Five inclusion criteria were used in the EGDS: completion of a domestic adoption placement, placement of the baby within 3 months postpartum, placement within a nonrelative adoptive family, no known major medical conditions (e.g., extreme prematurity or extensive medical surgeries), and birth and adoptive parents were able to read or understand English at the eighth-grade level. All birth and adoptive families who met these inclusion criteria during the recruitment period were considered for enrollment.