MOther-Child Interaction Assessment TRAINING for Pediatricians

Study Overview
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Brief Summary
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The originality of the MOCITRAINING study lies in the integration of infant and maternal care during the pediatric consultation and the assessment of the impact of this type of care in the short and medium term on The MOCITRAINING program could contribute to improving the quality of parent-child interactions.

Official Title
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MOther-Child Interaction Assessment TRAINING for Pediatricians

Conditions
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Child Behavior Disorders, Mother-child Relations, Depression, Postpartum

Intervention / Treatment
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* Other: MOCITRAINING program
* Other: usual follow-up


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Each child will be included WITH his biological mother at the first-month visit after birth. Age: 1 month + / - 15 days (child), accompanied by his biological mother Mother able to read French; Signed consent letter after complete information of parents about the MOCITRAINING study, its principle, advantages and disadvantages. Exclusion Criteria: Preterm babies. Children from a twin or multiple pregnancy. Children with somatic diagnosis explaining the presence of digestive, sleeping or interactional disorders. Refusal to participate after clear information about the study; Refusal to sign the consent letter; Refusal to be informed of a diagnostic hypothesis; Participants not covered by the Social Security system; Participants incapable of consenting or under legal protection (guardianship or curatorship).

Ages Eligible for Study
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Minimum Age: 23 Days
Maximum Age: 37 Days

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: F+ group (Mocitraining program)<br>including 8 pediatricians' clusters. F+ pediatricians will attend a specific training focused on mother-child interactions, maternal psychiatric disorders, particularly PND screening and early interventions for non-psychiatric physician. | Other: MOCITRAINING program<br>* The program is clinical and psychometric tools for screening for interactions and postpartum psychiatric disorders. The program will expose the existing care arrangements and the different possible orientations of the families according to the identified problem.<br>|
| Sham Comparator: F- group (usual follow-up)<br>grouping 8 pediatricians' clusters. They will not receive the initial training on early interactional disorders and PND screening | Other: usual follow-up<br>* usual follow-up<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Frequency of pathological Alarm Distress BaBy (ADBB) scores |  | in 12-month-aged children. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Frequency of pathological Alarm Distress BaBy (ADBB) scores |  | in 4, 9 and 24 month-aged children | 
| Frequency of digestive disorders | presence/absence of infantile regurgitations and colics | in 4, 9, 12 and 24 month-aged children | 
| Number of daytime sleep hours |  | in 4, 9, 12 and 24 month-aged children | 
| Number of nighttime awakenings |  | in 4, 9, 12 and 24 month-aged children | 
| Scores on maternal self-evaluation scales (Likert scales) | Scores on maternal self-evaluation scales (Likert scales) about parent-child relations (Items concerning comfort and pleasure during interactions) | at 12 and 24 months postpartum | 
| Frequency of dyads referred for psychiatric or perinatal psychiatric consultations |  | in 4, 9, 12 and 24 month-aged children | 
| Frequency of maternal psychotropic medication |  | in 4, 9, 12 and 24 month-aged children | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pediatrician training, Mass screening