ClinicalTrials.gg
Not yet recruitingNCT07823582PROGRESSUpdated Sep 16, 2026

PROGRESS for the Primary Prevention of Early Overweight in Low-income, Rural Families

An interventional study of Sleep-Soothe-Play Responsive Parenting and Parent-Child Communication in Childhood Obesity, sponsored by Penn State University. Not yet recruiting. Open to participants aged 0 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-16.

Sponsored by Penn State University · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
328
Allocation
Randomized
Ages
0 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 22 studies in Pediatric Obesity by Penn State University — 3 open to participants now, 3 under way, none of them phase 3. Pediatric Obesity · Penn State University.

Planned enrollment
4th of 12
328 · median 105
Started
2027
the only one that year
No phase
11 of 22
3 open now
Registered
22nd of 22
by date

Among the 22 studies in Pediatric Obesity by Penn State University, this one is the 4th largest by planned enrollment of the 12 interventional ones that give a count, is the only one that started in 2027, is one of 11 with no phase, and was the 22nd registered.

Pediatric Obesity

1,129 studies on the registry are indexed under Pediatric Obesity; 187 are open to participants now.

Browse Pediatric Obesity studies →

Open to participants now

3 of the 22 studies in Pediatric Obesity by Penn State University are open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

All 3 open studies →

Where they have run

Who these studies take

Of the 124 Pediatric Obesity studies recruiting now, 19 (15%) set no upper age limit and 103 (83%) stop at 75 or younger; 114 take children under 18; 69 take healthy volunteers.

This study: 0 Years and older · all sexes · healthy volunteers too.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 22 studies in Pediatric Obesity by Penn State University, or all of them as a file.
02

Study summary

The Parent Responsiveness Optimized: Growth, Regulation, Eating, Sleep, and Soothing (PROGRESS) study is a randomized clinical trial designed to prevent early childhood overweight among rural, low-income families participating in the Pennsylvania Special Supplemental Nutrition Program for Women, Infants, and Children (PA WIC). The study will enroll 328 first-time mother-infant dyads, with infants having a birthweight at or above the 50th percentile, and follow families from infancy through age 2 years.

All participants will receive responsive feeding education through WIC as part of standard care. In addition, the study will test three telehealth-delivered responsive parenting intervention components: (1) sleep-soothe-play guidance, (2) parent-child communication support using infant signing, and (3) parental mindfulness training. Using the Multiphase Optimization Strategy (MOST) framework (a 2 × 2 × 2 factorial design), participants will be randomly assigned to one of eight conditions representing different combinations of these intervention components. Participants not receiving a specific intervention component will receive a safety education curriculum. This approach allows investigators to evaluate the individual and combined effects of each intervention component and identify the most effective and efficient intervention package.

The purpose of the study is to determine which responsive parenting components, alone or in combination, are most effective in reducing the risk of overweight and promoting healthy growth during early childhood. The primary outcome is overweight at age 24 months, defined as body mass index (BMI) at or above the 85th percentile for age and sex at 24 months. Secondary weight outcomes include BMI trajectory over 24 months, BMI z-score at 24 months, conditional weight gain from birth to 6 months, growth from 6-24 months, and obesity (BMI at or above 95th percentile for age and sex) at 24 months. Additional outcomes include responsive parenting practices, parent-child communication, parental mindfulness, and implementation outcomes such as intervention fidelity, adherence, acceptability, and participant satisfaction.

Findings from this study may help identify scalable, evidence-based strategies for preventing early childhood overweight in rural, low-income populations and support future integration of optimized responsive parenting interventions within WIC and other community-based services.

03

Conditions studied

  • Childhood Obesity

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Keywords

  • Responsive Parenting
  • Obesity Prevention
  • Parent-Child Communication
  • Parental Mindfulness
  • Infant Sleep
  • Infant Soothing
  • WIC
  • Telehealth
  • Multiphase Optimization Strategy (MOST)
04

Who can participate

Ages eligible
0 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Infant inclusion criteria:

  • Singleton
  • Born at ≥37 weeks gestation.
  • Birthweight at or above the 50th percentile for gestational age and sex.

Mother inclusion criteria:

  • Age 18 years or older
  • Pregnant in the third trimester (at recruitment)/≤1 month postpartum (at enrollment)
  • Participating in the Pennsylvania Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) at a participating site
  • First-time mother (primiparous)
  • English-speaking
  • Willing and able to provide and participate in study procedures through the child's age of 24 months.

Infant exclusion criteria:

  • Multiple gestation (e.g., twins, triplets)
  • Born \<37 weeks gestation
  • Birthweight below the 50th percentile for gestational age and sex
  • Medical conditions, congenital anomalies, genetic disorders, or chronic health conditions that may substantially affect growth, feeding, development, or participation in study activities.
  • Participation in another study that, in the opinion of the investigators, could interfere with study outcomes or participation.

