Evidence map›Paper›PMID 38296603›Full record

ArticleBMJ open quality2024

Improving food insecurity screening across a health system throughout the COVID-19 pandemic.

Lani Kroese, Kenia Lobo, Mary Meyer, Jordan Tate, Mitra Mays, Rebecca Adye, Henna Qureshi, Bann Al-Shammaa, Albert Brito, Patty Seo-Mayer and 2 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open quality, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
5.1field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Food Insecurity Among LGBQ+ Veterans.JAMA network open · 2024
    Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Lani KroesePediatrics, Inova Fairfax Medical Campus, Falls Church, Virginia, USA.
Kenia LoboPediatrics, Inova Fairfax Medical Campus, Falls Church, Virginia, USA.
Mary MeyerPediatrics, Inova Fairfax Medical Campus, Falls Church, Virginia, USA.
Jordan TatePediatrics, Inova Fairfax Medical Campus, Falls Church, Virginia, USA.
Mitra MaysPediatrics, Inova Fairfax Medical Campus, Falls Church, Virginia, USA.
Rebecca AdyeInova Children's Multispecialty Center, Inova Health System, Fairfax, Virginia, USA.
Henna QureshiInova Cares Clinic for Children, Inova Health System, Falls Church, Virginia, USA.
Bann Al-ShammaaInova Cares Clinic for Children, Inova Health System, Falls Church, Virginia, USA.
Albert BritoInova Cares Clinic for Children, Inova Health System, Falls Church, Virginia, USA.
Patty Seo-MayerInova Children's Multispecialty Center, Inova Health System, Fairfax, Virginia, USA.
Katherine MoyerInova Children's Multispecialty Center, Inova Health System, Fairfax, Virginia, USA.
Courtney PortPediatrics, Inova Fairfax Medical Campus, Falls Church, Virginia, USA courtney.port@inova.org.ORCID 0009-0005-4878-1795
Inova Fairfax Hospital · USInova Health System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFood insecurity has direct and indirect negative outcomes on the physical and mental health of children, with impacts throughout adult life. Rates of food insecurity have increased dramatically since the start of the COVID-19 pandemic. The American Academy of Pediatrics recommends paediatricians screen and intervene to address food insecurity. We aimed to increase the percentage of patient encounters with food insecurity screening completion at the paediatric medical home from 0% to 85% by July 2020 with extension to the paediatric emergency department (ED) and paediatric specialty clinic in the following year.

methodsThis multicentre project occurred in three sites within our health system: a teaching safety-net, paediatric medical home; a paediatric ED; and five divisions within paediatric specialty medical clinics. A screening tool was created using the validated Hunger Vital Sign Questionnaire. A standard screening, documentation and referral process was developed. The Model for Improvement was used testing changes via Plan-Do-Study-Act cycles.

resultsThe percentage of households screened for food insecurity increased from a median of 0% to 30% for all sites combined. There was significant variability in screening with the ED screening a median of 24% and the medical home screening 80% by the end of the study period. A total of 9842 households (20.9%) screened were food insecure. During the study period, 895 families with 3925 household members received 69 791 pounds of food from our primary community resource using our clinic's food prescription. Of these families, 44% (398) also qualified for the US Department of Agriculture programme ensuring ongoing food distribution up to twice a month. DISCUSSION: Using quality improvement methodology to address a critical community need, we implemented food insecurity screening across a hospital system including multiple sites and specialties and provided critical resources to households in need.

Indexed as

COVID-19AdultChildFood InsecurityFood SupplyHumansPandemicsSurveys and QuestionnairesUnited StatesAmbulatory careContinuous quality improvementEmergency departmentPaediatrics

Identifiers

PMID38296603
PMCPMC10831437
OpenAlexW4391406809

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.