An interventional study of Food Insecurity Screening Tablet and Food Insecurity Screening Verbal in Hunger and Child Nutrition Disorders, sponsored by Children's Hospital of Philadelphia. Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-03-16.
Sponsored by Children's Hospital of Philadelphia · Not applicable, Interventional, and Screening
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.
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.
275 studies on the registry are indexed under Nutrition Disorders; 31 are open to participants now.
This study's enrollment of 1,818 is above the median of 117 across 194 interventional studies indexed under Nutrition Disorders.
Browse Nutrition Disorders studies →Children's Hospital of Philadelphia is the lead sponsor of 480 studies on the registry; 85 are open to participants now.
Of its 28 completed or terminated interventional studies of FDA-regulated products, 22 (79%) have results posted.
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Exclusion Criteria:
Food insecurity screening conducted via electronic tablet
Other: Food Insecurity Screening Tablet
Food insecurity screening conducted via verbal face-to-face interview
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
The intervention is the type of screening modality used to identify food insecurity: verbal face-to-face, or tablet-based screening
Presence of Food Insecurity
Affirmative response to either of the two, validated screening questions for food insecurity. Investigators measured food insecurity using the validated two-question "Hunger Vital Sign" screening tool, with yes/no responses. These two questions are: within the past 12 months "we worried whether our food would run out before we got money to buy more" and "the food we bought just didn't last and we didn't have money to get more."
Time frame: 12 months
Preferred Screening Modality
Report of screening modality preference: verbal, tablet, or no preference
Time frame: 4 weeks
Comfort level with screening location
Report of comfort with screening in the emergency department and in the primary care setting
Time frame: 4 weeks
Plan to share: No
No publications or documents are linked to this record.
This study is completed, as verified in Mar 2023. You cannot join it, but the record below documents what was studied.
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Children's Hospital of Philadelphia