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Addressing food insecurity in the inpatient setting: Results of a postdischarge pilot study
With a growing interest in screening for food insecurity (FI) during pediatric hospitalization, there is a parallel need to develop interventions. With input from caregivers experiencing FI, we sought to identify interventions to assist with short-term FI after discharge and evaluate their feasibili...
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| Published in: | Journal of hospital medicine 2024-11, Vol.19 (11), p.993-1000 |
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| Main Authors: | , , , , , , , , , |
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| container_end_page | 1000 |
| container_issue | 11 |
| container_start_page | 993 |
| container_title | Journal of hospital medicine |
| container_volume | 19 |
| creator | Smith, Megan Tepe, Kerry A Sauers-Ford, Hadley Atarama, Denise Gilliam, Monique Unaka, Ndidi Beck, Andrew F Shah, Anita N Schondelmeyer, Amanda C Auger, Katherine A |
| description | With a growing interest in screening for food insecurity (FI) during pediatric hospitalization, there is a parallel need to develop interventions. With input from caregivers experiencing FI, we sought to identify interventions to assist with short-term FI after discharge and evaluate their feasibility, acceptability, and appropriateness.
We first employed qualitative methods to identify potential interventions. Next, we conducted a pilot study of selected interventions for families experiencing FI. Seven days postdischarge, caregivers rated the intervention's feasibility, acceptability, and appropriateness. We also assessed for ongoing FI. We summarized the median and proportion of "completely agree" responses to feasibility, acceptability, and appropriateness questions, and we compared in-hospital and postdischarge FI using McNemar's test.
In the qualitative stage, 14 caregivers prioritized three interventions: grocery store gift cards, grocery delivery/pick-up, and frozen meals. In the pilot study, 53 caregivers (25% of those screened) endorsed FI during their child's hospitalization and received one or more of the interventions. Every caregiver selected the grocery gift card option; 37 families (69.8%) also received frozen meals. Seven days after discharge, most caregivers rated the intervention as "completely" feasible (76%), acceptable (90%), and appropriate (88%). There was a significant decrease in caregivers who reported FI after discharge compared to during the hospitalization (p |
| doi_str_mv | 10.1002/jhm.13421 |
| format | article |
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We first employed qualitative methods to identify potential interventions. Next, we conducted a pilot study of selected interventions for families experiencing FI. Seven days postdischarge, caregivers rated the intervention's feasibility, acceptability, and appropriateness. We also assessed for ongoing FI. We summarized the median and proportion of "completely agree" responses to feasibility, acceptability, and appropriateness questions, and we compared in-hospital and postdischarge FI using McNemar's test.
In the qualitative stage, 14 caregivers prioritized three interventions: grocery store gift cards, grocery delivery/pick-up, and frozen meals. In the pilot study, 53 caregivers (25% of those screened) endorsed FI during their child's hospitalization and received one or more of the interventions. Every caregiver selected the grocery gift card option; 37 families (69.8%) also received frozen meals. Seven days after discharge, most caregivers rated the intervention as "completely" feasible (76%), acceptable (90%), and appropriate (88%). There was a significant decrease in caregivers who reported FI after discharge compared to during the hospitalization (p < .001).
This study demonstrates the feasibility, acceptability, and appropriateness of inpatient interventions to address FI, particularly at the time of pediatric hospital discharge and transition home. Randomized trials are needed to further evaluate the efficacy of interventions employed during hospitalization.</description><identifier>ISSN: 1553-5592</identifier><identifier>ISSN: 1553-5606</identifier><identifier>EISSN: 1553-5606</identifier><identifier>DOI: 10.1002/jhm.13421</identifier><identifier>PMID: 38837594</identifier><language>eng</language><publisher>United States: Frontline Medical Communications</publisher><subject>Adult ; Caregivers ; Child ; Child, Preschool ; Female ; Food Insecurity ; Food security ; Frozen foods ; Hospitalization ; Humans ; Inpatients ; Male ; Patient Discharge ; Pediatrics ; Pilot Projects</subject><ispartof>Journal of hospital medicine, 2024-11, Vol.19 (11), p.993-1000</ispartof><rights>2024 Society of Hospital Medicine.</rights><rights>2024 Society of Hospital Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c238t-7e615317cc14422443b2f11676f9be90b5209bc212035a3486fc151f414819173</cites><orcidid>0000-0002-3404-0698 ; 0000-0002-4262-663X ; 0000-0002-7970-5999 ; 0000-0003-1613-361X ; 0000-0003-3223-6109 ; 0000-0003-4558-9931</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38837594$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Smith, Megan</creatorcontrib><creatorcontrib>Tepe, Kerry A</creatorcontrib><creatorcontrib>Sauers-Ford, Hadley</creatorcontrib><creatorcontrib>Atarama, Denise</creatorcontrib><creatorcontrib>Gilliam, Monique</creatorcontrib><creatorcontrib>Unaka, Ndidi</creatorcontrib><creatorcontrib>Beck, Andrew F</creatorcontrib><creatorcontrib>Shah, Anita N</creatorcontrib><creatorcontrib>Schondelmeyer, Amanda C</creatorcontrib><creatorcontrib>Auger, Katherine A</creatorcontrib><title>Addressing food insecurity in the inpatient setting: Results of a postdischarge pilot study</title><title>Journal of hospital medicine</title><addtitle>J Hosp Med</addtitle><description>With a growing interest in screening for food insecurity (FI) during pediatric hospitalization, there is a parallel need to develop interventions. With input from caregivers experiencing FI, we sought to identify interventions to assist with short-term FI after discharge and evaluate their feasibility, acceptability, and appropriateness.
