Food Insecurity, Nutrition Assessment
Conditions
Brief summary
The research team developed the Nutrition Support Assessment Tool (NSAT) that incorporates key patient life information (e.g., ability to cook, access to refrigerator/stove, medical conditions and nutritional status) to facilitate individualized nutrition referral. The overall goal of this study is to refine and test the NSAT as a systematic approach to provide individualized nutrition needs screening and referral for patients being discharged from the acute care setting at Jefferson Health. The investigators hypothesize the NSAT will be successful in identifying individualized nutrition referrals that are deemed acceptable and appropriate by enrolled participants.
Interventions
OTHERNutrition Interventions
Individualized food provision and/or supplemental referral based on participant's unique needs/responses to assessment (NSAT). Food provision interventions include medically tailored meals, home delivered prepared meals, grocery boxes, grocery delivery services, food pantries, and soup kitchens/meal sites. Supplemental interventions include SNAP benefit enrollment support, nutrition education, and cooking education.
Sponsors
The MANNA Institute
Thomas Jefferson University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 18 years of age or older * Currently admitted to Thomas Jefferson University or Methodist Hospital or Emergency Department * Has working phone number and is willing to participate in follow-up data collection * Eats by mouth * Lives in MANNA's geographic service area * Patient reports food insecurity or malnutrition using existing screening tools
Exclusion criteria
* Unwilling to provide consent * Unsheltered/unhoused * Lives in or is being discharged to facility that provides daily meals (e.g., long term care, incarcerated) * On hospice or has life expectancy of less than 4 months, per clinician * Not consentable * Deaf or has other major communication barriers that compromises ability to participate in study activities
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Reach of Nutrition Interventions | Baseline | \# and type of referrals made based on NSAT results |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Uptake of Nutrition Interventions | Week 1 & Week 4 | \# and type of referrals accepted and utilized by participants |
| Acceptability of Nutrition Intervention | Week 1 & Week 4 | Acceptability of nutrition interventions using the Acceptability of Intervention Measure (AIM) |
| Appropriateness of Nutrition Intervention | Week 1 & Week 4 | Appropriateness of nutrition interventions using the Intervention Appropriateness Measure (IAM) |
| Satisfaction with Nutrition Intervention | Week 4 | Self-reported satisfaction with nutrition intervention using a research-team developed assessment. |
Countries
United States
Outcome results
None listed