Food FARMacia: Reducing Childhood Obesity in Households With Food Insecurity
Stanford University
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.
Description
Childhood obesity remains highly prevalent and originates early in life. Efficacious early life interventions to prevent childhood obesity are lacking, particularly among populations most burdened by childhood obesity. Food insecurity - defined as lack of enough food for an active, healthy life - may play key upstream roles in etiologies of obesity through establishment of unhealthy dietary patterns and stress-related metabolic perturbations. Household food insecurity during the first 24 months of life is a risk factor for later childhood obesity. Professional organizations recommend integrati…
Eligibility
- Age range
- 0+ years
- Sex
- All
- Healthy volunteers
- No
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) wit…
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 MedicineStanford, California
- Columbia University Irving Medical CenterNew York, New York