We first employed qualitative methods to identify potential interventions. Next, we conducted a pilot study of selected interventions for families experiencing FI. Seven days postdischarge, caregivers rated the intervention's feasibility, acceptability, and appropriateness. We also assessed for ongoing FI. We summarized the median and proportion of "completely agree" responses to feasibility, acceptability, and appropriateness questions, and we compared in-hospital and postdischarge FI using McNemar's test.
In the qualitative stage, 14 caregivers prioritized three interventions: grocery store gift cards, grocery delivery/pick-up, and frozen meals. In the pilot study, 53 caregivers (25% of those screened) endorsed FI during their child's hospitalization and received one or more of the interventions. Every caregiver selected the grocery gift card option; 37 families (69.8%) also received frozen meals. Seven days after discharge, most caregivers rated the intervention as "completely" feasible (76%), acceptable (90%), and appropriate (88%). There was a significant decrease in caregivers who reported FI after discharge compared to during the hospitalization (p < .001).
This study demonstrates the feasibility, acceptability, and appropriateness of inpatient interventions to address FI, particularly at the time of pediatric hospital discharge and transition home. Randomized trials are needed to further evaluate the efficacy of interventions employed during hospitalization.</description><subject>Adult</subject><subject>Caregivers</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Food Insecurity</subject><subject>Food security</subject><subject>Frozen foods</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Inpatients</subject><subject>Male</subject><subject>Patient Discharge</subject><subject>Pediatrics</subject><subject>Pilot Projects</subject><issn>1553-5592</issn><issn>1553-5606</issn><issn>1553-5606</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNpdkDtPwzAYRS0EoqUw8AeQJRYYWvz5kQdbVfGSKiEhmBisxLHbVEkcbGfov8fQloHp3uHo6uogdAlkBoTQu826nQHjFI7QGIRgU5GQ5PjQRU5H6Mz7DSGcZYKfohHLMpaKnI_R57yqnPa-7lbYWFvhuvNaDa4O21hxWOsYfRFq3QXsdQgRvMdv2g9N8NgaXODe-lDVXq0Lt9K4rxsbyTBU23N0YorG64t9TtDH48P74nm6fH16WcyXU0VZFqapTkAwSJUCzinlnJXUACRpYvJS56QUlOSlokAJEwXjWWIUCDAceAY5pGyCbna7vbNfg_ZBtvGObpqi03bwkpFE0FSIlEX0-h-6sYPr4jvJgDIRxxMeqdsdpZz13mkje1e3hdtKIPLHuIzG5a_xyF7tF4ey1dUfeVDMvgF68noK</recordid><startdate>202411</startdate><enddate>202411</enddate><creator>Smith, Megan</creator><creator>Tepe, Kerry A</creator><creator>Sauers-Ford, Hadley</creator><creator>Atarama, Denise</creator><creator>Gilliam, Monique</creator><creator>Unaka, Ndidi</creator><creator>Beck, Andrew F</creator><creator>Shah, Anita N</creator><creator>Schondelmeyer, Amanda C</creator><creator>Auger, Katherine A</creator><general>Frontline Medical Communications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3404-0698</orcidid><orcidid>https://orcid.org/0000-0002-4262-663X</orcidid><orcidid>https://orcid.org/0000-0002-7970-5999</orcidid><orcidid>https://orcid.org/0000-0003-1613-361X</orcidid><orcidid>https://orcid.org/0000-0003-3223-6109</orcidid><orcidid>https://orcid.org/0000-0003-4558-9931</orcidid></search><sort><creationdate>202411</creationdate><title>Addressing food insecurity in the inpatient setting: Results of a postdischarge pilot study</title><author>Smith, Megan ; Tepe, Kerry A ; Sauers-Ford, Hadley ; Atarama, Denise ; Gilliam, Monique ; Unaka, Ndidi ; Beck, Andrew F ; Shah, Anita N ; Schondelmeyer, Amanda C ; Auger, Katherine A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c238t-7e615317cc14422443b2f11676f9be90b5209bc212035a3486fc151f414819173</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Caregivers</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Food Insecurity</topic><topic>Food security</topic><topic>Frozen foods</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Inpatients</topic><topic>Male</topic><topic>Patient Discharge</topic><topic>Pediatrics</topic><topic>Pilot Projects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Smith, Megan</creatorcontrib><creatorcontrib>Tepe, Kerry