Food-based Support for Hospitalized Children and Their Families
- Conditions
- Food Insecurity
- Registration Number
- NCT06946355
- Lead Sponsor
- Children's Hospital Medical Center, Cincinnati
- Brief Summary
The goal of this clinical trial is to learn if an intervention to provide food support to families who are part of government or self-pay insurances will provide benefits. The main questions it aims to answer are:
* Determine the effect of implementing an in-hospital food support intervention for low-income parents on reutilization and family-centered outcomes.
* Among families with baseline food insecurity, determine the effectiveness of a post-discharge food support intervention and as-needed social work referral on reutilization and family-centered outcomes.
Researchers will compare the in-hospital food support intervention and will be rolled out to sequential hospital units. In addition, the post-discharge food support intervention will be compared to standard discharge.
Some participants will:
* Receive in-hospital meal cards or standard care during hospitalization
* Receive post-discharge food support intervention or standard discharge
* Complete a 14-day post discharge follow-up survey
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 9119
- All families of patients less than 21 years of age with Medicaid insurance or uninsured will be eligible
- Patients admitted for end-of-life care, patients who will be discharged to a location other than home, patients who live independently, and patients in county custody.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- FACTORIAL
- Primary Outcome Measures
Name Time Method 30-day urgent reutilization 30 days post-discharge Validated measure of unplanned readmission/ED/urgent care use via electronic health record (EHR)
Hunger during hospitalization Within 36 hours before discharge USDA Six-Item Short Form of the Food Security Survey Module, adapted to measure hunger in hospital. Families with lower scores are less likely to experience food insecurity. The family's level of food insecurity increases with the score.
* Raw score 0-1-High food security
* Raw score 2-4-Low food security
* Raw score 5-6-Very low food securityPost-discharge hunger and food insecurity 14 Days post-discharge USDA Six-Item Short Form of the Food Security Survey Module. Families with lower scores are less likely to experience food insecurity. The family's level of food insecurity increases with the score.
* Raw score 0-1-High food security
* Raw score 2-4-Low food security
* Raw score 5-6-Very low food security
- Secondary Outcome Measures
Name Time Method 30-day unplanned readmission 30 Days post-discharge Validated measure of unplanned readmission
30-day Emergency department utilization 30 Days post-discharge Emergency department utilization
Understanding of discharge instructions Confidence in care at home 14 Days post-discharge Pediatric Transition Experience Measure (P-TEM)-Transition Preparation Domain
Return to normal routine 14 Days post-discharge Family designed measure that assesses a family's return to normal routines
Out of pocket expenses Within 36 hours before discharge Expenses paid by the family during the hospitalization
Ability to pay for medications 14 Days post-discharge Family-reported measure regarding difficulty paying for medications
Post-Discharge coping 14 Days post-discharge Post-Discharge Difficulty Coping Scale is measured at 14-day post-discharge phone call. Post-Discharge Coping Difficulty Scale uses an 11-point scaling format (0-10) with total scores ranging from 0 to 100. Higher scores represent greater coping difficulty.