Garonne. Les resultats mettent en valeur l'impossibilite de realiser une prevention universelle a domicile et la necessite de cibler des facteurs de vulnerabilite. Le fait d'etre seule a domicile peut alors etre source de stress et les puericultrices expriment leur besoin de pouvoir travailler en lien avec les services sociaux et les equipes de psychiatrie. La supervision et les formations specifiques sur les problematiques de sante mentale apparaissent comme des outils interessants pour ameliorer les pratiques.
Citations
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Journal Article

26 citations

22 Apr 2015
TL;DR: The norme d'activite et de moyens d'un service de PMI est d'une demi-journee de consultations par semaine for 200 enfants dans chaque departement as discussed by the authors.
Abstract: La norme d’activite et de moyens d’un service de PMI est d’une demi-journee de consultations par semaine pour 200 enfants dans chaque departement. Elle est atteinte dans 62 departements, et meme doublee dans 7 d’entre eux.

3 citations

14 Oct 2015
TL;DR: The Family Nurse Partnership (FNP) as discussed by the authors is a programme of prenatal and early childhood home visiting for vulnerable first-time mothers and their children, which aims to reduce health disparities in the UK.
Abstract: Giving children the best possible start in life is crucial to reduce health disparities. One of the UK Government’s efforts to support young children has been to adapt and assess the Family Nurse Partnership (FNP), a programme of prenatal and early childhood home visiting for vulnerable first-time mothers and their children. This article comments on a study published in the Lancet on Building Blocks, a multisite trial of the FNP in England.

2 citations

Dissertation
20 Oct 2015
TL;DR: In this paper, a sociologique descriptive permettant de fournir un eclairage sur the reception in France of evidence-based interventions is presented. But, le reception reelle ne va cependant pas de soi and fait lobjet de nombreux debats.
Abstract: En France, un certain nombre de recommandations ont ete emises ces dernieres annees pour le developpement de programmes preventifs dits « evidence-based » dans le champ de la parentalite et de la petite enfance. Si leur diffusion est percue par les instances gouvernementales comme une opportunite de reduire un certain nombre de facteurs de risque sanitaires et sociaux et de promouvoir la sante et le bien-etre des populations, leur reception reelle ne va cependant pas de soi et fait lobjet de nombreux debats. La these consiste en une etude sociologique descriptive permettant de fournir un eclairage sur la reception en France de ces programmes. En effectuant des enquetes de terrain de type ethnographiques (observations participantes et entretiens) en France et aux Etats-Unis, cette these vise plus specifiquement a mettre en evidence la maniere dont ces programmes evidence-based sont concus dans leur pays d'origine et reappropries en France de leur elaboration institutionnelle a leur mise en oeuvre pratique sur le terrain. Le manuscrit, redige sous format narratif, est constitue de deux parties. La premiere partie s'interesse au processus de production des politiques de parentalite et de la petite enfance evidence-based au sein d'un centre de recherche economique americain et a leur reception dans le departement des affaires scientifiques d'un institut de sante publique francais. La deuxieme partie aborde la mise en oeuvre pratique de deux interventions evidence-based et apporte un eclairage sur la maniere dont elles vont impacter les pratiques professionnelles et les strategies educatives de familles faconnant et modelant une conception de la parentalite differente dans les deux pays. Les resultats de cette etude exploratoire font ressortir des specificites nationales propre a l'appropriation des programmes par ces deux pays et permettent de tirer un certain nombre d'enseignements pour l'expertise en sante publique dans le domaine de la parentalite.