A</creatorcontrib><creatorcontrib>Sauers-Ford, Hadley</creatorcontrib><creatorcontrib>Atarama, Denise</creatorcontrib><creatorcontrib>Gilliam, Monique</creatorcontrib><creatorcontrib>Unaka, Ndidi</creatorcontrib><creatorcontrib>Beck, Andrew F</creatorcontrib><creatorcontrib>Shah, Anita N</creatorcontrib><creatorcontrib>Schondelmeyer, Amanda C</creatorcontrib><creatorcontrib>Auger, Katherine A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of hospital medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Smith, Megan</au><au>Tepe, Kerry A</au><au>Sauers-Ford, Hadley</au><au>Atarama, Denise</au><au>Gilliam, Monique</au><au>Unaka, Ndidi</au><au>Beck, Andrew F</au><au>Shah, Anita N</au><au>Schondelmeyer, Amanda C</au><au>Auger, Katherine A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Addressing food insecurity in the inpatient setting: Results of a postdischarge pilot study</atitle><jtitle>Journal of hospital medicine</jtitle><addtitle>J Hosp Med</addtitle><date>2024-11</date><risdate>2024</risdate><volume>19</volume><issue>11</issue><spage>993</spage><epage>1000</epage><pages>993-1000</pages><issn>1553-5592</issn><issn>1553-5606</issn><eissn>1553-5606</eissn><abstract>With a growing interest in screening for food insecurity (FI) during pediatric hospitalization, there is a parallel need to develop interventions. With input from caregivers experiencing FI, we sought to identify interventions to assist with short-term FI after discharge and evaluate their feasibility, acceptability, and appropriateness.
We first employed qualitative methods to identify potential interventions. Next, we conducted a pilot study of selected interventions for families experiencing FI. Seven days postdischarge, caregivers rated the intervention's feasibility, acceptability, and appropriateness. We also assessed for ongoing FI. We summarized the median and proportion of "completely agree" responses to feasibility, acceptability, and appropriateness questions, and we compared in-hospital and postdischarge FI using McNemar's test.
In the qualitative stage, 14 caregivers prioritized three interventions: grocery store gift cards, grocery delivery/pick-up, and frozen meals. In the pilot study, 53 caregivers (25% of those screened) endorsed FI during their child's hospitalization and received one or more of the interventions. Every caregiver selected the grocery gift card option; 37 families (69.8%) also received frozen meals. Seven days after discharge, most caregivers rated the intervention as "completely" feasible (76%), acceptable (90%), and appropriate (88%). There was a significant decrease in caregivers who reported FI after discharge compared to during the hospitalization (p < .001).
This study demonstrates the feasibility, acceptability, and appropriateness of inpatient interventions to address FI, particularly at the time of pediatric hospital discharge and transition home. Randomized trials are needed to further evaluate the efficacy of interventions employed during hospitalization.</abstract><cop>United States</cop><pub>Frontline Medical Communications</pub><pmid>38837594</pmid><doi>10.1002/jhm.13421</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-3404-0698</orcidid><orcidid>https://orcid.org/0000-0002-4262-663X</orcidid><orcidid>https://orcid.org/0000-0002-7970-5999</orcidid><orcidid>https://orcid.org/0000-0003-1613-361X</orcidid><orcidid>https://orcid.org/0000-0003-3223-6109</orcidid><orcidid>https://orcid.org/0000-0003-4558-9931</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of hospital medicine, 2024-11, Vol.19 (11), p.993-1000 |
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| source | Wiley-Blackwell Read & Publish Collection |
| subjects | Adult Caregivers Child Child, Preschool Female Food Insecurity Food security Frozen foods Hospitalization Humans Inpatients Male Patient Discharge Pediatrics Pilot Projects |
| title | Addressing food insecurity in the inpatient setting: Results of a postdischarge pilot study |
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