Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, Columbia University Vagelos College of Physicians & Surgeons, New York, NY 10032, USA.
NewYork-Presbyterian Morgan Stanley Children's Hospital, New York, NY 10032, USA.
Nutrients. 2022 Mar 3;14(5):1059. doi: 10.3390/nu14051059.
Despite recommendations for systematic food insecurity screening in pediatric primary care, feasible interventions in clinical settings are lacking. The goal of this study was to examine reach, feasibility, and retention in Food FARMacia, a pilot clinically based food insecurity intervention among children aged <6 years. We examined electronic health record data to assess reach and performed a prospective, longitudinal study of families in Food FARMacia (May 2019 to January 2020) to examine attendance and retention. We used descriptive statistics and bivariate analyses to assess outcomes. Among 650 pediatric patients, 172 reported household food insecurity and 50 registered for Food FARMacia (child mean age 22 ± 18 months; 88% Hispanic/Latino). Demographic characteristics of Food FARMacia participants were similar to those of the target group. Median attendance rate was 75% (10 sessions) and retention in both the study and program was 68%. Older child age (retention: age 26.7 ± 18.7 months vs. attrition: age 12.1 ± 13.8 months, p = 0.01), Hispanic/Latino ethnicity (retention: 97% vs. attrition: 69%, p < 0.01), and larger household size (retention: 4.5 ± 1.1 vs. attrition: 3.7 ± 1.4, p = 0.04) correlated with retention. A clinically based mobile food pantry pilot program and study reached the target population and were feasible.
尽管有建议在儿科初级保健中系统地进行粮食不安全筛查，但临床环境中缺乏可行的干预措施。本研究的目的是检验 Food FARMacia 的可及性、可行性和保留率，这是一项针对<6 岁儿童的基于临床的粮食不安全干预试点。我们检查了电子健康记录数据以评估可及性，并对 Food FARMacia 中的家庭进行了前瞻性纵向研究（2019 年 5 月至 2020 年 1 月），以评估出勤率和保留率。我们使用描述性统计和双变量分析来评估结果。在 650 名儿科患者中，有 172 名报告家庭粮食不安全，有 50 名注册参加 Food FARMacia（儿童平均年龄 22±18 个月；88%为西班牙裔/拉丁裔）。Food FARMacia 参与者的人口统计学特征与目标人群相似。平均出勤率为 75%（10 次），研究和项目的保留率均为 68%。较大的儿童年龄（保留：年龄 26.7±18.7 个月 vs. 流失：年龄 12.1±13.8 个月，p=0.01）、西班牙裔/拉丁裔种族（保留：97% vs. 流失：69%，p<0.01）和更大的家庭规模（保留：4.5±1.1 vs. 流失：3.7±1.4，p=0.04）与保留率相关。一个基于临床的移动食品储藏室试点计划和研究达到了目标人群，并具有可行性。
