Nurturing Outreach for Understanding and Reducing Inpatient Security of Health (NOURISH)

Wake Forest University (WFU)

Status: Enrolling

Conditions: Food Insecurity

Treatments: Other: Prepared Meals; Other: Standard of Care; Other: Grocery Gift Cards

Study type: Interventional

Funder types: Other

Identifiers

NCT07010289

IRB00131272

Details and patient eligibility

About

Food insecurity is the lack of consistent access to the food needed for a healthy life. Food insecurity among families whose child has been hospitalized is a critical problem affecting a large, vulnerable population. The purpose of this study is to identity the most effective ways to help those families with food insecurity.

Full description

To address food insecurity among families who child has been hospitalized, study objectives are 1) to demonstrate the feasibility and acceptability of providing family meals and grocery store gift cards to address food insecurity among children discharged from the hospital, and 2) evaluate the potential impact of the interventions on household food insecurity, 30-day readmission rates, and primary care follow up. To accomplish these objectives, this pilot feasibility trial will be conducted at Atrium Health Levine Children's-Brenner Children's Hospital, an academic medical center that serves communities with high rates of food insecurity, in collaboration with our long-term partner Second Harvest Food Bank of Northwest North Carolina. The will recruit families whose child was admitted to the hospital and screened positive for food insecurity. All families will be enrolled for a total of 4 weeks to evaluate the difference in food insecurity, family health measures, and hospital-based quality metrics (including readmission rates and primary care follow up).

Enrollment: 30 estimated patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• caregiver and legal guardian of a pediatric patient hospitalized in the acute care units of Brenner Children's Hospital, who have screened positive for food insecurity during the hospitalization.
• lives in the same household as the pediatric patient hospitalized
• lives in Forsyth County, North Carolina
• has a freezer and oven in the household
• does not have family members with food allergies in the household
• willing to accept weekly meal deliveries at home address
• speaks English or Spanish

Exclusion criteria

• subjects who do not have the capacity to give legally effective consent
• planning to leave Forsyth County, North Carolina within 6 months of enrollment date

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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30 participants in 3 patient groups

Prepared Meals

Experimental group

Description:

Weekly home meal delivery for four weeks.

Treatment:

Other: Prepared Meals

Grocery Gift Cards

Experimental group

Description:

Weekly grocery store gift cards for four weeks.

Treatment:

Other: Grocery Gift Cards

Standard of Care

Active Comparator group

Description:

Provision of printed and electronic food access resources.

Treatment:

Other: Standard of Care