Nurturing Outreach for Understanding and Reducing Inpatient Security of Health
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Prepared Meals, Grocery Gift Cards, Standard of Care.
- Who it may be relevant to
- Registry conditions: Food Insecurity. Basic parameters: No limits · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
NOURISH: Nurturing Outreach for Understanding and Reducing Inpatient Security of Health
Overview
Food insecurity is the lack of consistent access to the food needed for a healthy life. Food insecurity among families whose child has been hospitalized is a critical problem affecting a large, vulnerable population. The purpose of this study is to identity the most effective ways to help those families with food insecurity.
Detailed description
To address food insecurity among families who child has been hospitalized, study objectives are 1) to demonstrate the feasibility and acceptability of providing family meals and grocery store gift cards to address food insecurity among children discharged from the hospital, and 2) evaluate the potential impact of the interventions on household food insecurity, 30-day readmission rates, and primary care follow up. To accomplish these objectives, this pilot feasibility trial will be conducted at Atrium Health Levine Children's-Brenner Children's Hospital, an academic medical center that serves communities with high rates of food insecurity, in collaboration with our long-term partner Second Harvest Food Bank of Northwest North Carolina. The will recruit families whose child was admitted to the hospital and screened positive for food insecurity. All families will be enrolled for a total of 4 weeks to evaluate the difference in food insecurity, family health measures, and hospital-based quality metrics (including readmission rates and primary care follow up).
Interventions
- Other Prepared Meals
Participants will receive the intervention of weekly home meal delivery, consecutively for 4 weeks, delivered to their home. The meals will be provided by Providence Community Kitchen, which is a program of Second Harvest Food Bank of Northwest NC. During the 4 weeks of meal provisions, participants will receive 7 family style frozen dinners delivered to the participant's home weekly. Meals are frozen, have minimal preparation time, and can be heated by oven. - Other Grocery Gift Cards
Participants will receive weekly grocery store gift cards, consecutively for 4 weeks. During the 4 weeks of gift card provisions, participants will receive (1) $40.00 grocery store gift card weekly, mailed to participants' home address by study staff. - Other Standard of Care
Participants will receive the current standard for care for families endorsing inpatient food insecurity during a hospitalization, which include provision of printed and electronic food access resources. Currently, all families with positive food insecurity screening are met by a community health worker in the hospital who reviews current food access status with families (including enrollment in federal nutrition programs) and provides them with printed and electronic resources of nearby food pa
Primary outcome measures
- Number of Caregivers Asked to Take Part in Study [Time frame: Month 4]
- Number of Caregivers Consented [Time frame: Month 4]
- Number of Meals Delivered [Time frame: Month 4]
- Number of Gift Cards Delivered [Time frame: Month 4]
- Number of Post-Intervention Surveys Completed [Time frame: Month 4]
Eligibility criteria
Inclusion criteria
- caregiver and legal guardian of a pediatric patient hospitalized in the acute care units of Brenner Children's Hospital, who have screened positive for food insecurity during the hospitalization.
- lives in the same household as the pediatric patient hospitalized
- lives in Forsyth County, North Carolina
- has a freezer and oven in the household
- does not have family members with food allergies in the household
- willing to accept weekly meal deliveries at home address
- speaks English or Spanish
Exclusion criteria
- subjects who do not have the capacity to give legally effective consent
- planning to leave Forsyth County, North Carolina within 6 months of enrollment date
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Health services research
Study locations
United States · 1 center
- Brenner Children's Hospital — Winston-Salem
Identifiers
NCT: NCT07010289 · IRB00131272