Food Insecurity
Conditions
Keywords
Pediatric, Hospitalization, Food Intake
Brief summary
The goal of this clinical trial is to learn if an intervention to provide food support to families who are part of government or self-pay insurances will provide benefits. The main questions it aims to answer are: * Determine the effect of implementing an in-hospital food support intervention for low-income parents on reutilization and family-centered outcomes. * Among families with baseline food insecurity, determine the effectiveness of a post-discharge food support intervention and as-needed social work referral on reutilization and family-centered outcomes. Researchers will compare the in-hospital food support intervention and will be rolled out to sequential hospital units. In addition, the post-discharge food support intervention will be compared to standard discharge. Some participants will: * Receive in-hospital meal cards or standard care during hospitalization * Receive post-discharge food support intervention or standard discharge * Complete a 14-day post discharge follow-up survey
Interventions
OTHERIn-hospital food support intervention
The in-hospital food support intervention will provide two meals for up to two parents per day.
OTHERPost-discharge food support intervention
The post-discharge intervention will provide families with grocery gift cards and frozen meals at the time of discharge.
Sponsors
Children's Hospital Medical Center, Cincinnati
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
OTHER
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
No minimum to 21 Years
Healthy volunteers
Yes
Inclusion criteria
* All families of patients less than 21 years of age with Medicaid insurance or uninsured will be eligible
Exclusion criteria
* Patients admitted for end-of-life care, patients who will be discharged to a location other than home, patients who live independently, and patients in county custody.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 30-day urgent reutilization | 30 days post-discharge | Validated measure of unplanned readmission/ED/urgent care use via electronic health record (EHR) |
| Hunger during hospitalization | Within 36 hours before discharge | USDA Six-Item Short Form of the Food Security Survey Module, adapted to measure hunger in hospital. Families with lower scores are less likely to experience food insecurity. The family's level of food insecurity increases with the score. * Raw score 0-1-High food security * Raw score 2-4-Low food security * Raw score 5-6-Very low food security |
| Post-discharge hunger and food insecurity | 14 Days post-discharge | USDA Six-Item Short Form of the Food Security Survey Module. Families with lower scores are less likely to experience food insecurity. The family's level of food insecurity increases with the score. * Raw score 0-1-High food security * Raw score 2-4-Low food security * Raw score 5-6-Very low food security |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 30-day unplanned readmission | 30 Days post-discharge | Validated measure of unplanned readmission |
| 30-day Emergency department utilization | 30 Days post-discharge | Emergency department utilization |
| Understanding of discharge instructions Confidence in care at home | 14 Days post-discharge | Pediatric Transition Experience Measure (P-TEM)-Transition Preparation Domain |
| Return to normal routine | 14 Days post-discharge | Family designed measure that assesses a family's return to normal routines |
| Post-Discharge coping | 14 Days post-discharge | Post-Discharge Difficulty Coping Scale is measured at 14-day post-discharge phone call. 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. |
| Out of pocket expenses | Within 36 hours before discharge | Expenses paid by the family during the hospitalization |
| Ability to pay for medications | 14 Days post-discharge | Family-reported measure regarding difficulty paying for medications |
Countries
United States
Contacts
CONTACTKathy Auger
PRINCIPAL_INVESTIGATORKathy Auger
katherine.auger@cchmc.org
Outcome results
None listed