This study aims to examine how stress in pregnancy and early-life social experiences may lead to genetic changes associated with social and communication difficulties in autism. Our goal is to better understand what factors might lead to autism in young children in order to support early intervention efforts.

You may be eligible for this study if you meet the following criteria.

Inclusion Criteria:

• Ages 18-50
• Pregnant (less than 27 weeks)
• Speak and read English
• Access to a smartphone with wifi capabilities

Exclusion Criteria:

• History of severe mental illness in the past year that resulted in hospital admission

You will use your cell phone to track your pregnancy and baby’s development until age 2, complete short questionnaires, and videotape your baby’s play. All research activities can be completed at home using your cell phone, and should only take a few minutes to complete.  After your baby is born and at 2-3 years of age, you will be sent a kit to swab your child’s cheek, so that we can look at changes in genetic markers related to child development.

• Complete Online Consent: If eligible, you’ll start by filling out an online consent form.
• Monthly Activities: You will receive monthly texts or emails with a link to complete short questionnaires, upload photos/videos of your child, and share how you’re feeling. This should take no more than 30 minutes per month until your baby turns 3.
• Cheek Swab Kit: After your baby is born, you’ll receive a cheek swab kit in the mail to collect a sample for genetic testing.
• Next Phase: Depending on your child’s developmental screening tests, you may be invited to participate in the next phase of the study, which includes:
  
  • A developmental assessment (online or in-person)
  • Two more cheek swabs, 6 months apart
  • A portable recording device to measure your child’s language experience

You will receive free developmental screenings for your child, and a video of your child’s changing facial expressions over time (see example here). If any developmental or behavioral concerns are identified, a free online developmental assessment will be arranged with a psychologist or developmental pediatrician. Families will also earn points to be entered into a 6-monthly gift card draw. Participants who enroll in the second phase will receive up to $120 via gift card.

There is no cost for you to participate in our research study.