Food FARMacia: Reducing Childhood Obesity in Households With Food Insecurity

Inclusion criteria

• for Child:
• Age 6 to \< 18 months at enrollment
• Born gestational age 37 weeks or later without evidence of undernutrition at routine health care visits
• In household with food insecurity at time of screening phone call based on an affirmative response on the 2-item Hunger Vital Signs™ screening tool
• Primary pediatric care patient at Stanford University/Stanford Health Care Network
• Planned continuation of primary pediatric care at Stanford University/Stanford Health Care
• Living in a community setting (not inpatient or living in a nursing/long-term care setting) with a caretaker enrolled in this study

Exclusion criteria

• for Child:
• Gestational age \< 37 weeks
• Small-for-gestational age at birth (birth weight for gestational age less than 10th percentile)
• Weight-for-length \< 3rd percentile
• Body Mass Index \< 5th percentile for age and sex
• Children in household previously enrolled in this study or the Food FARMacia program
• Conditions that substantially interfere with growth or mobility (e.g., complex congenital heart disease, cystic fibrosis)
• Children with special diets (e.g., tyrosinemia, enteral tube feeding)
• Children with chronic diseases that interfere with nutrition and growth as determined by investigators
• Inclusion Criteria for Parent/Legal Guardian:
• Primary caretaker of infant eligible for study and with planned enrollment in this study
• Age 18 years or older
• Ability to respond to questions in English and/or Spanish
• Willing for self and infant to be randomized into a RCT and complete all study components
• Gives permission to receive messages to their mobile device, email, and or place of residence
• Gives permission to complete all study procedures for self and infant
• Capable of providing informed consent for self and infant
• Exclusion Criteria for Parent/Legal Guardian:
• Pregnancy at baseline visit because of unique nutritional needs
• Age \< 18 years at baseline because of unique developmental differences of adolescents and New York State regulations
• Inability to complete study visits or intervention components
• Unwillingness or inability to commit to a 6-month research study for self or infant
• Unable to give informed consent
• Underlying disease/treatment that might interfere with participation in/completion of the study (e.g., significant gastrointestinal conditions, major psychiatric disorders, and others at the discretion of the study clinician)