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Food as Medicine Study

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

Who can join

Ages 8 to 15 · All sexes

Eligibility Criteria:

Inclusion criteria for the participant include:

1. Between the ages of 8-15 years,
2. Have risk factors of chronic disease based on elevated BMI (\>25; 85th percentile),
3. Be seen at one of the selected Parkland COPC clinics,
4. Have not completed a dietitian visit within the last 12 months,
5. 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:

1. Autism with feeding difficulties
2. Intellectual disability
3. Cushing Disease
4. Severe feeding difficulties for over 2 years
5. Dietary restrictions (medically prescribed)
6. Severe food allergy
7. Severe psychiatric disorders
8. Non-alcoholic fatty liver disease
9. Non-alcoholic steatohepatitis
10. Metabolic-associated fatty liver disease
11. Metabolic-associated steatohepatitis
12. Type 1 Diabetes
13. Antipsychotics
14. GLP1 Medication Prescribed
15. Bariatric Surgery
16. Pregnancy

About the study

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.

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.

What is being tested

• Food Navigation (behavioral)

Sponsor: Parkland Health and Hospital System · Participants: 250 · Started: Jun 1, 2026

Contact the study team

• Emilie Ruiz · Phone: 469-285-6848

Official record on ClinicalTrials.gov — NCT07162350

Locations in the U.S.

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.