Written Versus Verbal Food Insecurity Screening in One Primary Care Clinic
| Autor: | Joseph A. Skelton, Kimberly Montez, Callie L. Brown, Deepak Palakshappa, Laurie W. Albertini, Meggan Goodpasture |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Parents medicine.medical_specialty Adolescent Social Determinants of Health Disclosure Ambulatory Care Facilities Article 03 medical and health sciences 0302 clinical medicine Social Desirability Surveys and Questionnaires 030225 pediatrics medicine Humans Mass Screening 030212 general & internal medicine Social determinants of health Clinical care Child Primary Health Care business.industry Public health Significant difference Infant Newborn Infant Interrupted time series Interrupted Time Series Analysis Primary care clinic Food insecurity Food Insecurity Standard error Child Preschool Family medicine Pediatrics Perinatology and Child Health Female business |
| Zdroj: | Acad Pediatr |
| ISSN: | 1876-2859 |
| Popis: | OBJECTIVE: Clinics are increasingly interested in identifying food insecurity (FI), but there is 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. METHODS: The study occurred in one pediatric primary care clinic in which we screen 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 4/2017-10/2018 for children age 0-18 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. RESULTS: In 7,996 well-child visits, 1,141 (14.3%) patients 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 |
| Databáze: | OpenAIRE |
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