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

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

Last updated: May 2019

In Brief

Evidence of Model Effectiveness

This model does not meet the criteria established by the Department of Health and Human Services (HHS) for an “evidence-based early childhood home visiting service delivery model” for the general population or for tribal populations because the findings from high- or moderate-rated effectiveness studies of the model do not meet all required criteria.

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Model Description

The Parental Skills and Attachment in Early Childhood: Reduction of Risks Linked to Mental Health Problems and Promotion of Resilience Project (CAPEDP) was a demonstration project in France, implemented from 2006 to 2011. CAPEDP enrolled pregnant women who were younger than 26 years old and had 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. The model was designed to promote infant mental health by addressing postnatal maternal depression, improving parenting skills, and promoting healthy mother-child attachment. Psychologists provided home visits that were guided by a series of six DVDs, brochures covering a variety of health and mental health topics, and video recordings of the mother-child interactions. CAPEDP offered families 44 home visits from the third trimester of the mother’s pregnancy to the child’s second birthday. For more information, please read the Model Overview.

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Extent of Evidence

Results of Research and Review
Number of studies
Eligible for review
3
Rated high
0
Rated moderate
1
Rated low
2
Additional source1

1Additional sources overlap with another study and are not rated.

For more information, see the study database. For more information on the criteria used to determine the study ratings, please read Producing Study Ratings.

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Summary of Findings

Outcome domain links to effects details by study.
Outcomes
Primary Outcome Measures
Secondary Outcome Measures

Outcome Child Development and School Readiness

Not measured in high- or moderate-rated outcomes

Outcome Child Health

Not measured in high- or moderate-rated outcomes

Outcome Family Economic Self-Sufficiency

Not measured in high- or moderate-rated outcomes

Outcome Linkages and Referrals

Not measured in high- or moderate-rated outcomes

Outcome Maternal Health

Primary outcome measures:
Favorable: 0
No effect: 0
Unfavorable or ambiguous: 0
Secondary outcome measures:
Favorable: 0
No effect: 1
Unfavorable or ambiguous: 0

Outcome Positive Parenting Practices

Not measured in high- or moderate-rated outcomes

Outcome Reductions in Child Maltreatment

Not measured in high- or moderate-rated outcomes

Outcome Reductions in Juvenile Delinquency, Family Violence, and Crime

Not measured in high- or moderate-rated outcomes

Please read Describing Effects for more information on these categories. Only results from studies that meet the standards for the high or moderate ratings are included above.

 

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Criteria Established by the Department of Health and Human Services

Information Based on Comprehensive Review of All High- and Moderate-Impact Studies for this Model
High- or moderate-quality impact study?
Yes
Across high- or moderate-quality studies, favorable impacts in at least two outcome domains within one sample OR the same domain for at least two non-overlapping samples?
NA
Favorable impacts on full sample?
No
Any favorable impacts on outcome measures sustained at least 12 months after model enrollment?1
NA
One or more favorable, statistically significant impact reported in a peer-reviewed journal?1
No

1This information is reported for all models, but the requirements for sustained findings and inclusion in a peer-reviewed journal only apply to models for which all findings are from randomized controlled trials.

Please read the HHS Criteria for Evidence-Based Models for more information.

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