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)