Presentation Title

Feasibility of an Emergency Department-Based Food Insecurity Screening & Referral Program

Faculty Mentor

Bharath Chakravarthy, Victor Cisneros

Start Date

17-11-2018 8:00 AM

End Date

17-11-2018 8:15 AM

Location

C304

Session

Oral 1

Type of Presentation

Oral Talk

Subject Area

health_nutrition_clinical_science

Abstract

Patients who visit the Emergency Department (ED) are often times in critical and life-threatening conditions. Unfortunately, patients sometimes also arrive in the ED not because of an emergency, but simply because they are lacking sufficient and nutritious food supplies; these patients are termed “Food Insecure (FI)”. In the Orange County, approximately 13% of adults and 24% of the children population are deemed to be FI. There are many food assistance programs available; however, many are under-utilized due to a lack of awareness. In this 2-part cohort study, we want to quantify the percentage of patients visiting the ED who are FI. We also aim to see the effectiveness of a food-referral program in reducing the prevalence of FI. Research associates will screen patients in the ED by asking them to complete a two question screening questionnaire validated by American Academy of Pediatrics with a 97% sensitivity and 83% specificity. Based on their response, patients will be categorized as FI or not. FI patients will be given a second questionnaire, validated by United States Department of Agriculture (USDA) to quantify the severity of their food insecurity, along with a referral to local food pantries. Follow-up calls will be made to determine the effectiveness of the referral list in reducing the prevalence of food insecurity. Thus, we hypothesize that the referrals given to patients in the ED will lead to an increased usage of local food-assistive programs and a decreased number of FI residents in Orange County. We have screened a total of 908 patients. Approximately, 77% of the patients were English-speaking and 16% were Spanish-speaking patients. Out of those screened, 172 patients, about 19%, have screened positive for FI. Of those that screened positive for FI, approximately 69% reported the highest FI severity score in the USDA FI severity scale.

Summary of research results to be presented

We have screened 908 patients in the ED thus far, in which 172 patients, about 19%, have screened positive for FI. About 77% of the patients were English-speaking and 16% were Spanish-speaking patients. Out of those that screened positive for FI, approximately 69% reported severity very low food security according to USDA severity questionnaire.

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Nov 17th, 8:00 AM Nov 17th, 8:15 AM

Feasibility of an Emergency Department-Based Food Insecurity Screening & Referral Program

C304

Patients who visit the Emergency Department (ED) are often times in critical and life-threatening conditions. Unfortunately, patients sometimes also arrive in the ED not because of an emergency, but simply because they are lacking sufficient and nutritious food supplies; these patients are termed “Food Insecure (FI)”. In the Orange County, approximately 13% of adults and 24% of the children population are deemed to be FI. There are many food assistance programs available; however, many are under-utilized due to a lack of awareness. In this 2-part cohort study, we want to quantify the percentage of patients visiting the ED who are FI. We also aim to see the effectiveness of a food-referral program in reducing the prevalence of FI. Research associates will screen patients in the ED by asking them to complete a two question screening questionnaire validated by American Academy of Pediatrics with a 97% sensitivity and 83% specificity. Based on their response, patients will be categorized as FI or not. FI patients will be given a second questionnaire, validated by United States Department of Agriculture (USDA) to quantify the severity of their food insecurity, along with a referral to local food pantries. Follow-up calls will be made to determine the effectiveness of the referral list in reducing the prevalence of food insecurity. Thus, we hypothesize that the referrals given to patients in the ED will lead to an increased usage of local food-assistive programs and a decreased number of FI residents in Orange County. We have screened a total of 908 patients. Approximately, 77% of the patients were English-speaking and 16% were Spanish-speaking patients. Out of those screened, 172 patients, about 19%, have screened positive for FI. Of those that screened positive for FI, approximately 69% reported the highest FI severity score in the USDA FI severity scale.