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The goal of this clinical trial is to learn if an intervention to provide food support to families who are part of a Medicaid Accountable Care Organization will provide benefits. The main question it aims to answer:
Does this monthly food support intervention reduce food insecurity and healthcare utilization in these patients.
Participants will complete surveys in the hospital, 14-days after discharge, and then quarterly for up to 18 months. Families randomized to the intervention group will receive monthly grocery gift cards for one year.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Experimental | Monthly $100 grocery gift cards for 12 months |
|
| Standard of Care | No Intervention | Can receive in-hospital social work referral if determined appropriate by clinical care team (also true for intervention group) |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Grocery gift card | Other | Monthly $100 grocery gift cards for 12 months |
|
| Measure | Description | Time Frame |
|---|---|---|
| Reutilization | Validated measure of reutilization which includes unplanned readmission, return to the emergency department, or a visit to urgent care | 30-days after discharge, 90-days after discharge, and quarterly after discharge up to 20 months |
| UDSA 6-question food insecurity survey | Adapted version of the UDSA 6-question food insecurity survey | 14-days after discharge, 90-days after discharge, and quarterly after discharge up to 20 months |
| Measure | Description | Time Frame |
|---|---|---|
| Primary Care Healthcare Utilization | Planned and unplanned visits to primary care provider | 30-days after discharge, 90-days after discharge, and quarterly after discharge up to 20 months |
| Vaccine uptake at primary care clinic |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cincinnati Children's Hospital Medical Center | Cincinnati | Ohio | 45229 | United States |
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Immunization percentage as part of the Medicaid accountability measure
| 30-days after discharge, 90-days after discharge, and quarterly after discharge up to 20 months |
| Recovery and return to normal routine | Family-designed measure of recovery and return to normal routine | 14-days after discharge |
| Post-Discharge Difficulty Coping Scale | Post-Discharge Coping Difficulty Scale uses an 11 point scaling format (0-10) with total scores ranging from 0 to 100. Higher scores represent greater coping difficulty. | 14-days after discharge |
| Ability to pay for medications | Family-designed measure of difficulty obtaining medications after discharge | 14-days after discharge, 90-days after discharge, and quarterly after discharge up to 20 months |
| Perceived Stress Scale | Perceived Stress Scale (PSS) uses a 5 point scaling format (0-4) with total scores ranging from 0 to 40. Higher scores represent higher perceived stress. | 14-days after discharge, 90-days after discharge, and quarterly after discharge up to 20 months |