Assessing Pediatric Food Insecurity During the COVID-19 Pandemic in Austin

NCT04378595 | Unknown

• 1 other identifier: 2020-004-0019
• Study Type: observational
• Target: 1,000
• Locations: 1 country
• Sites: 3

Brief Summary

The investigators suspect that the current COVID-19 pandemic may be associated with a high level of unsuspected food insecurity among lower income Austin families who receive their health care at a Federally Qualified Health Center (FQHC). Pediatricians will ask families about food insecurity as part of standard of care in order to assess if food insecurity has begun or worsened during the pandemic.

Conditions

Food Insecurity

Keywords

food insecurity; COVID-19; pandemic

Outcome Measures

Primary Outcomes (1)

• Food Insecurity Score

  2-questions to assess food insecurity as recommended by the American Academy of Pediatrics: 1. "We worried whether our food would run out before we got money to buy more." Was that often true, sometimes true, or never true for your household in the last 12 months? 2. "The food we bought just didn't last, and we didn't have money to get more." Was that often true, sometimes true, or never true for your household in the last 12 months? A response of "often true" or "sometimes true" to either question = positive screen for Food Insecurity. The investigators will also ask the same 2 questions in the framework of "…in the last 1-2 months" to assess how the current situation has affected their immediate concerns, assessing if their food insecurity has begun or worsened during the pandemic.

  Up to 1 year

Study Arms (2)

During Pandemic

During Pandemic: The investigators will query the parent/guardian with the 2-question food insecurity validated tool during their regular appointment, either in person or on the phone/telehealth. If a positive response is given, the investigators will ask if the food insecurity began or worsened during the pandemic in the past 1 to 2 months.

Other: During COVID-19 Pandemic

Post-Pandemic

Post-Pandemic: The investigators will query the parent/guardian with the 2-question food insecurity validated tool during their regular appointment, either in person or on the phone/telehealth. The investigators will assess if food insecurity has stopped or lessened after the pandemic.

Other: After COVID-19 Pandemic

Interventions

During COVID-19 Pandemic OTHER

Assessing status of food insecurity during the COVID-19 pandemic

During Pandemic

After COVID-19 Pandemic OTHER

Assessing status of food insecurity after the COVID-19 pandemic

Post-Pandemic

Eligibility Criteria

• Age: 18 Years - 100 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Parent/Caregiver of pediatric patients at 2 specified CommUnity Care centers (Rundberg clinic and Southeast Health and Wellness Clinic)

You may qualify if:

• Any parent/caregiver of a pediatric patient being seen at the 2 specified CommUnity Care centers

You may not qualify if:

• Not at 2 specified CommUnity Care centers under care of researchers

Sponsors & Collaborators

• University of Texas at Austin: lead

Study Sites (3)

Dell Medical School

Austin, Texas, 78715, United States

RECRUITING

CommUnity Care Clinic - Southeast Health and Wellness Clinic

Austin, Texas, 78741, United States

RECRUITING

CommUnity Care Clinic - Rundberg

Austin, Texas, 78753, United States

RECRUITING

Related Publications (5)

• Rose-Jacobs R, Black MM, Casey PH, Cook JT, Cutts DB, Chilton M, Heeren T, Levenson SM, Meyers AF, Frank DA. Household food insecurity: associations with at-risk infant and toddler development. Pediatrics. 2008 Jan;121(1):65-72. doi: 10.1542/peds.2006-3717.

  PMID: 18166558 BACKGROUND

• Hager ER, Quigg AM, Black MM, Coleman SM, Heeren T, Rose-Jacobs R, Cook JT, Ettinger de Cuba SA, Casey PH, Chilton M, Cutts DB, Meyers AF, Frank DA. Development and validity of a 2-item screen to identify families at risk for food insecurity. Pediatrics. 2010 Jul;126(1):e26-32. doi: 10.1542/peds.2009-3146.

  PMID: 20595453 BACKGROUND

• Clay LA, Ross AD. Factors Associated with Food Insecurity Following Hurricane Harvey in Texas. Int J Environ Res Public Health. 2020 Jan 25;17(3):762. doi: 10.3390/ijerph17030762.

  PMID: 31991735 BACKGROUND

• Gattu RK, Paik G, Wang Y, Ray P, Lichenstein R, Black MM. The Hunger Vital Sign Identifies Household Food Insecurity among Children in Emergency Departments and Primary Care. Children (Basel). 2019 Oct 2;6(10):107. doi: 10.3390/children6100107.

  PMID: 31581751 BACKGROUND

• Abrams SA, Avalos A, Gray M, Hawthorne KM. High Level of Food Insecurity among Families with Children Seeking Routine Care at Federally Qualified Health Centers during the Coronavirus Disease 2019 Pandemic. J Pediatr X. 2020 Fall;4:100044. doi: 10.1016/j.ympdx.2020.100044. Epub 2020 Jun 22.

  PMID: 32864604 DERIVED

Related Links

• AAP Tool Kit for Food Insecurity

MeSH Terms

Conditions

COVID-19

Condition Hierarchy (Ancestors)

Pneumonia, Viral; Pneumonia; Respiratory Tract Infections; Infections; Virus Diseases; Coronavirus Infections; Coronaviridae Infections; Nidovirales Infections; RNA Virus Infections; Lung Diseases; Respiratory Tract Diseases

Central Study Contacts

Keli Hawthorne

CONTACT

7134163637; keli.hawthorne@austin.utexas.edu

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: May 5, 2020
• First Posted: May 7, 2020
• Study Start: April 10, 2020
• Primary Completion: December 30, 2020
• Study Completion: July 30, 2021
• Last Updated: May 8, 2020

Record last verified: 2020-05

Data Sharing

• IPD Sharing: Will not share

Locations

US (3)