Keyword: Health Care

An Electronic Health Record-based Intervention to Facilitate Primary Care Referrals to WIC: A Retrospective Cohort Study

By

Despite benefits of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), many eligible children remain unenrolled. This study evaluated responses to an electronic health record (EHR)-embedded federal nutrition program (FNP) participation screening and WIC referral tool implemented within eight clinics during <5-year-well visits. Among 5,385 children, mean age at initial screening was More

Assessing Caregiver Comfort With Linking the Health Care System and the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)

By

Integrating WIC referrals within clinical care may improve WIC uptake, data sharing, and nutrition/health outcomes, but little research has explored family perspectives about information exchange between health care providers and WIC regarding their child’s health. Better understanding family perceptions of information exchange could facilitate improvements in the design of effective, family-centered referral pathways. This study More

Automating WIC Screening and Enrollment in Pediatric Primary Care

By

Many eligible families face barriers to WIC enrollment, including administrative challenges (such as navigating eligibility criteria) and logistical issues (such as a lack of transportation to in-person appointments and insufficient time for attending enrollment appointments). Pediatricians in academic medical systems are well positioned to promote WIC enrollment because of the frequency of their well-child visits More

Upstream interventions in clinical settings focused on nutrition to prevent obesity during the first 1,000 days: A scoping review

By

Nutritional exposures during pregnancy and the first two years of a child’s life influence growth and risk for obesity. Upstream interventions that involve policy, systems, and/or environmental approaches may support equitable nutrition and healthy growth early in life. Yet little is known about application of these interventions in clinical settings. This scoping review characterized the More

Determining whether length of participation in social safety-net programs is associated with diet quality and weight status for children 2 to 5

By

Medicaid, SNAP, and WIC provide low-income children access to vital medical and nutrition services for long-term health and well-being. Despite these benefits, few studies have investigated if these safety net programs, or the synergistic combination of all three programs, are associated with diet quality and weight status; and none have focused on examining these longitudinal More

Examining how federal food and non-food assistance programs improve food security among households with children, focusing on marginalized populations

By

Food insecurity is linked to a multitude of adverse health outcomes in adults and children. Yet, access to Medicaid has been shown to reduce such adverse health outcomes, and therefore, the ability to access medical care, specifically via Medicaid, is conceivably a driving factor behind the association between food hardship and adverse health. This study More

Association Between Child Sugary Drink Consumption and Serum Lipid Levels in Electronic Health Records

By

Sugar-sweetened beverage (SSB) and fruit juice (FJ) consumption may promote lipid abnormalities in childhood. We examined the association between SSB/FJ intake and lipid levels using electronic health record data for 2816 adolescents. Multivariable logistic regression models treated clinical cutpoints for abnormal lipid levels (triglycerides [TG], high-density lipoprotein (HDL), low-density lipoprotein [LDL], and total cholesterol) as More

Screening for Beverage Consumption in Early Childhood using Electronic Health Records

By

Establishing healthy beverage patterns during early childhood (ages 0 to 5 years) is important for promoting healthy growth and development in childhood and reducing risk of chronic diseases as an adult. Health care providers play an essential role in identifying and addressing unhealthy beverage consumption patterns in young children and helping families develop healthy beverage More

A Technology-Driven, Healthcare-Based Intervention to Improve Family Beverage Choices: Results from a Pilot Randomized Trial in the United States

By

Within an academic health system in the United States that already performs electronic health record-based sugary drink screening, we conducted a pilot randomized trial of a technology-driven family beverage choice intervention. The goal of the intervention was to reduce sugar-sweetened beverage (SSB) and fruit juice (FJ) consumption in 60 parent–child dyads, in which children were More

Assessing the impact of a statewide effort to improve breastfeeding rates: A RE-AIM evaluation of CHAMPS in Mississippi

By

Communities and Hospitals Advancing Maternity Practices (CHAMPS) is a public health initiative, operating in Mississippi since 2014, to improve maternal and child health practices and reduce racial disparities in breastfeeding. Using the Reach, Effectiveness, Adoption, Implementation and Maintenance framework, this study assessed CHAMPS, which used a Quality Improvement intervention at hospitals, and engaged intensively with local More