Food for Thought: Food Insecurity Screening in the Emergency Department
| Status: | Completed |
|---|---|
| Conditions: | Hospital |
| Therapuetic Areas: | Other |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 9/5/2018 |
| Start Date: | May 15, 2017 |
| End Date: | January 18, 2018 |
Food for Thought: A Randomized Trial of Food Insecurity Screening in the Emergency Department
This study compares food insecurity disclosure rates in face-to-face interviews versus
electronic formats, and explores caregiver preferences regarding screening modality and
location, in a large, urban pediatric emergency department. Half of the participants were
screened for food insecurity verbally, face-to-face by a research assistant, and half of the
participants were screened electronically by a tablet.
electronic formats, and explores caregiver preferences regarding screening modality and
location, in a large, urban pediatric emergency department. Half of the participants were
screened for food insecurity verbally, face-to-face by a research assistant, and half of the
participants were screened electronically by a tablet.
Children are disproportionately affected by the rise in poverty rates in the United States,
and economic hardships can compromise their development, negatively affect their overall
health, and adversely affect their abilities to succeed in school and in life. Food
insecurity (FI)—the limited or uncertain availability of nutritionally adequate or safe
foods— while strongly associated with poverty, is an independent predictor of poor health
outcomes for children.
The Emergency Department (ED) of academic medical centers often serves as a point of care
entry for impoverished and high-risk families. Although there is a growing interest in the
healthcare system's ability to address Social Determinants of Health (SDH), little is known
about food insecurity in the pediatric ED. Additionally, there are limited data on how to
implement FI screening into practice in a way that maximizes elicitation of social need,
while assuring patient and family comfort.
and economic hardships can compromise their development, negatively affect their overall
health, and adversely affect their abilities to succeed in school and in life. Food
insecurity (FI)—the limited or uncertain availability of nutritionally adequate or safe
foods— while strongly associated with poverty, is an independent predictor of poor health
outcomes for children.
The Emergency Department (ED) of academic medical centers often serves as a point of care
entry for impoverished and high-risk families. Although there is a growing interest in the
healthcare system's ability to address Social Determinants of Health (SDH), little is known
about food insecurity in the pediatric ED. Additionally, there are limited data on how to
implement FI screening into practice in a way that maximizes elicitation of social need,
while assuring patient and family comfort.
Inclusion Criteria:
- English speaking
- Adult caregiver accompanying pediatric patient in the Children's Hospital of
Philadelphia (CHOP) emergency department
Exclusion Criteria:
- Patient (child) in critical condition
- Patient (child) >18 years of age
- Previously enrolled in study
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