Mother exclusion criteria:

  • Age less than 18 years
  • Unable to communicate in English
  • Medical, psychiatric, cognitive, or developmental conditions that, in the opinion of the investigators, would interfere with participation in the intervention or completion of study procedures.
  • Plans to relocate outside the service area of participating WIC clinics during the 24-month study period.
  • Inability or unwillingness to provide informed consent.
  • Participation in another study that, in the opinion of the investigators, could interfere with study outcomes or participation.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Factorial assignment
Masking
None (open label)
Enrollment
328 participants (estimated)

Study arms

  • Experimental
    Interventions A + B + C

    A. Sleep-Soothe-Play Responsive Parenting B. Parent-Child Communication (Infant Signing) C. Parental Mindfulness

    Behavioral: Sleep-Soothe-Play Responsive Parenting · Behavioral: Parent-Child Communication · Behavioral: Parental Mindfulness · Behavioral: Responsive Feeding Education (Standard of Care via WIC)

  • Experimental
    Interventions A + B

    A. Sleep-Soothe-Play Responsive Parenting B. Parent-Child Communication (Infant Signing)

    Behavioral: Sleep-Soothe-Play Responsive Parenting · Behavioral: Parent-Child Communication · Behavioral: Child Safety Curriculum · Behavioral: Responsive Feeding Education (Standard of Care via WIC)

  • Experimental
    Interventions A + C

    A. Sleep-Soothe-Play Responsive Parenting C. Parental Mindfulness

    Behavioral: Sleep-Soothe-Play Responsive Parenting · Behavioral: Parental Mindfulness · Behavioral: Child Safety Curriculum · Behavioral: Responsive Feeding Education (Standard of Care via WIC)

  • Experimental
    Intervention A

    A. Sleep-Soothe-Play Responsive Parenting

    Behavioral: Sleep-Soothe-Play Responsive Parenting · Behavioral: Child Safety Curriculum · Behavioral: Responsive Feeding Education (Standard of Care via WIC)

  • Experimental
    Interventions B + C

    B. Parent-Child Communication (Infant Signing) C. Parental Mindfulness

    Behavioral: Parent-Child Communication · Behavioral: Parental Mindfulness · Behavioral: Child Safety Curriculum · Behavioral: Responsive Feeding Education (Standard of Care via WIC)

  • Experimental
    Intervention B

    B. Parent-Child Communication (Infant Signing)

    Behavioral: Parent-Child Communication · Behavioral: Child Safety Curriculum · Behavioral: Responsive Feeding Education (Standard of Care via WIC)

  • Experimental
    Intervention C

    C. Parental Mindfulness

    Behavioral: Parental Mindfulness · Behavioral: Child Safety Curriculum · Behavioral: Responsive Feeding Education (Standard of Care via WIC)

  • Active comparator
    No Intervention

    Safety Curriculum Control

    Behavioral: Child Safety Curriculum · Behavioral: Responsive Feeding Education (Standard of Care via WIC)

Interventions

  • BehavioralSleep-Soothe-Play Responsive Parenting

    A telehealth-delivered responsive parenting intervention designed to promote healthy growth by supporting age-appropriate sleep, soothing, and play practices during infancy and toddlerhood. Parents receive guidance on establishing sleep routines, promoting self-soothing skills, reducing the use of feeding to soothe non-hunger distress, responding sensitively to child cues, supporting emotional regulation, and engaging in developmentally appropriate play activities that foster healthy development and parent-child interactions.

  • BehavioralParent-Child Communication

    A telehealth-delivered intervention designed to enhance parent-child communication through infant signing and responsive communication strategies. Parents learn to recognize and respond to their child's communication cues and are taught age-appropriate signs related to feeding, sleep, play, emotions, and daily routines. The intervention aims to improve communication clarity, support responsive parenting, strengthen parent-child interactions, and help children express needs, interests, and emotions before the development of spoken language.

  • BehavioralParental Mindfulness

    A telehealth-delivered intervention designed to increase mindfulness in parenting and improve parental self-regulation. Parents receive training in emotional awareness, non-reactivity, self-compassion, attention to child cues, stress management, and mindfulness-based coping strategies. The intervention aims to strengthen responsive parenting by helping parents recognize and regulate their own emotions while responding sensitively and appropriately to their child's needs and emotional signals.

  • BehavioralChild Safety Curriculum

    A telehealth-delivered, dose-matched child safety education program that serves as a control condition for intervention components not assigned in the factorial design. Content is based on American Academy of Pediatrics recommendations and includes safe sleep, injury prevention, food safety, home safety, car seat safety, water safety, and age-appropriate child safety guidance. The amount of safety education provided varies according to the number of intervention components not assigned, ensuring equivalent intervention intensity and participant contact across study conditions. Participants receiving no experimental intervention components will receive the full safety curriculum, while those receiving one or more intervention components will receive a proportionally reduced safety curriculum, with intermediate levels matched to intervention assignment. The curriculum provides equivalent participant contact without delivering experimental intervention content.

  • BehavioralResponsive Feeding Education (Standard of Care via WIC)

    All participants receive responsive feeding education from WIC nutritionists as part of routine WIC services. Education focuses on recognizing and responding appropriately to infant hunger and fullness cues, establishing healthy feeding routines, delaying introduction of complementary foods until developmentally appropriate, promoting healthy dietary patterns, and supporting responsive feeding practices that encourage self-regulation of food intake. This intervention is provided to all study participants and is not experimentally assigned.

