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Chronic Diseases in ChildrenFAMENCT07162350

Food as Medicine Study

A study testing Food Navigation in people with Chronic Diseases in Children, run by Parkland Health and Hospital System at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The Food as Medicine (FAME) intervention aims to improve dietary quality in lower income, primarily ethnic minority youth through food navigation that bridges clinical care and community food resources. Read more about this study

Who is it for?
Ages 8 to 15 years
Conditions the study is for
Chronic Diseases in Children
What is being tested?
Food Navigation
Could I receive a placebo?
No, everyone receives an active treatment
How many people
250 participants
Where
1 siteUnited States
Study dates
1 Jun 2026to 30 Jun 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 8 to 15 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Between the ages of 8-15 years,
  • Have risk factors of chronic disease based on elevated BMI (>25; 85th percentile),
  • Be seen at one of the selected Parkland COPC clinics,
  • Have not completed a dietitian visit within the last 12 months,
  • Both the participant and caregiver must be fluent in English or Spanish (read, write, and speak) and be willing to participate in the study over a 12-month duration.
  • Exclusion criteria for the participant include presence of any of the following:
Show all 22Show fewer
  • Autism with feeding difficulties
  • Intellectual disability
  • Cushing Disease
  • Severe feeding difficulties for over 2 years
  • Dietary restrictions (medically prescribed)
  • Severe food allergy
  • Severe psychiatric disorders
  • Non-alcoholic fatty liver disease
  • Non-alcoholic steatohepatitis
  • Metabolic-associated fatty liver disease
  • Metabolic-associated steatohepatitis
  • Type 1 Diabetes
  • Antipsychotics
  • GLP1 Medication Prescribed
  • Bariatric Surgery
  • Pregnancy

Who cannot join

None listed.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

United States1 site, 1 recruiting
  • Parkland Health & Hospital System

    Dallas, Texas, 75390

    Kristin Alvarez, 469-419-1816, kristin.alvarez@phhs.org

    Jaclyn Albin

    Recruiting

Other trials in United States

About this study

Official title: Food as Medicine (FAME): An Innovative Approach to Improve Health and Nutrition Security Among High-Risk Children and Families in South Dallas

The Food as Medicine (FAME) intervention aims to improve dietary quality in lower income, primarily ethnic minority youth through food navigation that bridges clinical care and community food resources. This study will evaluate the FAME intervention on dietary quality, food behaviors, health outcomes, and cost-effectiveness, using a pragmatic randomized clinical trial design in 250 at risk youth (8-15 years of age) and their caregiver(s) as compared to Usual Care through the following aims:

Aim 1: To evaluate the impact of the FAME intervention on child and caregiver(s) dietary quality at 6 and 12 months as compared to Usual Care. Hypothesis: FAME participants will have increased dietary quality as measured by ASA-24/DQI.

Read more

Aim 2: To assess the intervention's impact on food behaviors, food insecurity, healthy food sourcing, knowledge, self-efficacy, health outcomes and cost-effectiveness at 6 and 12 months as compared to Usual Care.

Aim 3: Evaluate implementation outcomes including dose, satisfaction, and individual interviews and focus groups with youth, parents, physicians, clinic staff, community partners, and CHWs.

Being tested
Food Navigation

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Food NavigationBehavioural

    For those randomized to the FAME Intervention, it will begin with a Community Health Worker (CHW) Food Navigator consultation. The role of the Food Navigators is as follows:

    1. Identify the top dietary and food needs of the participant and their family. The Food Navigator will perform a needs assessment to define food access, kitchen resources/capacity, and other social determinants of health.
    2. Set realistic, participant and family-driven nutrition goals. The Food Navigator will utilize Motivational Interviewing (MI), an evidence-based method of counseling that promotes motivation for change.
    3. Provide nutrition resources and referrals.
    4. Support children and families for up to 12 months.
Study groups in NCT07162350
Study groupRoleWhat they receive
Usual CareNo interventionThe Usual Care control group reflects current clinical practices given to patients. This includes having access to routine wrap around services such as consultation with a dietitian and nutrition education materials. Providers provide references to applicable wrap around services; however, it is ultimately up to the patient to decide to utilize the resources.
FAMEExperimentalThe FAME intervention will be evaluated with a pragmatic randomized clinical trial. FAME will use a community health worker food navigator embedded in clinical settings to provide education and linkage to a community-based food hub that provides access to community driven food resources.
Receives: Behavioral: Food Navigation

