Impacto da aplicação do método ICDP – OMS na interação mãe-criança em duplas mãe-criança desnutrida assistidas no CREN

Abstract

Assuming that the use of the technique ICDP / WHO can improve knowledge, attitudes and practices of the mother towards her child malnourished and therefore improve the development of children with moderate and severe malnutrition was held a quasi-experimental study evaluation before and after 6 months of intervention. Thirty-eight malnourished mother-child pairs were divided into an experimental group (EG = 25) and control (CG = 13). Both were assessed as risk factors identified in previous studies. Beyond them were evaluated: A) the mother: 1. knowledge, attitudes and practices of the mother-child interaction (questionnaire CAP), and 2. disability associated with mental health; B) in children: 1. nutritional status, 2. neuropsicomotor development, C) in the family 1. socioeconomic factors, 2. family environment. The intervention consisted of five sessions of 90 minutes duration on a weekly basis, the group underwent a training in which they discussed the eight rules for a good mother-child interaction advocated by the International Child Development Programme (ICDP - WHO): Demonstrate positive feelings for the child, Following his initiative, Communicate, praise, focus attention, give meaning to action, expand the knowledge and Adjusting your behavior. After six months of intervention, there was no change in CAP mothers t (p = 0,52) or on their mental health (SM) (p = 0,73) and no significant change in child development and family environment. The presence of the biological father (p = 0,045) and have employment (p = 0,02) were associated with variation in the cap of the mothers before and after intervention Presence of biological father and even have employment contract are positively associated (p <0.001 and p = 0.020 respectively) with increased CAP score, while female child (p = 0,17) compared to males) was associated with a fall the score, and the smaller family size (less than five people) was associated with an increase (p = 0,25). It was possible to implement an intervention using the method ICDP - although WHO has not been detected positive impact on objectives. There was the importance of the presence of the biological father and his role as provider for his mother could have better learning conditions.