NCT03656146

Food for Thought: Food Insecurity Screening in the Emergency Department

Food for Thought: A Randomized Trial of Food Insecurity Screening in the Emergency Department

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 1,818 (actual)
• Sponsor: Children's Hospital of Philadelphia · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Accepted

Summary

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.

Detailed description

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.

Conditions

• Hunger
• Child Nutrition Disorders

Interventions

Type	Name	Description
OTHER	Food Insecurity Screening Tablet	The intervention is the type of screening modality used to identify food insecurity: verbal face-to-face, or tablet-based screening
OTHER	Food Insecurity Screening Verbal	The intervention is the type of screening modality used to identify food insecurity: verbal face-to-face, or tablet-based screening

Timeline

• Start date: 2017-05-15
• Primary completion: 2017-11-28
• Completion: 2018-01-18
• First posted: 2018-09-04
• Last updated: 2023-03-16

Locations

1 site across 1 country: United States