Background: The foundation of a healthy life begins in pregnancy and early adversity can have detrimental long-term consequences for affected children. Objective: This paper examines the effects of the Incredible Years Parents and Babies program (IYPB) at one-year followup when offered as a universal parenting intervention to parents with newborn infants. Method: We conducted a pragmatic, two-arm, parallel pilot randomized controlled trial; 112 families with newborns were randomized to IYPB intervention (n = 76) or usual care (n = 36). The IYPB program is a group intervention with eight twohour sessions. Follow-up outcomes collected a year after the intervention ended include parental stress, depression, wellbeing, reflective function, sense of competence, and child cognitive and socio-emotional development. Results: There were no intervention effects on any of the primary or secondary parent-reported outcomes at one-year followup when the children were 18 months old. When examining the lowest-functioning mothers in moderator analyses, we found that mothers assigned to the IYPB group reported significantly lower scores for the interest and curiosity subscale of the parent reflective function scale than control mothers (β=-1,07 [-2.09,-0.06]). Conclusion: We found no long-term effects of the IYPB when offered as a universal intervention for a relatively wellfunctioning group of parents with infants in a setting with a high standard of usual care. The intervention was developed for more vulnerable families in settings with a low level of universal care and the program may be effective for families in those circumstances.