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Dietary Quality as measured by Diet Quality Index International (DQI-I)

    Dietary quality is measured with the ASA 24-hour dietary recall (ASA 24) and the Diet Quality Index International (DQI-I). The ASA 24 is web-based tool that allows individuals to self-report all foods and beverages consumed in the previous 24 hours ((i.e., the data collection method). The DQI-I is a validated scoring system designed to assess overall diet quality (i.e., measure used to interpret the collected data). Used together, researchers will apply the DQI-I scoring algorithm to the nutrient and food group data collected from ASA 24 to generate a numeric DQI-I score that indicates the overall daily diet quality of the study participant. The DQI-I includes four components (variety 0-20; adequacy 0-40; moderation 0-30; overall balance 0-10) that contribute to a total score out of 100 points with higher scores indicating better diet quality. This allows us to track diet quality changes over time.

    Measured: Baseline to 6-months post-intervention

Secondary outcomes (23)
  1. Change in Dietary Quality as measured by Diet Quality Index International (DQI-I)

    Dietary quality is measured with the ASA 24-hour dietary recall (ASA 24) and the Diet Quality Index International (DQI-I). The ASA 24 is web-based tool that allows individuals to self-report all foods and beverages consumed in the previous 24 hours ((i.e., the data collection method). The DQI-I is a validated scoring system designed to assess overall diet quality (i.e., measure used to interpret the collected data). Used together, researchers will apply the DQI-I scoring algorithm to the nutrient and food group data collected from ASA 24 to generate a numeric DQI-I score that indicates the overall daily diet quality of the study participant. The DQI-I includes four components (variety 0-20; adequacy 0-40; moderation 0-30; overall balance 0-10) that contribute to a total score out of 100 points with higher scores indicating better diet quality. This allows us to track diet quality changes over time.

    Measured: Baseline to 12-months post-intervention

  2. Change in Resilience as measured by the Brief Resilience Scale (BRS)

    The 6-item BRS uses a 5-point Likert scale (1 = strongly disagree, 2 = disagree, 3 = neutral, 4 = agree, 5 = strongly agree). Items 1, 3, and 5 are positively worded, and items 2, 4, and 6 are negatively worded. The BRS is scored by reverse coding items 2, 4, and 6 and finding the mean of the 6 items. A higher score indicates a higher level of resilience.

    Measured: Baseline to 6-months post-intervention

  3. Change in Resilience as measured by the Brief Resilience Scale (BRS)

    The 6-item BRS uses a 5-point Likert scale (1 = strongly disagree, 2 = disagree, 3 = neutral, 4 = agree, 5 = strongly agree). Items 1, 3, and 5 are positively worded, and items 2, 4, and 6 are negatively worded. The BRS is scored by reverse coding items 2, 4, and 6 and finding the mean of the 6 items. A higher score indicates a higher level of resilience.

    Measured: Baseline to 12-months post-intervention

  4. Change in perceived stress as measured by the Perceived Stress Scale (PSS)

    The 10-item PSS uses a 5-point Likert scale (0 = Never, 1 = Almost Never, 2 = Sometimes, 3 = Fairly Often, 4 = Very Often). PSS scores are obtained by reversing responses to the four positively stated items (items 4, 5, 7, \& 8) and then summing across all scale items. Higher scores indicate higher levels of perceived stress.

    Measured: Baseline to 6-months post-intervention

  5. Change in perceived stress as measured by the Perceived Stress Scale (PSS)

    The 10-item PSS uses a 5-point Likert scale (0 = Never, 1 = Almost Never, 2 = Sometimes, 3 = Fairly Often, 4 = Very Often). PSS scores are obtained by reversing responses to the four positively stated items (items 4, 5, 7, \& 8) and then summing across all scale items. Higher scores indicate higher levels of perceived stress.

