Description
- Inclusion Criteria for Child:
- * Age 6 to \< 18 months at enrollment
- * In household with food insecurity documented in the electronic health record (EHR) before infant age 18 months
- * 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 in the Columbia / NYP Ambulatory Care Network
- * Planned continuation of primary pediatric care at Columbia/NYP
- * 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, including plans to move \>25 miles from CUIMC within the next 6 months
- * 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)
Ages Eligible for Study:
6 Months to N/A (CHILD, ADULT, OLDER_ADULT)
Sexes Eligible for Study: ALL
Accepts Healthy Volunteers:
No