RecruitingNot ApplicableNCT06051591

Food FARMacia: Reducing Childhood Obesity in Households With Food Insecurity


Sponsor

Stanford University

Enrollment

80 participants

Start Date

Dec 1, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

The goal of this clinical trial is to test whether the Food FARMacia intervention to reduce food insecurity is feasible and accepted among families with an infant age 6 to less than 18 months receiving pediatric primary care. All participants will receive nutrition education and anticipatory guidance to support healthy meal preparation in addition to usual care.


Eligibility

Min Age: 6 Months

Inclusion Criteria13

  • 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
  • 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 Criteria14

  • 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
  • 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)

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Interventions

BEHAVIORALFood FARMacia Program

Twice monthly delivery of groceries with about 12 meals per household member for up to 4 household members for 6 months.

BEHAVIORALSelf-directed meal preparation support

Nutrition education and anticipatory guidance to support healthy meal preparation


Locations(2)

Stanford University School of Medicine

Stanford, California, United States

Columbia University Irving Medical Center

New York, New York, United States

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NCT06051591


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