Screening for Food Insecurity in Pediatric Primary Care: A Clinic’s Positive Implementation Experiences

Adams, Elizabeth; Hargunani, Dana; Hoffmann, Laurel M.; Blaschke, Gregory S.; Helm, Joanna R.; Koehler, Anneliese

doi:10.1353/hpu.2017.0004

Cited by 33 publications

(50 citation statements)

References 8 publications

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“…17,27 Several additional studies provided indirect evidence around patient acceptability based on provider and staff perceptions of patient acceptability. 13,21,[28][29][30][31] These studies almost uniformly suggest that providers and clinical staff feel that screening is acceptable to patients. However, evidence on patient acceptability from these latter studies may partially reflect providers' own feelings around FI screening efforts.…”

Section: Patient And/or Patient Caregiver Acceptability Of Fi Screeningmentioning

confidence: 99%

“…Concern about the time required to carry out screening is common for sites implementing screening programs. Eleven articles addressed the perceived and actual time burden related to their FI screening tools, 13,17,18,26,28,31,[33][34][35][36] while two additional studies limited remarks to duration of screening itself 10,30 (see Table 4).…”

Section: Timel To Conduct Screeningmentioning

confidence: 99%

“…• Screening acceptability: Some research has examined patient 17,23-27 and caregiver 26,28,[31][32][33] perspectives on FI screening acceptability, though this work has primarily been limited to pediatric primary care clinics. In addition to further examining acceptability in adult settings, more research is needed on effective strategies to maximize team efficiencies in health care-based screening initiatives.…”

Section: • Screening Workforcementioning

confidence: 99%

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Universal Screening for Social Needs in a Primary Care Clinic: A Quality Improvement Approach Using the Your Current Life Situation Survey

Sundar

2018

TPJ

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Executive SummaryFood insecurity (FI), or the limited access to adequate food due to a lack of money or other resources, is associated with poor health across the life-course. Spurred by this knowledge, and incentivized by recent health care payment reforms that reward keeping patients healthy, health systems around the country have been exploring ways to screen patients for FI and help food insecure patients access food resources. To inform these efforts, this report summarizes the research evidence published between January 2000 and June 2017 about health care-based screening for FI. A future report will examine research evidence on interventions to address FI in health care settings.Multiple brief (one-and two-item) FI screening tools have been used and tested in health care settings and were reported to add minimal time burden for health care providers. There was incomplete overlap between patients reporting FI and the desire for assistance with food needs, however, raising questions about whether screening for FI should be complemented or replaced by screening for patient desire for assistance with food needs.Studies exploring the patient and provider acceptability of FI screening were mixed. Most studies reported that patients were comfortable being asked about FI and that even being asked about social needs could make patients feel cared for by their providers. In other instances, patients and their caregivers indicated that FI is a sensitive issue, in particular for caregivers who might fear being reported to social services if they endorsed not being able to feed their children. This fear appeared to be alleviated by reassurance that providers were asking about FI in order to be able to help address FI and related social needs.Providers expressed willingness to screen for FI, although in the absence of training both on how to conduct FI screening and on strategies for addressing identified FI, screening rates were low. Several studies described interventions to increase screening, including social screening curricula and observations and feedback around social history taking, which improved provider comfort with FI screening, perceived competence in addressing FI, and overall screening rates. The majority of the work on the validity of FI screening tools and on patient and provider acceptability in this field was conducted in pediatric populations.

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Section: Patient And/or Patient Caregiver Acceptability Of Fi Screeningmentioning

confidence: 99%

Section: Timel To Conduct Screeningmentioning

confidence: 99%

Section: • Screening Workforcementioning

confidence: 99%

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Universal Screening for Social Needs in a Primary Care Clinic: A Quality Improvement Approach Using the Your Current Life Situation Survey

Sundar

2018

TPJ

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“…14 Despite recognizing the benefits to screening for and addressing FI, there have not been widespread primary care efforts for FI screening. 15 Barriers to routine screening include fear of reducing patient satisfaction, 16 fear of damaging the patient-physician relationship (eg, shame may prompt dishonest responses), 17 lack of time to conduct screening, and uncertainty with managing a positive screen. 18 The aim of this project was to explore patient attitudes and intervention preferences in the primary care setting.…”

mentioning

confidence: 99%

Food Insecurity in Primary Care: Patient Perception and Preferences

Kopparapu

Sketas

Swindle

2020

Fam Med

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Background and Objectives: Screening for and addressing food insecurity in primary care may improve associated comorbidities. The purpose of this study was to explore patient attitudes regarding screening for food insecurity and to elicit patient preferences for intervention in a primary care setting. Methods: Patients (N=284) completed a brief, voluntary survey in a university-based clinic and two community-based clinics over a 5-month period. Respondents were classified as either food-secure or food-insecure based on their responses to a validated food insecurity screener. Results: Participants stated that screening for food insecurity was valuable in the primary care setting (83.9%). Patients preferred having a nurse ask the screening questions (41.2%). The most popular intervention preference, regardless of food security status or clinic type, was to provide a list of food bank locations (76.4%) and local community organizations (71.6%) and to have referral to financial assistance programs (75.4%). There were no differences in preferences for screening or attitudes toward screening by food security status or clinic type (all P≥.05). Conclusions: Screening for food insecurity is not yet standard practice, partly due to concerns over potentially alienating patients with the screening questions. Based on our surveyed patient population and their indicated preferences, screening and providing resource referrals for food insecurity is not likely to damage the clinician-patient relationship.

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“…Para compreender como o objeto de pesquisa desta dissertação foi construído é necessário considerar que a minha formação profissional e acadêmica se deu em um contexto em que o reconhecimento do DHAA para abordar a SAN foi hegemônico. Essa abordagem logrou resultados reconhecidos no cenário internacional, colocando o Brasil numa posição de destaque quando o assunto é SAN 1 . Ainda que retrocessos estejam acontecendo, essa perspectiva teórica está consolidada, especialmente na comunidade científica que trabalha com esta temática.…”

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Segurança Alimentar e Nutricional na Atenção Primária à Saúde: um olhar a partir dos direitos humanos

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Screening for Food Insecurity in Pediatric Primary Care: A Clinic’s Positive Implementation Experiences

Cited by 33 publications

References 8 publications

Universal Screening for Social Needs in a Primary Care Clinic: A Quality Improvement Approach Using the Your Current Life Situation Survey

Universal Screening for Social Needs in a Primary Care Clinic: A Quality Improvement Approach Using the Your Current Life Situation Survey

Food Insecurity in Primary Care: Patient Perception and Preferences

Segurança Alimentar e Nutricional na Atenção Primária à Saúde: um olhar a partir dos direitos humanos

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