Food for Thought: Food Insecurity Screening in the Emergency Department

Children's Hospital of Philadelphia (CHOP)

Status: Completed

Conditions: Child Nutrition Disorders; Hunger

Treatments: Other: Food Insecurity Screening Verbal; Other: Food Insecurity Screening Tablet

Study type: Interventional

Funder types: Other

Identifiers

NCT03656146

17-013696

Details and patient eligibility

About

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.

Full 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.

Enrollment: 1,818 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

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

Trial design

Primary purpose: Screening

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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1,818 participants in 2 patient groups

Tablet Screening

Active Comparator group

Description:

Food insecurity screening conducted via electronic tablet

Treatment:

Other: Food Insecurity Screening Tablet

Verbal Screening

Active Comparator group

Description:

Food insecurity screening conducted via verbal face-to-face interview

Treatment:

Other: Food Insecurity Screening Verbal