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Forging a pediatric primary care-community partnership to support food-insecure families
Andrew F Beck1, Adrienne W Henize2, Robert S Kahn2
1Divisions of General and Community Pediatrics andHospital Medicine, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and andrew.beck1@cchmc.org.
Insights
The Keeping Infants Nourished and Developing (KIND) program improved preventive care for infants in food-insecure families. This clinical-community collaboration successfully linked families to resources, enhancing infant health outcomes.
Area of Science:
- Pediatric primary care
- Public health interventions
- Social determinants of health
Background:
- Academic primary care clinics serve vulnerable populations facing food insecurity.
- Clinical-community collaborations offer a pathway to mitigate food insecurity risks.
- The Keeping Infants Nourished and Developing (KIND) intervention was designed to address food insecurity in families with infants.
Purpose of the Study:
- To design, implement, refine, and evaluate the KIND collaborative intervention.
- To assess the impact of KIND on food-insecure families with infants.
- To improve access to essential resources and preventive care for vulnerable infants.
Main Methods:
- Co-development of processes by pediatricians and community collaborators to link families to resources.
- Prospective evaluation using time-series analysis and descriptive statistics over two years.
- Assessment of demographic, clinical, and social risk outcomes, including preventive service completion and referrals.
Main Results:
- 1042 families with infants received the KIND intervention over two years.
- Recipients showed higher rates of lead test completion, developmental screening, and well-infant visits.
- KIND recipients were more likely to be referred to social work and medical-legal partnerships.
Conclusions:
- A clinical-community collaborative effectively addressed social determinants of health in pediatric care.
- The KIND intervention demonstrated an association with improved preventive care outcomes for infants.
- This model highlights the success of integrated approaches in supporting food-insecure families.
Background And Objectives:
Academic primary care clinics often care for children from underserved populations affected by food insecurity. Clinical-community collaborations could help mitigate such risk. We sought to design, implement, refine, and evaluate Keeping Infants Nourished and Developing (KIND), a collaborative intervention focused on food-insecure families with infants.
Methods:
Pediatricians and community collaborators codeveloped processes to link food-insecure families with infants to supplementary infant formula, educational materials, and clinic and community resources. Intervention evaluation was done prospectively by using time-series analysis and descriptive statistics to characterize and enumerate those served by KIND during its first 2 years. Analyses assessed demographic, clinical, and social risk outcomes, including completion of preventive services and referral to social work or our medical-legal partnership. Comparisons were made between those receiving and not receiving KIND by using χ2 statistics.
Results:
During the 2-year study period, 1042 families with infants received KIND. Recipients were more likely than nonrecipients to have completed a lead test and developmental screen (both P < .001), and they were more likely to have received a full set of well-infant visits by 14 months (42.0% vs. 28.7%; P < .0001). Those receiving KIND also were significantly more likely to have been referred to social work (29.2% vs. 17.6%; P < .0001) or the medical-legal partnership (14.8% vs. 5.7%; P < .0001). Weight-for-length at 9 months did not statistically differ between groups.
Conclusions:
A clinical-community collaborative enabled pediatric providers to address influential social determinants of health. This food insecurity-focused intervention was associated with improved preventive care outcomes for the infants served.
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