    Measured: Baseline to 12-months post-intervention

  6. Change in social support as measured by the Medical Outcomes Study (MOS) Social Support Survey

    The Medical Outcomes Study (MOS) Social Support Survey is a self-administered questionnaire that that includes 19 items across four functional support subscales: emotional/informational support (8 items), tangible/instrumental support (4 items), affectionate support (3 items), and positive social interaction (3 items). Each item is scored on a 5-point Likert style scale (1 = None of the Time; 5 = All of the Time) to indicate how often that type of support is available to them. A score for each social support subscale can be computed by averaging across the individual items or by adding scores individual items together. Higher scores indicate more support.

    Measured: Baseline to 6-months post intervention

  7. Change in social support as measured by the Medical Outcomes Study (MOS) Social Support Survey

    The Medical Outcomes Study (MOS) Social Support Survey is a self-administered questionnaire that that includes 19 items across four functional support subscales: emotional/informational support (8 items), tangible/instrumental support (4 items), affectionate support (3 items), and positive social interaction (3 items). Each item is scored on a 5-point Likert style scale (1 = None of the Time; 5 = All of the Time) to indicate how often that type of support is available to them. A score for each social support subscale can be computed by averaging across the individual items or by adding scores individual items together. Higher scores indicate more support.

    Measured: Baseline to 12-months post intervention

  8. Change in food security as measured by a standard measure from the USDA Economic Research Services

    The six-item standard measure from the U.S. Department of Agriculture (USDA) Economic Research Service is modeled using information from the Community Population Survey, Bureau of Labor Statistics, and American Community Survey. Food security status is assigned as follows: Raw score 0-1 - High or marginal food security (raw score 1 may be considered marginal food security, but a large proportion of households that would be measured as having marginal food security using the household or adult scale will have raw score zero on the six-item scale) Raw score 2-4 - Low food security Raw score 5-6 - Very low food security

    Measured: Baseline to 6-months post intervention

  9. Change in food security as measured by a standard measure from the USDA Economic Research Services

    The six-item standard measure from the U.S. Department of Agriculture Economic Research Service is modeled using information from the Community Population Survey, Bureau of Labor Statistics, and American Community Survey. Food security status is assigned as follows: Raw score 0-1 - High or marginal food security (raw score 1 may be considered marginal food security, but a large proportion of households that would be measured as having marginal food security using the household or adult scale will have raw score zero on the six-item scale) Raw score 2-4 - Low food security Raw score 5-6 - Very low food security

    Measured: Baseline to 12-months post intervention

  10. Change in parental self-efficacy as measured by the Parental Self-Efficacy for Healthy Dietary and Physical Activity Behaviors in Preschoolers Scale (PDAP)

    Parental self-efficacy (PSE) refers to beliefs of parents to effectively engage in behaviors that result in desired outcomes for their children. The PDAP instrument measures PSE in relation to contextual circumstances, for example, psychological states and situational demands. Responses are made according to an 11-point Likert scale, with anchors at 0 (not at all confident), 5 (moderately confident), and 10 (completely confident). A higher score indicates a higher level of PSE.

    Measured: Baseline to 6-months post intervention

  11. Change in parental self-efficacy as measured by the Parental Self-Efficacy for Healthy Dietary and Physical Activity Behaviors in Preschoolers Scale (PDAP)

    Parental self-efficacy (PSE) refers to beliefs of parents to effectively engage in behaviors that result in desired outcomes for their children. The PDAP instrument measures PSE in relation to contextual circumstances, for example, psychological states and situational demands. Responses are made according to an 11-point Likert scale, with anchors at 0 (not at all confident), 5 (moderately confident), and 10 (completely confident). A higher score indicates a higher level of PSE.

    Measured: Baseline to 12-months post intervention

  12. Change in child self-efficacy as measured by the Self-Efficacy to Regulate Eating Behaviors Scale for Children (SEREB-C)

    The SEREB-C is a 14-item self-report tool designed to measure children's perceived self-efficacy to choose healthy eating behaviors in challenging contexts. The points of the individual items are summed to create a composite score ranging from 8 to 40 for the activation and temptation situations subscale and from 6 to 30 for the negative emotional situations subscale (combined, total score ranges from 14 to 70). Higher scores imply greater self-efficacy in regulating eating behaviors in challenging situations.

