# Trauma-Informed Parenting for Children with Developmental Delays

> **NIH NIH R01** · CHILDREN'S HOSP OF PHILADELPHIA · 2021 · $123,057

## Abstract

ABSTRACT
Childhood trauma and chronic stress are associated with poor parenting as an adult and subsequent offspring
developmental problems. Supportive, cohesive co-parenting (i.e., ways in which parents support/undermine
and coordinate with each other in parenting) has the potential to mitigate the impact of childhood trauma and
chronic stress on parent adjustment and parenting quality and therefore improve offspring developmental
outcomes. Unfortunately, current co-parenting interventions do not address the impact of prior exposure to
childhood trauma and chronic stress on co-parenting relationships, limiting the efficacy of such programs
among parents impacted by trauma and chronic stress as children. In addition, parents who have experienced
trauma and chronic stress as a child may struggle to access services. Thus, a pediatric primary care-based co-
parenting program that addresses the impact of childhood exposure to trauma and chronic stress on
cooperative caregiving offers a unique opportunity to disrupt the intergenerational impact of childhood trauma
and chronic stress and improve developmental outcomes for at risk children. The overall objective of the
proposed project is to modify the Family Foundations (FF) Program, an evidence-based primary prevention
program designed to enhance co-parenting relationships among cohabitating/married expecting first-time
parents, to a primary care-based intervention that mitigates the negative impact of childhood trauma and
chronic stress on co-parenting, assessing the feasibility, acceptability, and impact on co-parenting skills of the
adapted co-parenting program using pilot tests. The proposed study will use qualitative, intervention
development, and implementation science methods to adapt the FF program into a trauma-informed parenting
program for caregivers impacted by childhood exposure to trauma and chronic stress. Pilot data collected as
part of this study will support future R01 grants focused on implementation of this intervention in a primary care
setting and evaluation of the efficacy of this primary care-based trauma informed co-parenting intervention in
improving child developmental outcomes among children reared by caregivers endorsing exposure to trauma
and chronic stress as children. The proposed application is within scope of the parent NIMHD funded ODEI
study (R01MD011598) in addressing the effects of poor co-parenting on child development and innovative in
adapting a co-parenting intervention for use in pediatric primary care settings among caregivers impacted by
trauma and chronic stress as a child. My long-term research interests center around decreasing racial and
ethnic disparities in child developmental problems by developing primary care-based interventions designed to
address the impact of exposure to trauma and chronic stress as a child on parenting. To conduct this line of
research I require additional training in qualitative methods, intervention development, and implement...

## Key facts

- **NIH application ID:** 10400431
- **Project number:** 3R01MD011598-04S1
- **Recipient organization:** CHILDREN'S HOSP OF PHILADELPHIA
- **Principal Investigator:** JAMES P GUEVARA
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $123,057
- **Award type:** 3
- **Project period:** 2018-04-01 → 2022-11-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10400431

## Citation

> US National Institutes of Health, RePORTER application 10400431, Trauma-Informed Parenting for Children with Developmental Delays (3R01MD011598-04S1). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10400431. Licensed CC0.

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