ArticleAcademic pediatrics2020
Written Versus Verbal Food Insecurity Screening in One Primary Care Clinic.
Article in Academic pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.
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Who cites it
36 citing papers in PubMed.
- Food insecurity and hospital resource utilization.Journal of hospital medicine · 2026Article
- Implementation and evaluation of a quality improvement project to standardize food insecurity screening in a pediatric nephrology clinic.Pediatric nephrology (Berlin, Germany) · 2026Article
- Protocol for the sequential multiple assignment randomized trial to reduce food insecurity and improve adherence in patients with hypertension (SMART-FI).Contemporary clinical trials · 2026Article
- Codevelopment of a Digital Screening and Intervention Tool to Improve Lifestyle Habits in Children: Focus Group Study With Parents and Clinicians.JMIR pediatrics and parenting · 2026Article
- 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
- Article
- Understanding patient preferences on providing sociodemographic information in an acute care setting: a qualitative study.BMC health services research · 2025Article
- Feasibility of an ADAPTive intervention to improve food security and Maternal-Child Health (ADAPT-MCH): Protocol for a pilot sequential multiple assignment randomized trial.Contemporary clinical trials · 2025Article
- Quality Improvement to Identify and Address Food Insecurity During Pediatric Hospitalizations.Hospital pediatrics · 2024Article
- Food Insecurity Among LGBQ+ Veterans.JAMA network open · 2024Article
- Food Insecurity Screening and Referral Practices of Pediatric Clinicians in Metropolitan Washington, DC.Children (Basel, Switzerland) · 2024Article
- Assessment of Adverse Childhood Experiences and Social Determinants of Health: A Survey of Practices in Pediatric Weight Management Programs.Childhood obesity (Print) · 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
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- Implementing food insecurity screening in a level IV neonatal intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2023Article
- Assessing an electronic self-report method for improving quality of ethnicity and race data in the Veterans Health Administration.JAMIA open · 2023Article
- Food and Nutrition Security Among Households With Children in North Carolina: Challenges, Opportunities, and Potential Policy Solutions.North Carolina medical journal · 2023Article
- Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveClinics are increasingly interested in identifying food insecurity (FI), but there are limited data on how to implement FI screening. Our objective was to determine the difference in FI disclosure rates by parents/guardians screened by a written questionnaire compared to verbally.
methodsThe study occurred in 1 pediatric primary care clinic in which we screened for FI using the 2-item Hunger Vital Sign. We used interrupted time series to evaluate the effect of changing from the clinician verbal screening to a written questionnaire. Screening results were extracted for all well-child visits from 4/2017 to 10/2018 for children age 0 to 18 years. The outcome was the proportion who screened positive for FI 9 months before and 9 months after the implementation of the written questionnaire. We estimated the difference in the level and trend of positive screens using ordinary least squares regression using Newey-West standard errors and adjusting for autocorrelation.
resultsIn 7996 well-child visits, 1141 patients (14.3%) screened positive. In bivariate analysis, there was a significant difference in the FI disclosure rates between patients screened by written questionnaire compared to verbally (16.3% vs 10.4%, P < .001). In interrupted time series, changing to the written questionnaire was associated with a significant increase in FI disclosure rates (β = .04, 95% confidence interval: 0.01, 0.07; P = .02). There was no significant change in the trend in disclosure rates. DISCUSSION: Multiple barriers exist to effectively implementing FI screening in clinical care. Changing from a verbal to a written questionnaire resulted in an immediate and significant increase in the number of parents/guardians who reported FI.
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