    Measured: Baseline to 6-months post intervention

  13. Change in child self-efficacy as measured by the Self-Efficacy to Regulate Eating Behaviors Scale for Children (SEREB-C)

    The SEREB-C is a 14-item self-report tool designed to measure children's perceived self-efficacy to choose healthy eating behaviors in challenging contexts. The points of the individual items are summed to create a composite score ranging from 8 to 40 for the activation and temptation situations subscale and from 6 to 30 for the negative emotional situations subscale (combined, total score ranges from 14 to 70). Higher scores imply greater self-efficacy in regulating eating behaviors in challenging situations.

    Measured: Baseline to 12-months post intervention

  14. Change in dietary behavior as measured by the Mini-EAT survey

    The Mini-EAT (Eating Assessment Tool) is a dietary assessment tool designed to evaluate the quality of a person's diet. It ranges from a low of 36 to a high of 90. Scores are categorized into three levels: unhealthy (<61), intermediate (61-69), and healthy (69<)

    Measured: Baseline to 6-months post-intervention

  15. Change in dietary behavior as measured by the Mini-EAT survey

    The Mini-EAT is a dietary assessment tool designed to evaluate the quality of a person's diet. It ranges from a low of 36 to a high of 90. Scores are categorized into three levels: unhealthy (<61), intermediate (61-69), and healthy (69<)

    Measured: Baseline to 12-months post-intervention

  16. Change in BMI of child participants at 6 months post-intervention

    Child health outcomes will be evaluated with electronic health records, including body mass index (BMI) (weight and height will be combined to report BMI in kg/m^2).

    Measured: Baseline to 6-months post-intervention

  17. Change in BMI of child participants at 12 months post-intervention

    Child health outcomes will be evaluated with electronic health records, including body mass index (BMI) (weight and height will be combined to report BMI in kg/m^2).

    Measured: Baseline to 12-months post-intervention

  18. Change in Blood pressure of child participants at 6 months post-intervention

    Child health outcomes will be evaluated with electronic health records, including systolic and diastolic blood pressure data.

    Measured: Baseline to 6-months post-intervention

  19. Change in Blood pressure of child participants at 12 months post-intervention

    Child health outcomes will be evaluated with electronic health records, including systolic and diastolic blood pressure data.

    Measured: Baseline to 12-months post-intervention

  20. Change in Glycated hemoglobin (HbA1c) of child participants at 6 months post-intervention

    Child health outcomes will be evaluated with electronic health records, including glycated hemoglobin (HbA1c) data.

    Measured: Baseline to 6-months post-intervention

  21. Change in Glycated hemoglobin (HbA1c) of child participants at 12 months post-intervention

    Child health outcomes will be evaluated with electronic health records, including glycated hemoglobin (HbA1c) data.

    Measured: Baseline to 12-months post-intervention

  22. Change in Alanine transaminase (ALT) of child participants at 6 months post-intervention

    Child health outcomes will be evaluated with electronic health records, including alanine transaminase (ALT) data.

    Measured: Baseline to 6-months post-intervention

  23. Change in Alanine transaminase (ALT) of child participants at 12 months post-intervention

    Child health outcomes will be evaluated with electronic health records, including alanine transaminase (ALT) data.

    Measured: Baseline to 12-months post-intervention

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Sep 2025
  2. Study start1 Jun 2026
  3. Primary completion31 Dec 2027 (estimated)
  4. Study completion30 Jun 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
250 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07162350
Sponsor's protocol ID
STU20251104
Acronym
FAME
Status last verified
Aug 2026
First submitted
1 Jul 2025
Last updated
3 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: There is no current plan to share individual participant data (IPD) with other researchers. If this decision changes, an IPD sharing plan will be provided according to institutional regulations at a later time.

Questions about this trial

What is this clinical trial studying?

A study testing Food Navigation in people with Chronic Diseases in Children, run by Parkland Health and Hospital System at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 22 inclusion and 0 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 3 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Emilie Ruiz (469-285-6848, Emilie.Ruiz@UTSouthwestern.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Dietary Quality as measured by Diet Quality Index International (DQI-I) (time frame: Baseline to 6-months post-intervention). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Sep 2026.

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