Discharged Pediatric Patients and Their Families
Conditions
Brief summary
The goal of this clinical trial is to learn if an intervention to provide food support to families who are part of a Medicaid Accountable Care Organization will provide benefits. The main question it aims to answer: Does this monthly food support intervention reduce food insecurity and healthcare utilization in these patients. Participants will complete surveys in the hospital, 14-days after discharge, and then quarterly for up to 18 months. Families randomized to the intervention group will receive monthly grocery gift cards for one year.
Interventions
OTHERGrocery gift card
Monthly $100 grocery gift cards for 12 months
Sponsors
Children's Hospital Medical Center, Cincinnati
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
TRIPLE (Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Parent of a pediatric patient admitted to one of two units at our hospital with HealthVine insurance
Exclusion criteria
* Previous study participation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Reutilization | 30-days after discharge, 90-days after discharge, and quarterly after discharge up to 20 months | Validated measure of reutilization which includes unplanned readmission, return to the emergency department, or a visit to urgent care |
| UDSA 6-question food insecurity survey | 14-days after discharge, 90-days after discharge, and quarterly after discharge up to 20 months | Adapted version of the UDSA 6-question food insecurity survey |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Recovery and return to normal routine | 14-days after discharge | Family-designed measure of recovery and return to normal routine |
| Post-Discharge Difficulty Coping Scale | 14-days after discharge | Post-Discharge Coping Difficulty Scale uses an 11 point scaling format (0-10) with total scores ranging from 0 to 100. Higher scores represent greater coping difficulty. |
| Primary Care Healthcare Utilization | 30-days after discharge, 90-days after discharge, and quarterly after discharge up to 20 months | Planned and unplanned visits to primary care provider |
| Perceived Stress Scale | 14-days after discharge, 90-days after discharge, and quarterly after discharge up to 20 months | Perceived Stress Scale (PSS) uses a 5 point scaling format (0-4) with total scores ranging from 0 to 40. Higher scores represent higher perceived stress. |
| Ability to pay for medications | 14-days after discharge, 90-days after discharge, and quarterly after discharge up to 20 months | Family-designed measure of difficulty obtaining medications after discharge |
| Vaccine uptake at primary care clinic | 30-days after discharge, 90-days after discharge, and quarterly after discharge up to 20 months | Immunization percentage as part of the Medicaid accountability measure |
Countries
United States
Outcome results
None listed