CommunityRx-Hunger

Not Applicable

Completed

Brief Summary: CommunityRx-Hunger (CRx-H) is a hospital-based intervention that addresses food insecurity and other health-related social needs such as transportation, housing, utilities, and safety. Study team members are recruiting caregivers at the time of their child's hospital admission at a large urban children's hospital. For Aim 1, the primary outcome is self-efficacy among food insecure caregivers compared to those who receive the usual standard of care. For Aim 2, the primary outcome is satisfaction with care compared between food secure and food insecure caregivers.

Detailed Description: CommunityRx-Hunger (CRx-H) is a double-blinded randomized controlled trial aimed at increasing self-efficacy among caregivers with food insecurity in the household. CRx-H is recruiting primary caregivers of hospitalized children at a large urban children's hospital at the time of admission. Aim 1: Researchers are studying whether the intervention will increase self-efficacy among food insecure caregivers compared to those who receive the usual standard of care. Aim 2: Researchers will enroll and randomize caregivers with and without food insecurity to the intervention to compare satisfaction with care.

Eligible, self-identified caregivers will complete a baseline survey during the child's hospital stay, followed by phone surveys at 7, 30, 90, 180 days, and 12 months. Caregivers randomized to the intervention will receive a tailored list of resources to address food insecurity and other health-related social needs, plus a brief educational component delivered by a trained member of our research team. Cases will receive a "booster" dose of the resource list prior to discharge. After discharge, cases will receive proactive text messages about those same community resources.

All caregivers (regardless of research arm) will receive a series of text messages related to the study such as reminders to schedule the phone survey with a member of the research team.

Recruitment & Eligibility

Inclusion Criteria

Native English or Spanish speaker
Living in 1 of 27 zip codes in the study's target region
Self-identify as a primary caregiver of a child <18 years old hospitalized in a large urban children's hospital
Ability to send and receive text messages
Access to a mobile phone and agrees to receive text messages from the study

Exclusion Criteria

Arm && Interventions

Group	Intervention	Description
Usual Care + Intervention (Case)	Community Rx-Hunger (CRx-H)	Cases will receive the CommunityRx Intervention.

Primary Outcome Measures

Name	Time	Method
(Aim 1) Caregiver Self-efficacy at 12 Months Among Food Insecure Caregivers	12 months	Self-efficacy is measured by Bandura's Self-Efficacy Scale which asks, "How confident are you in your ability to find resources in your community that help you manage your health?" Responses will be assessed on a 5-point Likert scale ranging from "not at all confident" to "completely confident."
(Aim 2) Caregiver Satisfaction With Hospital Discharge	7 days post discharge from the hospital	Satisfaction with hospital discharge is measured by the Hospital Consumer Assessment of Healthcare Providers Survey (HCAHPS); "Child HCAHPS" which includes 8 items (range 0-100 with higher values representing higher satisfaction). Response options are "Yes, definitely," "Yes, somewhat" and "No." The items ask about the child and the hospital related to their recent stay.

Secondary Outcome Measures