CommunityRx for Hunger: A Hospital-Based Intervention

Study Overview
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Brief Summary
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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.

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

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

Intervention / Treatment
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* Other: CommunityRx-H


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Usual Care Only<br>The control group will receive usual care, no CommunityRx-H intervention | |
| Experimental: Usual Care and Intervention<br>The intervention arm will receive the CommunityRx-H intervention, an information-based intervention that provides referrals to community resources | Other: CommunityRx-H<br>* 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.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 | 
| Patient satisfaction with care | Patient satisfaction will be measured using the Patient Satisfaction Questionnaire (PSQ-18) | 7 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 | 
| 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 |