The clinical research portion of this study will conduct a research trial to compare the effectiveness of two food insecurity interventions on food insecurity, nutrition, and body mass index (BMI). For this aim, the study team will recruit infants who are aged 12 months, have developed obesity, and are at high risk for food insecurity (e.g., qualifying for Medicaid/WIC). These children will primarily come from low-income, Black, and Hispanic families.

Researchers from the NOURISH team will then enroll these children into three different intervention groups to determine the most effective options for lowering childhood obesity and food insecurity risk:

1. Weekly cash allowance ($50) to purchase groceries without guidance from a nutrition expert
2. Weekly grocery allowance ($50), including monthly online grocery shopping and parental guidance from nutrition experts on food choices
3. A cohort, or large group, of infants whose health data will be collected through electronic health records (EHRs) to help researchers compare the health data collected from infants in the first two groups

The goal is to understand how the health and food security of children are affected by each of the two study group designs.