This study investigated the ability of a theoretically driven, psychosocial prevention program implemented through childbirth education programs to enhance the coparental relationship, parental mental health, the parent-child relationship, and infant emotional and physiological regulation. A sample of 169 heterosexual, adult couples who were expecting their 1st child was randomized to intervention and control conditions. The intervention families participated in Family Foundations, a series of 8 classes, delivered before and after birth, that was designed as a universal prevention program (i.e., it was applicable to all couples, not just those at high risk). Intent-to-treat analyses indicated significant program effects on coparental support, maternal depression and anxiety, distress in the parent-child relationship, and several indicators of infant regulation. Intervention effects were not moderated by income, but greater positive impact of the program was found for lower educated parents and for families with a father who reported higher levels of insecure attachment in close relationships. These findings support the view that coparenting is a potentially malleable intervention target that may influence family relationships as well as parent and child well-being.
Keywordscoparenting; prevention; parenting; infancy Theory and research suggest that coparenting-that is, how parents coordinate their parenting, support or undermine each other, and manage conflict regarding child rearing-is a central aspect of family life (McHale, Kuersten-Hogan, Lauretti, & Rasmussen, 2000;Minuchin, Rosman, & Baker, 1978;Van Egeren, 2004). A number of studies have demonstrated the influence of the coparenting relationship measured across childhoodfrom infancy through adolescence-on measures of parenting, parent-child relations, and child social-emotional adjustment and behavioral problems (Feinberg, Kan, & Hetherington, 2007;Schoppe, Mangelsdorf, & Frosch, 2001). Thus, coparenting is a potential leverage point for enhancement of family functioning and child outcomes.Despite this emerging recognition of the coparenting relationship, there is as yet no published evidence regarding the ability of psychosocial intervention to effect positive Copyright © 2008
NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript change in coparenting (Feinberg, 2002). In this article, we present the first results of a randomized trial of Family Foundations (FF), a universal prevention program that was developed to enhance coparenting quality among cohabiting and/or married couples who were expecting a first child. FF is a series of eight interactive, psychoeducational, skillsbased classes designed for expectant couples who are cohabiting or married. The program is delivered through the universal, nonstigmatizing framework of childbirth education departments of local hospitals. This article is poised to shed light on whether positive coparenting can be enhanced through a universal, group-format program and whether such a pr...