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Theses

Recherche action PERL : visites à domicile réalisées par des puéricultrices de PMI pour accompagner les familles et soutenir les interactions précoces : de la conception à la mise en place

Abstract : French government policy emphasizes primary prevention in the perinatal period by placing Maternal and Child Protection services (PMI) at the heart of prevention. The national strategy for prevention and protection of children encourages the PMI nurses to make more Home Visits (HV). This underscores how much prevention in the perinatal period has become a public health issue.The research « Early Childhood, Research Action in Lorraine » (PERL), a controlled, randomized, single-center and interventional study over 4 years is fully in line with this policy of primary prevention in the perinatal period. The PERL system was offered to families who resided in the territory of the Lunévillois and Grand-Nancy south-eastern countries, on a voluntary basis. The objective of this research is to assess the effects of preventive and regular support, carried out in families' homes, by a PMI nurse, on the quality of early parent-child interactions and the child's development. The heart of this system is based on support for families, benefiting from regular HV according to a predefined rhythm, from the birth to the 4 years of the child. These HVs focus on play, observation and parent-child interaction.Support for PMI nurses is also offered as part of this system. This support is based on initial and continuing training, monthly group supervision, and days of work and discussion.This thesis presents the methods of support for families and professionals of PMI as well as the concrete methods of this device and its deployment in the field. Emphasis is placed on the prerequisites necessary to establish a secure parent-child relationship and to support early parent-child interactions. The research protocol is detailed and we will present the characteristics of the recruited population, dropouts and exits from the device and the first results obtained in the 4th month evaluations. These results are discussed in order to bring out the perspectives of the PERL system, its strengths and its limitations.Our conclusion proposes modalities of preventive measures that could be systematic and lasting, in the general population, through existing and competent services, namely the PMI, by allowing these professionals to benefit from supervision and training in order to maintain a posture of benevolence and an unconditional visit to French families.
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Submitted on : Wednesday, March 2, 2022 - 4:21:53 PM
Last modification on : Thursday, March 3, 2022 - 3:29:35 AM

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  • HAL Id : tel-03594468, version 1

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Sophie Buchheit. Recherche action PERL : visites à domicile réalisées par des puéricultrices de PMI pour accompagner les familles et soutenir les interactions précoces : de la conception à la mise en place. Psychologie. Université de Lorraine, 2021. Français. ⟨NNT : 2021LORR0242⟩. ⟨tel-03594468⟩

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