Department of Epidemiology, Dornsife School of Public Health, Drexel University, Philadelphia, PA.
Department of Health Services, School of Public Health, University of Washington, Seattle, WA.
J Nutr Educ Behav. 2020 May;52(5):465-473. doi: 10.1016/j.jneb.2020.02.008.
To determine how trauma-informed programming affects household food insecurity (HFI) over 12 months.
Change was assessed in HFI from baseline to 12 months in response to a single-arm cohort intervention. Measures were taken at baseline and in every quarter. Two participant groups were compared: participation in ≥4 sessions (full participation) vs participation in <4 sessions (low/no participation).
Community-based setting in Philadelphia, Pennsylvania.
A total of 372 parents of children aged <6 years, participating in Temporary Assistance for Needy Families and the Supplemental Nutrition Assistance Program, recruited from county assistance offices and community-based settings.
Trauma-informed programming incorporates healing-centered approaches to address previous exposures to trauma. Sixteen sessions addressed emotional management, social and family dynamics related to violence exposure and childhood adversity, and financial skills.
Household food insecurity, as defined by the US Department of Agriculture Household Food Security Survey Module.
Mixed-effects logistic regression models were used to compare groups from baseline to 12 months, controlling for adverse childhood experiences, depression, and public assistance.
Those with full participation had 55% lower odds of facing HFI compared with the low/no participation group (adjusted odds ratio = 0.45; 95% confidence interval, 0.22-0.90).
Trauma-informed programming can reduce the odds of HFI and may reduce trauma-related symptoms associated with depression and poverty.
确定创伤知情计划在 12 个月内如何影响家庭食物不安全状况。
在单臂队列干预的基础上，评估家庭食物不安全状况在 12 个月内的变化。在基线和每季度进行测量。比较了两组参与者：参加≥4 次（充分参与）与参加<4 次（低/无参与）。
宾夕法尼亚州费城的社区环境。
共有 372 名年龄<6 岁的儿童的父母参与了“有需要的家庭临时援助”和“补充营养援助计划”，他们是从县援助办公室和社区环境中招募来的。
创伤知情计划采用以康复为中心的方法，解决以前接触过创伤的问题。16 次会议涉及情绪管理、与暴力暴露和儿童逆境有关的社会和家庭动态以及财务技能。
由美国农业部家庭粮食安全调查模块定义的家庭粮食不安全状况。
采用混合效应逻辑回归模型，比较基线至 12 个月时的两组，同时控制了不良童年经历、抑郁和公共援助。
与低/无参与组相比，充分参与组家庭食物不安全状况的可能性降低了 55%（调整后的优势比=0.45；95%置信区间，0.22-0.90）。
创伤知情计划可以降低家庭食物不安全状况的几率，并可能减少与抑郁和贫困相关的创伤相关症状。
