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Perinatal Intervention and Long-Term Outcomes

Headshot of Mark Feinberg

PI: Mark Feinberg

NIH  R01HD084476
Administered in: College of Health and Human Development


The goal of this project is to evaluate the long-term effects of a universal preventive intervention for couples expecting a first child on parent adjustment, parenting, and child outcomes from six to eight years after birth. A key innovation of this transition-to-parenthood model, called Family Foundations (FF), is the focus on enhancing the coparenting relationship, based on evidence that coparenting is a causal influence on parent adjustment, parenting quality, and child outcomes (Feinberg, 2002, 2003; Minuchin, Rosman, & Baker, 1978). Given the positive results of FF to date in two trials, and the program's potential population reach, it is critically important to understand the potential of FF for enhancing child well-being over a longer period of time and across both family and school settings. Thus, we are assessing not only children's self-regulation and emotional/behavioral adjustment (e.g., internalizing and externalizing behavior problems), but children's school adaptation and academic achievement in the early years of elementary school as well. Additionally, we are leveraging the experimental design to test the causal pathways in the underlying theory, thus providing a test of whether program impact on coparenting and parent adjustment lead to change in parenting quality, which in turn together influence children's self-regulation and adjustment.