CommunityRx for Hunger: A Hospital-Based Intervention

Patient Satisfaction Clinical Trial

Official title:

CommunityRx for Hunger: A Children's Hospital-Based Intervention to Support Caregivers in an African American Community

Clinical Trial Details — Status: Withdrawn

Administrative data

• NCT number: NCT03173794
• Other study ID #: IRB17-0770
• Status: Withdrawn
• Phase: N/A
• Start date: April 2018
• Est. completion date: September 2021

Study information

• Verified date: April 2020
• Source: University of Chicago
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The goal of this research program is to reduce health disparities by deploying an information-based intervention to increase caregiver utilization of community-based food supports and satisfaction with care among food insecure caregivers of hospitalized children. We will conduct a randomized controlled trial to evaluate, versus usual care, the effects of the CommunityRx-H intervention on caregiver use of food resources (primary), caregiver patient satisfaction with care (primary), caregiver mental health-related quality of life (secondary), and caregiver household food security (secondary). The proposed research will yield an understanding of how to leverage a child's hospitalization to effectively intervene on the problem of food insecurity. Findings will inform the rapidly growing field of healthcare-based interventions to address health-related social needs.

Recruitment information / eligibility

• Status: Withdrawn
• Enrollment: 0
• Est. completion date: September 2021
• Est. primary completion date: September 2021
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• At least 18 years old

• English-speaking

• Living in 1 of the 16 ZIP code target regions

• Self-identify as a primary caregiver of a child <18 years old hospitalized in CCH's general, intensive care or transplant units

Exclusion Criteria:

• Recollection of previous receipt of a HealtheRx

Related Conditions & MeSH terms

• Caregivers
• Clinical Trial
• Food Insecurity
• Health-Related Quality of Life
• Hunger
• Patient Satisfaction

Intervention

Other:
• CommunityRx-H
CommunityRx-H has two components: (1) health-information technology (HIT) e-prescribing, and (2) a Community Resource Specialist (CRS). CommunityRx functions like an e-prescribing system: a HealtheRx "prescription" is automatically generated at the point of care. The HealtheRx provides referrals to food resources and federal nutrition assistance information tailored to the caregiver's address and proactive social support in the form of SMS-text message nudges from the CRS. Caregivers in the intervention arm are able to request information on resources not limited to food, including employment support, help paying rent or mortgage, etc. Nudges will promote caregiver self- and family management by increasing knowledge of and encouraging activation of community resources.

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
University of Chicago

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Change from baseline in caregiver stress	Caregiver stress will be measured using the Perceived Stress Scale (PSS). Measure is included in the NIH Common Data Element Repository	Baseline, 7 days, 30 days, 60 days, and 90 days
Other	Change from baseline in caregiver burden	Caregiver burden will be measured using the Caregiver Burden Scale (CGBS). Measure is included in the NIH Common Data Element Repository	Baseline, 7 days, 30 days, 60 days, and 90 days
Other	Change from baseline in caregiving self-efficacy	Caregiver self-efficacy will be measured using General Self-Efficacy Scale (GSE). Measure is included in the NIH Common Data Element Repository	Baseline, 7 days, 30 days, 60 days, and 90 days
Other	Change from baseline in contact Community Resource Navigator	Change in contact with Community Resource Navigator will be measured using investigator-generated questions	Baseline, 7 days, 30 days, 60 days, and 90 days
Other	Satisfaction with navigation	Patient satisfaction with logistical aspects of navigation will be measured using investigator-generated questions	7 days
Other	Change in stigma during child's hospital stay	Change in stigma will be measured using the Experiences of Discrimination Scale (EDS)	7 days, 30 days, 60 days, 90 days
Primary	Change from baseline in use of food resources	Change in use of food resources will be measured using investigator-generated questions about use of the resources for self or others, sharing of information about the resources	Baseline, 7 days, 30 days, 60 days, and 90 days
Primary	Patient satisfaction with care	Patient satisfaction will be measured using the Patient Satisfaction Questionnaire (PSQ-18)	7 days
Secondary	Change from baseline in mental health-related quality of life	Mental health-related quality of life will be measured using the Medical Outcomes Study Short Form-36	Baseline, 7 days, 30 days, 60 days, and 90 days
Secondary	Change from baseline in household food insecurity	Household food insecurity will be measured using the 18-item Household Food Security Survey	Baseline, 30 days, 60 days, and 90 days