Food for Thought: A Qualitative Evaluation of Caregiver Preferences for Food Insecurity Screening and Resource Referral.
Food for Thought: A Qualitative Evaluation of Caregiver Preferences for Food Insecurity Screening and Resource Referral.
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DOI：
10.1016/j.acap.2020.04.006
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发表时间：
2020-11
影响因子：
3.1
通讯作者：
Fein, Joel A.
中科院分区：
文献类型：
--
作者：
Cullen, Danielle;Attridge, Megan;Fein, Joel A.
虽然有越来越多的兴趣在筛选食品不安全（FI）在临床环境中，很少有研究存在描述的效果筛选的做法照顾者的舒适度和愿意透露社会风险，或什么因素影响最终参与与食物资源。在这项定性研究中，我们进行了40个半结构化的采访与照顾者的儿科患者谁报告FI在急诊科的城市，独立的儿童医院。所有访谈都进行了数字记录和转录。我们使用内容分析和不断的比较来归纳编码采访，并通过迭代过程识别新出现的主题。三个主要的主题出现了影响照顾者舒适度的因素FI筛选和资源参与：与筛选，需要的看法，并与食物资源的有效连接相关的负面影响。虽然大多数照顾者报告舒适FI筛查，有意的步骤，以提供匿名和减少耻辱的筛查过程中，重要的是促进披露的社会需求。参与资源的影响，照顾者优先考虑的食物获取的环境中的生活压力，和个人需要的看法相对于他们的同龄人。此外，照顾者建议的做法，以促进有效的连接与粮食资源，如使用移动的健康技术，基于地理的资源，和个性化的连接。这项研究表明，筛选方法的重要性，减少判断和保护照顾者的隐私，使家庭的资源，地理上可以访问，并制定创造性的战略，加强家庭的资源，如使用移动的技术的连接。本定性研究探讨了筛选方式和位置对照顾者的舒适度和愿意透露FI风险的影响，并揭示了可能影响粮食不安全者最终与粮食资源联系的因素。
Although there is growing interest in screening for Food Insecurity (FI) in the clinical setting, little research exists describing the effect of screening practices on caregiver comfort and willingness to disclose social risk, or what factors affect eventual engagement with food resources. In this qualitative study, we conducted 40 semi-structured interviews with caregivers of pediatric patients who reported FI in the Emergency Department of an urban, freestanding children’s hospital. All interviews were digitally recorded and transcribed. We used content analysis with constant comparison to code interviews inductively and identified emerging themes through an iterative process. Three primary themes emerged as factors affecting caregiver comfort in FI screening and engagement with resources: perceived negative repercussions associated with screening, perception of need, and effective connection with food resources. While most caregivers reported comfort with FI screening, intentional steps to provide anonymity and reduce stigma in the screening process were important in facilitating disclosure of social need. Engagement with resources was influenced by caregiver prioritization of food access within a milieu of life stressors, and the perception of personal need relative to their peers. Furthermore, caregivers suggested practices to facilitate effective connection with food resources such as use of mobile health technology, geographically based resources, and personalized connections. This study demonstrates the importance of screening methods that reduce judgement and preserves caregiver privacy, referring families to resources that are geographically accessible, and developing creative strategies that enhance families’ connection to resources, such as with use of mobile technology. This qualitative study explores the effects of screening modality and location on caregivers’ comfort and willingness to disclose risk of FI, and uncovers factors that may affect eventual connection to food resources among those who are food insecure.
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影响因子：
8
作者：
通讯作者：
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影响因子：
8
作者：
Gottlieb, Laura;Hessler, Danielle;Adler, Nancy
通讯作者：
Adler, Nancy
影响因子：
120.7
作者：
BAKER, DW;STEVENS, CD;BROOK, RH
通讯作者：
BROOK, RH
影响因子：
9.3
作者：
Cook, John T.;Black, Maureen;Frank, Deborah A.
通讯作者：
Frank, Deborah A.
影响因子：
26.1
作者：
Gottlieb, Laura M.;Hessler, Danielle;Adler, Nancy E.
通讯作者：
Adler, Nancy E.