Trial reportAcademic pediatrics2019
Food for Thought: A Randomized Trial of Food Insecurity Screening in the Emergency Department.
Trial report in Academic pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
49 citing papers in PubMed.
- Optimizing Recruitment and Retention in Substance Use Disorder Research in Emergency Departments.The western journal of emergency medicine · 2023Trial
- Effects of In-Person Assistance vs Personalized Written Resources About Social Services on Household Social Risks and Child and Caregiver Health: A Randomized Clinical Trial.JAMA network open · 2020Trial
- Prevalence and Correlates of Social Risks and Receipt of Resources Among Rural and Urban Veterans.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
- Strengthening Emergency Department Health Initiatives Through Partnership With Health Departments and Community Organizations.Journal of the American College of Emergency Physicians open · 2026Article
- Feeding Minds, Building Societies: The Transformative Power of Universal School Meals.The Journal of school health · 2026Article
- Article
- Impact of hospital and health system initiatives to address Social Determinants of Health (SDOH) in the United States: a scoping review of the peer-reviewed literature.BMC health services research · 2025Article
- Food and Housing Insecurity, Resource Allocation, and Follow-up in a Pediatric Emergency Department.The western journal of emergency medicine · 2025Article
- Pediatric Emergency Department-based Food Insecurity Screening During the COVID-19 Pandemic.The western journal of emergency medicine · 2025Article
- Health-related social needs screening, reporting, and assistance in a large health system.Preventive medicine · 2025Article
- A family-centered approach to social needs awareness in the pediatric emergency department.PEC innovation · 2024Article
- Food Insecurity Among LGBQ+ Veterans.JAMA network open · 2024Article
- Emergency Department Food Insecurity Screening, Food Voucher Distribution and Utilization: A Prospective Cohort Study.The western journal of emergency medicine · 2024Article
- Retrospective review of food insecurity screening in an outpatient stroke clinic using electronic and paper-based surveys.Heliyon · 2024Article
- Caregiver Report of Adverse Childhood Events: Comparison of Self-Administered and Telephone Questionnaires.Children and youth services review · 2024Article
- Food Insecurity Screening in High-Income Countries, Tool Validity, and Implementation: A Scoping Review.Nutrients · 2024Article
- Feasibility of Using Text Messaging to Identify and Assist Patients With Hypertension With Health-Related Social Needs: Cross-Sectional Study.JMIR cardio · 2024Article
- Characteristics of hospital and health system initiatives to address social determinants of health in the United States: a scoping review of the peer-reviewed literature.Frontiers in public health · 2024Article
- Development and content validation of a questionnaire to assess the social determinants of mental health in clinical practice.Frontiers in psychiatry · 2024Article
- Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundDespite the growing interest in screening for food insecurity in the clinical setting, little evidence exists regarding screening formats that maximize disclosure and caregiver comfort.
methodsIn this randomized trial, we asked English-speaking adult caregivers of pediatric patients in the emergency department at an urban, freestanding children's hospital to complete a validated, 2-question screen for food insecurity. Respondents were assigned via block randomization to complete the survey by either verbal interview or electronic tablet. Caregivers reported the perceived importance of the screening questions, comfort level with screening in the emergency department or in their child's primary care site, and their preferred screening modality.
resultsOf the 1818 participants, 20.6% screened positive for food insecurity. There was a significantly higher rate of reported food insecurity for those screened by tablet (23.6%) compared to those screened verbally (17.7%) (P = .002). Of those who had a preference of screening modality, 83.2% of all participants and 84.5% of patients reporting food insecurity preferred the tablet-based screen over verbal interview. Overall, more participants reported comfort completing the screen in the emergency department compared to their child's doctor's office; however, comfort in both of these setting was rated highly (86.1% vs 80.2%; P < .001).
conclusionsAlthough both verbal interview and tablet-based screening modalities were effective in identifying food insecurity, tablet-based screening had a higher disclosure rate and was the participants' preferred screening method. There is a high level of comfort with screening regardless of clinical setting; it is possible that an added level of anonymity in the emergency department enhanced participants' comfort levels.
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