Of the 28 enrolled participants, 23 (82%) completed the 6-month visit. a Adjusted models control for intervention arm, age, sex, race/ethnicity, total family income adjusted for household size, education, body mass index, and antihypertensive medication use. Guidance for PPE use in the COVID-19 pandemic. The authors thank Alex Sierra and Oluchi Iheagwara for their assistance with this study. poverty. Simple slope analyses (19) showed that the interventions significantly decreased SBP among food-secure participants (b = −0.77, t = −4.35, P < .001) but had no significant impact on SBP among food-insecure participants (b = 0.25, t = 1.52, P = .14). Our study examined the impact of food insecurity on blood pressure (BP) reduction in a pilot study examining the comparative effectiveness of 2 hypertension self-management strategies in an urban sample of low-income black and Hispanic patients. Gucciardi E, Vogt JA, DeMelo M, Stewart DE. Calls are 15 to 45 minutes long depending on the needs of the patient. Food insecurity is associated with chronic disease among low-income NHANES participants. Increasing use of available resources may be a useful approach to helping food-insecure patients overcome barriers to adopting healthful behaviors. Connect with us on Facebook, Twitter, Linkedin, YouTube, Pinterest, and Instagram. Overall, food insecurity is a national problem that continues to grow. ConclusionScreening for food insecurity may help identify patients in need of tailored disease management interventions. Berkowitz SA, Gao X, Tucker KL. Blumberg SJ, Bialostosky K, Hamilton WL, Briefel RR. Because the primary hypothesis was tested in the context of a randomized trial, linear multilevel repeated-measures regression analyses were first performed to generate estimates of SBP change from baseline to 6 months between intervention arms (Group × Time interaction). Addressing food insecurity can have a great impact on the patient experience and patient outcomes. The primary outcome was 6-month change in systolic blood pressure. Food-secure patients experienced clinically and statistically significant reductions in blood pressure, whereas no significant change was seen among food-insecure patients. The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors’ affiliated institutions. Although food insecurity exists in every county in the US, some regions and types of communities experience higher rates than others. SPECIAL TOPIC — Volume 12 — February 12, 2015. Diabetes Care 2014;37(9):2587–92. Values depict unadjusted SBP estimates at each time point. Start a food drive. The average of 3 BP readings taken with a validated automated device (Watch BP Office, Microlife Medical Home Solutions, Inc) was recorded. These findings contribute to the growing literature demonstrating poorer health outcomes in food-insecure versus food-secure individuals (7–14). In this article, food insecurity prevalence, definitions, and related concepts will be reviewed. Readings were wirelessly transmitted to a secure central server, and reports were sent to patients’ physicians via secure email before scheduled appointments. Figure 3 provides an overview of the programs that make up the food safety net programs. As hypothesized, food security status was a moderator of intervention effects: food-secure patients experienced clinically and statistically significant reductions in BP while there was no significant change among food-insecure patients. Getting your friends, family, co-workers, or school mates to collect food is a great … The duration and pattern of exposure to food insecurity may be a predictor of the associated health consequences. Berkowitz SA, Baggett TP, Wexler DJ, Huskey KW, Wee CC. The nurse case managers assess patients’ barriers to behavior change and use problem-solving and motivational interviewing techniques to support behavior change efforts. Another limitation is the 1-time assessment of food insecurity, given that food security status varies over time, both within a month and over longer periods of time (25). Participants completed the 6-item USDA food security short form at baseline (17,18). Seligman HK, Davis TC, Schillinger D, Wolf MS. Food insecurity is associated with hypoglycemia and poor diabetes self-management in a low-income sample with diabetes. Within 2 weeks of randomization and delivery of the home telemonitoring device, a nurse case manager contacted patients to make sure they were comfortable using the device and to initiate the planned schedule of counseling telephone calls: weekly for months 1 and 2, biweekly for month 3, and monthly for months 4 through 6. Understanding dietary correlates of food insecurity also assists in focusing our interventions, be they food assistance or nutrition education, and … At the end of each counseling session, the nurse case managers record the notes of each encounter in the patient’s EHR and communicate with the patient’s physician if needed (eg, regarding medication side effects or the need for appointments or medication refills). Multiple regression: testing and interpreting interactions. The intervention is delivered by HHC nurses who have real-time access to patients’ EHRs and are in communication with their providers. 131 ( 4 ):1232–46 ; 87 ( 12 ):2218–24, depending the... 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