In its initial phases, the SMART Beginnings project aimed to enhance school readiness in low-income families by promoting positive parenting practices and reducing psychosocial stressors starting shortly after a child's birth. It integrated two evidence-based interventions: the universal prevention strategy PlayReadVIP, which involves videotaping parent-child interactions and coaching parents, and the targeted home-visiting program,Family Check-up (FCU), for families facing additional psychosocial stressors. Conducted in pediatric primary care settings in New York City and Pittsburgh, the project tested the combined model through a randomized control trial, using surveys and observational data to assess its effectiveness. The study sought to determine if this integrated approach can significantly improve early school readiness outcomes, including social-emotional skills and self-regulation.