Implementing Promoting Parental Skills and Enhancing Attachment in Early Childhood (CAPEDP) Trial

Implementation support is not currently available for the model as reviewed.

Model implementation summary last updated: 2019

The information in this implementation report reflects feedback, if provided, from this model’s developer as of the above date. The description of the implementation of the model(s) here may differ from how the model(s) was implemented in the manuscripts reviewed to determine this model’s evidence of effectiveness. Inclusion in the implementation report does not mean the practices described meet the HHS criteria for evidence of effectiveness. Please see the Effectiveness button on the left for more information about any research on the effectiveness of the model, including any version(s) of the model with effectiveness research. Versions of the model that are described in the Adaptations and enhancements section of this implementation report may include (1) versions that were identified by the model’s developer and (2) versions that have been implemented by researchers and have manuscripts that HomVEE rated high or moderate, but that are not supported by the model’s developer.

Model overview

Theoretical approach

In response to an increased number of children living in disadvantaged environments being referred for mental health care, the Parental Skills and Attachment in Early Childhood: Reduction of Risks Linked to Mental Health Problems and Promotion of Resilience Project (CAPEDP) was developed to promote infant mental health and reduce the incidence of infant mental health problems. CAPEDP drew on the framework from the Nurse-Family Partnership (NFP) model and Integrated Services for Perinatal Health and Early Childhood, a Canadian adaptation of the NFP. The model was based on Bandura’s self-efficacy theory, Bronfenbrenner’s ecological model of human development, and Bowlby’s attachment theory. CAPEDP was implemented within and designed to supplement the French system of free public mother-child support and prevention services.

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Implementation support

CAPEDP was a demonstration project* funded by the French National Ministry of Health, the French National Institute for Prevention and Health Education, the French National Institute for Health and Medical Research, and the French Public Health Research Institute. It was implemented from 2006 to 2011 by Assistance Publique - Hôpitaux de Paris, the main public university hospital in Paris.

*The information in this profile represents how the model was implemented during the demonstration trial.

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Intended population

The target population included mothers who were younger than 26 years old, were less than 27 weeks pregnant, and spoke French fluently enough to actively participate in CAPEDP. Eligible participants also had to meet one or more of the following risk factors: had less than 12 years of education, qualified for free health care based on low-income status, or intended to raise the child in the absence of the father.
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Targeted outcomes

The model was designed to promote infant mental health by addressing postpartum maternal depression, improving parenting skills, and promoting healthy mother-child attachment.
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Model services

Psychologists provided home visits that focused on four themes: (1) the family and its social and cultural network, (2) the mother’s needs and health, (3) creating a safe and stimulating environment for the baby, and (4) the baby’s development. The specific content of the visits varied over the course of the intervention period (with different content offered in the prenatal, 0 to 6 months, 6 to 15 months, and 15 to 24 months periods). Home visitors tailored the visits to the varying needs of each family.

The home visitor recorded a video of the mother and child interacting during daily routines, such as bath and meal time. During the following visit, the home visitor and mother discussed the video together and the home visitor helped the mother reflect on her parenting practices.

To guide the visits, the home visitors used (1) a series of six DVDs on topics such as pregnancy, child care, and child development; and (2) brochures covering a variety of health and mental health topics.
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Model intensity and length

CAPEDP offered families 44 home visits from the third trimester of the mother’s pregnancy to the child’s second birthday. That span of visits was organized into four periods: 6 visits during the prenatal period, 8 visits during the child’s first three months, 15 visits between 4 and 12 months of age, and 15 visits between 13 and 24 months.

The length of each home visit was at least 1.5 hours.
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CAPEDP was implemented in Paris, France, and its inner suburbs.
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Adaptations and enhancements

No information was available on any adaptations or enhancements made to CAPEDP.
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Implementation notes

The information contained on this page was last updated in April 2019 and reviewed for accuracy by Antoine Guédeney and Paris Diderot University in April 2019. HomVEE reserves the right to edit the profile for clarity and consistency.

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