Developing a Nutrition Support Assessment Tool

Thomas Jefferson University200 enrolled

Overview

The research team developed the Nutrition Support Assessment Tool (NSAT) that incorporates key patient life information (e.g., ability to cook, access to refrigerator/stove, medical conditions and nutritional status) to facilitate individualized nutrition referral. The overall goal of this study is to refine and test the NSAT as a systematic approach to provide individualized nutrition needs screening and referral for patients being discharged from the acute care setting at Jefferson Health. The investigators hypothesize the NSAT will be successful in identifying individualized nutrition referrals that are deemed acceptable and appropriate by enrolled participants.

Study Type

INTERVENTIONAL

Allocation

Purpose

OTHER

Masking

NONE

Enrollment

200

Conditions

Nutrition Assessment Food Insecurity

Interventions

Individualized food provision and/or supplemental referral based on participant's unique needs/responses to assessment (NSAT). Food provision interventions include medically tailored meals, home delivered prepared meals, grocery boxes, grocery delivery services, food pantries, and soup kitchens/meal sites. Supplemental interventions include SNAP benefit enrollment support, nutrition education, and cooking education.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * 18 years of age or older * Currently admitted to Thomas Jefferson University or Methodist Hospital or Emergency Department * Has working phone number and is willing to participate in follow-up data collection * Eats by mouth * Lives in MANNA's geographic service area * Patient reports food insecurity or malnutrition using existing screening tools Exclusion Criteria: * Unwilling to provide consent * Unsheltered/unhoused * Lives in or is being discharged to facility that provides daily meals (e.g., long term care, incarcerated) * On hospice or has life expectancy of less than 4 months, per clinician * Not consentable * Deaf or has other major communication barriers that compromises ability to participate in study activities

Outcomes

Primary Outcomes

Reach of Nutrition Interventions

\# and type of referrals made based on NSAT results

Time frame: Baseline

Secondary Outcomes

Uptake of Nutrition Interventions

\# and type of referrals accepted and utilized by participants

Time frame: Week 1 & Week 4

Acceptability of Nutrition Intervention

Acceptability of nutrition interventions using the Acceptability of Intervention Measure (AIM)

Time frame: Week 1 & Week 4

Appropriateness of Nutrition Intervention

Appropriateness of nutrition interventions using the Intervention Appropriateness Measure (IAM)

Time frame: Week 1 & Week 4

Satisfaction with Nutrition Intervention

Self-reported satisfaction with nutrition intervention using a research-team developed assessment.

Time frame: Week 4

Developing a Nutrition Support Assessment Tool

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes