Pam Phojanakong1, Seth Welles1, Jerome Dugan2, Layla Booshehri2, Emily Brown Weida3, Mariana Chilton4. 1. Department of Epidemiology, Dornsife School of Public Health, Drexel University, Philadelphia, PA. 2. Department of Health Services, School of Public Health, University of Washington, Seattle, WA. 3. Department of Health Management and Policy, Dornsife School of Public Health, Drexel University, Philadelphia, PA. 4. Department of Health Management and Policy, Dornsife School of Public Health, Drexel University, Philadelphia, PA. Electronic address: mmc33@drexel.edu.
Abstract
OBJECTIVE: To determine how trauma-informed programming affects household food insecurity (HFI) over 12 months. DESIGN: Change was assessed in HFI from baseline to 12 months in response to a single-arm cohort intervention. Measures were taken at baseline and in every quarter. Two participant groups were compared: participation in ≥4 sessions (full participation) vs participation in <4 sessions (low/no participation). SETTING: Community-based setting in Philadelphia, Pennsylvania. PARTICIPANTS: A total of 372 parents of children aged <6 years, participating in Temporary Assistance for Needy Families and the Supplemental Nutrition Assistance Program, recruited from county assistance offices and community-based settings. INTERVENTION: Trauma-informed programming incorporates healing-centered approaches to address previous exposures to trauma. Sixteen sessions addressed emotional management, social and family dynamics related to violence exposure and childhood adversity, and financial skills. MAIN OUTCOME MEASURES: Household food insecurity, as defined by the US Department of Agriculture Household Food Security Survey Module. ANALYSIS: Mixed-effects logistic regression models were used to compare groups from baseline to 12 months, controlling for adverse childhood experiences, depression, and public assistance. RESULTS: Those with full participation had 55% lower odds of facing HFI compared with the low/no participation group (adjusted odds ratio = 0.45; 95% confidence interval, 0.22-0.90). CONCLUSIONS AND IMPLICATIONS: Trauma-informed programming can reduce the odds of HFI and may reduce trauma-related symptoms associated with depression and poverty.
OBJECTIVE: To determine how trauma-informed programming affects household food insecurity (HFI) over 12 months. DESIGN: Change was assessed in HFI from baseline to 12 months in response to a single-arm cohort intervention. Measures were taken at baseline and in every quarter. Two participant groups were compared: participation in ≥4 sessions (full participation) vs participation in <4 sessions (low/no participation). SETTING: Community-based setting in Philadelphia, Pennsylvania. PARTICIPANTS: A total of 372 parents of children aged <6 years, participating in Temporary Assistance for Needy Families and the Supplemental Nutrition Assistance Program, recruited from county assistance offices and community-based settings. INTERVENTION: Trauma-informed programming incorporates healing-centered approaches to address previous exposures to trauma. Sixteen sessions addressed emotional management, social and family dynamics related to violence exposure and childhood adversity, and financial skills. MAIN OUTCOME MEASURES: Household food insecurity, as defined by the US Department of Agriculture Household Food Security Survey Module. ANALYSIS: Mixed-effects logistic regression models were used to compare groups from baseline to 12 months, controlling for adverse childhood experiences, depression, and public assistance. RESULTS: Those with full participation had 55% lower odds of facing HFI compared with the low/no participation group (adjusted odds ratio = 0.45; 95% confidence interval, 0.22-0.90). CONCLUSIONS AND IMPLICATIONS: Trauma-informed programming can reduce the odds of HFI and may reduce trauma-related symptoms associated with depression and poverty.
Authors: Carlos Irwin A Oronce; Isomi M Miake-Lye; Meron M Begashaw; Marika Booth; William H Shrank; Paul G Shekelle Journal: JAMA Health Forum Date: 2021-08-06
Authors: Fiona H McKay; Sheree Spiteri; Julia Zinga; Kineta Sulemani; Samantha E Jacobs; Nithi Ranjan; Lauren Ralph; Eliza Raeburn; Sophie Threlfall; Midina L Bergmeier; Paige van der Pligt Journal: Curr Nutr Rep Date: 2022-05-02