Food Insecurity Screening in Pediatric Primary Care: Can Offering Referrals Help Identify Families in Need?

Bottino, Clement J.; Rhodes, Erinn T.; Kreatsoulas, Catherine; Cox, Joanne E.; Fleegler, Eric W.

doi:10.1016/j.acap.2016.10.006

Cited by 96 publications

(111 citation statements)

References 20 publications

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“…Moreover, 21% of food-secure caregivers requested food support referrals. 36 As suggested by our previous work, these food-secure individuals may value information about resources to help family members or friends 23 or may be food secure because they are utilizing similar resources and need additional resources to maintain food security.…”

Section: Discussionmentioning

confidence: 92%

Diagnostic Accuracy of Two Food Insecurity Screeners Recommended for Use in Health Care Settings

et al. 2017

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Objectives To test the diagnostic accuracy of the American Academy of Pediatrics (AAP) recommended food insecurity screener. Methods We conducted prospective diagnostic accuracy studies between July and November 2016, in Chicago, Illinois. We recruited convenience samples of adults from adult and pediatric emergency departments (12-month recall study: n|=|188; 30-day recall study: n|=|154). A self-administered survey included the 6-item Household Food Security Screen (gold standard), the validated 2-item Hunger Vital Sign (HVS; often, sometimes, never response categories), and the 2-item AAP tool (yes-or-no response categories). Results Food insecurity was prevalent (12-month recall group: 46%; 30-day group: 39%). Sensitivity of the AAP tool using 12-month and 30-day recall was, respectively, 76% (95% confidence interval [CI]|=|65%, 85%) and 72% (95% CI|=|57%, 84%). The HVS sensitivity was significantly higher than the AAP tool (12-month: 94% [95% CI|=|86%, 98%; P|=|.002]; 30-day: 92% [95% CI|=|79%, 98%; P|=|.02]). Conclusions The AAP tool missed nearly a quarter of food-insecure adults screened in the hospital; the HVS screening tool was more sensitive. Public health implications Health care systems adopting food insecurity screening should optimize ease of administration and sensitivity of the screening tool.

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Section: Discussionmentioning

confidence: 92%

Diagnostic Accuracy of Two Food Insecurity Screeners Recommended for Use in Health Care Settings

et al. 2017

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“…This distinction is illustrated by three recent studies of social screening interventions in US health care settings. In one study that focused on food insecurity screening in pediatric primary care, only half of the patients screened as food insecure asked for referrals to food‐related interventions, while only half who asked for food‐related interventions screened as food insecure . In another study, 29% of patients screened positive for food insecurity but only 17% wanted help to address it—and only 4% selected it as their top priority .…”

Section: Terms and Distinctionsmentioning

confidence: 99%

Meanings and Misunderstandings: A Social Determinants of Health Lexicon for Health Care Systems

2019

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Health care systems and policymakers in the United States increasingly use language related to social determinants of health in their strategies to improve health and control costs, but the terms used are often misunderstood, conflated, and confused. Greater clarity on key terms and the concepts underlying them could advance policies and practices related to social determinants of health—including by defining appropriate roles and limits of the health care sector in this multisector field.

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“…There are now standardized screening tools for social determinants . In addition to screening tools, there are local and national online tools that provide linkages between social needs and free or low‐cost community resources that navigators and patients can access to address identified needs . Several of the activities are focused beyond direct interactions with specific patients.…”

Section: Resultsmentioning

confidence: 99%

Standardized activities for lay patient navigators in breast cancer care: Recommendations from a citywide implementation study

Freund

Haas

Lemon

et al. 2019

Cancer

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Background There is a need for guidelines on patient navigation activities to promote both the quality of patient navigation and the standards of reimbursement for these services because a lack of reimbursement is a major barrier to the implementation, maintenance, and sustainability of these programs. Methods A broad community‐based participatory research process was used to identify the needs of patients for navigation. A panel of stakeholders of clinical providers was convened to identify specific activities for navigators to address the needs of patients and providers with the explicit goal of reducing delays in the initiation of cancer treatment and improving adherence to the care plan. Results Specific activities were identified that could be generalized to all patient navigation programs for care during active cancer management to address the needs of vulnerable communities. Conclusions Oncology programs that seek to implement lay patient navigation may benefit from the adoption of these activities for quality monitoring. Such activities are necessary as we consider reimbursement strategies for navigators without clinical training or licensure.

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Food Insecurity Screening in Pediatric Primary Care: Can Offering Referrals Help Identify Families in Need?

Cited by 96 publications

References 20 publications

Diagnostic Accuracy of Two Food Insecurity Screeners Recommended for Use in Health Care Settings

Diagnostic Accuracy of Two Food Insecurity Screeners Recommended for Use in Health Care Settings

Meanings and Misunderstandings: A Social Determinants of Health Lexicon for Health Care Systems

Standardized activities for lay patient navigators in breast cancer care: Recommendations from a citywide implementation study

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