Related Experiment Video

Updated: Sep 25, 2025

Concept Development and Use of an Automated Food Intake and Eating Behavior Assessment Method
06:21

Concept Development and Use of an Automated Food Intake and Eating Behavior Assessment Method

Published on: February 19, 2021

5.9K

Identifying Food Insecurity in Cardiology Clinic and Connecting Families to Resources

Allison K Black1, Julia Pantalone2, Anna-Claire Marrone3

  • 1Norton Children's Hospital and School of Medicine, University of Louisville, Louisville, Kentucky.

Pediatrics
|May 1, 2022
PubMed

Insights

Food insecurity screening using the Hunger Vital Signs (HVS) tool is feasible in cardiology clinics. This approach effectively identifies families with food insecurity and connects them to vital resources, especially benefiting children with severe congenital heart disease.

Area of Science:

  • Pediatric Cardiology
  • Public Health
  • Health Services Research

Background:

  • Food insecurity (FI) poses significant risks for children's health and development, particularly concerning for those with congenital heart disease (CHD).
  • In 2020, 14.8% of households with children experienced FI.
  • The Hunger Vital Signs (HVS) is a two-question tool designed to screen for FI.

Purpose of the Study:

  • To implement the HVS screening tool in an outpatient cardiology clinic.
  • To connect families experiencing FI with necessary resources.
  • To assess the effectiveness of FI screening in a CHD patient population.

Main Methods:

  • Stakeholder engagement to identify implementation drivers.
  • Plan-do-study-act (PDSA) cycles for iterative improvement.
  • Time series analysis to evaluate screening rates and resource connection over 13 months.
  • Analysis of demographics and CHD severity in families identified with FI.

Main Results:

  • Screening rates increased from 0% to over 85%, screening 5064 families.
  • Identified barriers such as screening discomfort, with a written tool proving effective.
  • FI was more prevalent in Black, multi-ethnic, or other racial/ethnic groups.
  • Severe CHD patients had a higher risk of FI (OR 1.67, P = .002).
  • Face-to-face social work meetings and community partnerships improved resource distribution and reduced follow-up loss.

Conclusions:

  • HVS screening is implementable in cardiology clinics to identify families facing FI.
  • A written screening tool can mitigate discomfort and enhance FI identification.
  • Children with severe CHD represent a population at increased risk for FI.
  • Multidisciplinary teams and community partnerships are crucial for effective, individualized resource allocation.
Abstract

More Related Videos

Determining Gender-Based Differences in Retinal and Choroidal Thickness in Underweight Individuals via Swept-Source Optical Coherence Tomography03:35

Determining Gender-Based Differences in Retinal and Choroidal Thickness in Underweight Individuals via Swept-Source Optical Coherence Tomography

Published on: December 1, 2023

390
Author Spotlight: Assessing Surgical Frailty with Point-of-Care Ultrasound of Quadriceps Muscles04:00

Author Spotlight: Assessing Surgical Frailty with Point-of-Care Ultrasound of Quadriceps Muscles

Published on: July 26, 2024

698

Related Concept Videos

Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
48
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
41
Dietary Connections01:23

Dietary Connections

In biological systems, most metabolic pathways are interconnected. The cellular respiration processes that convert glucose to ATP—such as glycolysis, pyruvate oxidation, and the citric acid cycle—tie into those that break down other organic compounds. As a result, various foods—from apples to cheese to guacamole—end up as ATP. In addition to carbohydrates, food also contains proteins and lipids—such as cholesterol and fats. All of these organic compounds are used...
57.1K
Cardiomyopathy VI: Nursing Management01:29

Cardiomyopathy VI: Nursing Management

Assessment: Nursing management of patients with cardiomyopathy begins with a thorough assessment of the patient's history, including a family history of cardiomyopathy or sudden cardiac death, personal history of heart disease, hypertension, diabetes, and any alcohol consumption or drug use.During the physical examination, assess vital signs, look for signs of heart failure (such as edema, jugular venous distention, and cyanosis), auscultate for abnormal heart sounds (like murmurs and gallops),...
56
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy01:30

Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy

Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
437
Introduction Cardiac Emergencies01:30

Introduction Cardiac Emergencies

Cardiac emergencies are critical situations involving the heart that require immediate medical intervention to prevent severe complications or death. These emergencies often arise from underlying heart conditions that impair the heart's ability to function correctly.Types of Cardiac EmergenciesThe most common types of cardiac emergencies include Acute Coronary Syndrome (ACS), myocardial infarction (MI), cardiac arrest, and heart failure.Acute Coronary Syndrome (ACS)Acute Coronary Syndrome (ACS)...
56