06

What researchers measure

Primary outcomes

  1. Overweight at age 24 months

    Child overweight status defined as body mass index (BMI) at or above the 85th percentile for age and sex using Centers for Disease Control and Prevention (CDC) growth charts. BMI will be calculated from measured weight and height obtained through WIC and/or primary care provider anthropometric assessments.

    Time frame: 24 months of age

Secondary outcomes

  1. Body Mass Index (BMI) Trajectory

    Body mass index (BMI; kg/m²) calculated from measured weight and length/height collected at WIC visits and/or pediatric well child visits. Longitudinal BMI measurements will be used to evaluate growth trajectories from infancy through age 24 months.

    Time frame: Birth, 6, 12, 18, and 24 months

  2. BMI z-Score

    BMI-for-age z-score calculated using CDC growth references.

    Time frame: 24 months

  3. Conditional Weight Gain

    Conditional weight gain from birth to 6 months, calculated as standardized residuals from the regression of weight-for-age z-score at 6 months on weight-for-age z-score at birth, with length-for-age z-score at birth, gestational age at birth, length-for-age z-score at 6 months, and age at time of 6 month measurement as covariates

    Time frame: Birth to 6 months

  4. Obesity at 24 months

    Child obesity status defined as body mass index (BMI) at or above the 95th percentile for age and sex using Centers for Disease Control and Prevention (CDC) growth charts

    Time frame: 24 months

  5. Growth from 6-24 months

    BMI from 6 to 24 months will be analyzed using a multilevel model

    Time frame: Age 6 to 24 months

Other outcomes

  1. Parent Feeding Practices

    Parent feeding practices measured using the Structure and Control in Parent Feeding Questionnaire, including structure-based and control-based feeding behaviors.

    Time frame: 12 and 24 months

  2. Parent Responsiveness to Child Feeding Cues

    Observed parent responsiveness during feeding interactions assessed using the Responsiveness to Child Feeding Cues Task.

    Time frame: 12 and 24 Months

  3. Child Communication Development

    Child communication and language development assessed using the MacArthur Communicative Development Inventories.

    Time frame: 12, 18, and 24 Months

  4. Parental Mindfulness

    Mindfulness in parenting assessed using the Interpersonal Mindfulness in Parenting Scale (IMP).

    Time frame: 6, 12, 18, and 24 Months

  5. Parenting Stress

    Parenting stress measured using the Parenting Stress Index.

    Time frame: 12 and 24 Months

  6. Infant and Child Sleep Behaviors

    Sleep duration, sleep routines, night waking, and related sleep behaviors measured using the Brief Infant Sleep Questionnaire.

    Time frame: 6, 12, 18 and 24 Months

  7. Sleep-Soothe-Play Parenting Practices

    Parent use of sleep, soothing, and behavioral regulation practices measured using the Babies Need Soothing Questionnaire.

    Time frame: 6, 12, 18, and 24 Months

  8. Intervention Adherence

    Proportion of scheduled intervention sessions completed by participants.

    Time frame: Through 24 Months

  9. Intervention Fidelity (PSU Educator and WIC Nutritionist)

    Fidelity of intervention components assessed using fidelity checklists and/or observation.

    Time frame: Through 24 Months

  10. Participant Satisfaction

    Participant-reported satisfaction with intervention content and delivery.

    Time frame: Through 24 Months

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Yes — De-identified dataset will be deposited in a controlled repository and accessible by qualified researchers.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Analytic code

Time frame: All scientific data generated from this project will be made available as soon as possible, and no later than the time of publication or the end of the funding period, whichever comes first. The duration of preservation and sharing of the data will be a minimum of 10 years after the funding period

Access criteria: Data that can be shared will be deposited in the ScholarSphere institutional data repository with controlled access and will be made available upon request. Data will be shared with qualified investigators with an appropriate research question and approved Data Use Agreement, which limits subsequent use to the terms of the approved request and requires that users maintain data security, and refrain from any attempts to re-identify research participants or engage in any unauthorized uses of the data.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Jan 2027; primary completion for Dec 2031, 59 months later.

Of 539 non-industry interventional studies with no phase under Pediatric Obesity, half reached primary completion within 25 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 45. This study's planned 59 months is above that.

Counting every sponsor, half of 541 studies reached it within 25 months; a quarter within 11 and three quarters within 45.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 11, 2026
First posted
Sep 16, 2026
StartEst.
Jan 1, 2027
Primary completionEst.
Dec 2031
CompletionEst.
Dec 2032
Last update
Sep 16, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07823582
Responsible party
Jennifer Savage Williams (Professor, Penn State University) — Principal investigator
First posted
Sep 16, 2026
Start date
Jan 1, 2027 (estimated)
Primary completion
Dec 2031 (estimated)
Completion
Dec 2032 (estimated)
Last update
Sep 16, 2026

Study contacts

Lindsey Hess, MPH
Contact
lbb135@psu.edu
814-865-2457
Jennifer Savage, PhD
principal investigator · Penn State University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in May 2026. You cannot join it, but the record below documents what was studied.

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