Food Insecurity Screening and Intervention: From Hospital to Home

NCT04739540 | Completed

• 1 other identifier: H-48108
• Study Type: observational
• Target: 1,009
• Locations: 1 country
• Sites: 1

Brief Summary

Food insecurity (FI), limited access to food due to a lack of money or other resources, affected an estimated 14% households with children in the US in 2018. Multiple national organizations, including the American Academy of Pediatrics (AAP), have identified adverse childhood outcomes that are strongly correlated with FI, and the AAP recommends that physicians universally screen for and address FI, but screening for FI has primarily been addressed in the outpatient setting. Recent data demonstrates rising FI needs related to COVID-19 pandemic. There is limited information regarding screening and interventions for inpatient FI, defined as the inability to obtain adequate food during hospitalization. Previous work performed a cross-sectional study of 200 caregivers of hospitalized children in Chicago, Illinois, estimated the prevalence of inpatient FI to be 32%. Locally, work by Drs. Alice Lee, Lopez, and Bocchini identified hospital food insecurity (FI) in 43% of the caregivers of hospitalized children (Lee, Alice, et al. "Food Insecurity in the Caregivers of Hospitalized Pediatric Patients." Pediatrics 2018: 481-481.) . The investigators also found a strong association between inpatient and household food insecurity. Hospital food insecurity has a profound effect on caregiver's ability to participate in caring for their children during the hospitalization. Currently, there is not a valid screening tool to address inpatient food insecurity and there is a paucity of data on the effects of FI interventions implemented in the hospital setting. Additionally, there is new data from the COVID Impact Survey and The Hamilton Project/Future of the Middle Class Initiative Survey of Mothers with Young Children demonstrating that FI prevalence has more than doubled in household with children.

Conditions

Food Insecurity

Outcome Measures

Primary Outcomes (1)

• Prevalence of Food Insecurity

  The primary outcome is prevalence of food insecurity.

  Up to 3 weeks

Secondary Outcomes (1)

• Percentage of Patients Enrolled in Food Insecurity

  6 months

Eligibility Criteria

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

Study Population

Primary caregiver that is defined as the parent or legal representative who self identifies as a primary caregiver for the child.

You may qualify if:

• Primary caregiver (parent or legal representative who self-identifies as a primary caregiver) of a child admitted to West Tower acute care floors 12th, 14th and 15th at Texas Childrens Hospital Medical Center Campus. Study procedures will not involve the child directly.
• Age \> 18 years old.
• English or Spanish speaking
• Hospital day 3 or greater

You may not qualify if:

• Caregiver at bedside is not the primary caregiver of the child as confirmed at time of informed consent.
• Previous enrollment on this study.
• Adolescent and Rehabilitation designated beds on 14th and 12th floors respectively.
• Confirmed COVID-19 positive patients under enhanced respiratory precautions because the caregivers for these patients are receiving food trays provided to them by the unit. (Caregivers of patients who are under investigation for COVID will not be enrolled until after the test is negative.)

Sponsors & Collaborators

• Baylor College of Medicine: lead

Study Sites (1)

Texas Children's Hospital

Houston, Texas, 77030, United States

Location

Study Officials

• Michelle Lopez, MD

  Baylor College of Medicine

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: January 13, 2021
• First Posted: February 4, 2021
• Study Start: March 11, 2021
• Primary Completion: April 1, 2022
• Study Completion: April 27, 2022
• Last Updated: June 12, 2023

Record last verified: 2023-06

Locations

US (1)