1 citations

References
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Journal ArticleDOI
TL;DR: It is suggested that the Early Start program of home visitation had beneficial consequences in the areas of maternal health, family functioning, family economic circumstances, and exposure to stress and adversity and failed to lead to parent- and family-related benefits.
Abstract: OBJECTIVE: To examine the extent to which the Early Start program of home visitation had beneficial consequences in the areas of maternal health, family functioning, family economic circumstances, and exposure to stress and adversity. METHODS: The study used a randomized, controlled trial design in which 220 families receiving the Early Start program were contrasted with a control series of 223 families not receiving the program. Families were enrolled in the program after population screening conducted by community health nurses. Families were enrolled in the program for up to 36 months. Outcomes were assessed at 6, 12, 24, and 36 months after trial entry. RESULTS: There was a consistent lack of association between maternal and family outcomes and group membership. There were no significant differences between the Early Start and control series in any comparisons. CONCLUSIONS: This evaluation suggested that the Early Start program failed to lead to parent- and family-related benefits. This absence of benefit for parent/family outcomes is contrasted with the benefits found previously for child-related outcomes, including child health, preschool education, child abuse and neglect, parenting, and behavioral adjustment. This comparison suggests that home visitation programs may provide benefits for child-related outcomes in the absence of parent- or family-related outcomes. Language: en

93 citations


"Les visites à domicile en périnatal..." refers background in this paper

  • ...En Nouvelle Zélande, David Fergusson et ses collègues (58) ont mené un essai de Early Start Program, issu de Hawaii Healthy Start (HHS), mais avec un design unique....

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Journal ArticleDOI
TL;DR: A framework for improving nurses’ skills in retaining participants, reducing closely spaced subsequent pregnancies, responding to intimate partner violence, observing and promoting caregivers’ care of their children, and classifying families’ risks and strengths as a guide for program implementation are described.
Abstract: BACKGROUND: Evidence-based preventive interventions are rarely final products. They have reached a stage of development that warrant public investment but require additional research and development to strengthen their effects. The Nurse-Family Partnership (NFP), a program of nurse home visiting, is grounded in findings from replicated randomized controlled trials. OBJECTIVE: Evidence-based programs require replication in accordance with the models tested in the original randomized controlled trials in order to achieve impacts comparable to those found in those trials, and yet they must be changed in order to improve their impacts, given that interventions require continuous improvement. This article provides a framework and illustrations of work our team members have developed to address this tension. METHODS: Because the NFP is delivered in communities outside of research contexts, we used quantitative and qualitative research to identify challenges with the NFP program model and its implementation, as well as promising approaches for addressing them. RESULTS: We describe a framework used to address these issues and illustrate its use in improving nurses’ skills in retaining participants, reducing closely spaced subsequent pregnancies, responding to intimate partner violence, observing and promoting caregivers’ care of their children, addressing parents’ mental health problems, classifying families’ risks and strengths as a guide for program implementation, and collaborating with indigenous health organizations to adapt and evaluate the program for their populations. We identify common challenges encountered in conducting research in practice settings and translating findings from these studies into ongoing program implementation. CONCLUSIONS: The conduct of research focused on quality improvement, model improvement, and implementation in NFP practice settings is challenging, but feasible, and holds promise for improving the impact of the NFP.

76 citations


"Les visites à domicile en périnatal..." refers background in this paper

  • ...En 2013, le NFP opérait dans plus de 440 comtés aux États-Unis, desservant plus de 26000 familles par an (43)....

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Journal ArticleDOI
TL;DR: Findings suggest that maternal depressive symptoms are a significant problem in home visitation, and mothers with interpersonal trauma history, young maternal age, being African American, and symptoms severe enough to have led to mental health treatment should be noted.

73 citations


"Les visites à domicile en périnatal..." refers background in this paper

  • ...Ammerman (78) a tenté de déterminer la prévalence et les effets des visites à domicile sur les symptômes dépressifs maternels et d'identifier les prédicteurs d’amélioration de cette symptomatologie au cours des 9 premiers mois d’intervention....

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  • ...On sait maintenant que les mères déprimées sont plus négatives et moins sensibles à leurs enfants que les autres (77-78)....

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Posted Content

66 citations


"Les visites à domicile en périnatal..." refers background in this paper

  • ...Il considère que dans les premières années de vie, jusqu’à cinq ans, l’éducation favorise les compétences cognitives, de même que l’attention, la motivation, la gestion des émotions et la sociabilité –compétences tempéramentales qui transforment la connaissance en savoir-faire et les personnes en citoyens productifs (15)....

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