Your browser doesn't support javascript.
loading
Trauma-Informed Financial Empowerment Programming Improves Food Security Among Families With Young Children.
Phojanakong, Pam; Welles, Seth; Dugan, Jerome; Booshehri, Layla; Brown Weida, Emily; Chilton, Mariana.
Afiliação
  • Phojanakong P; Department of Epidemiology, Dornsife School of Public Health, Drexel University, Philadelphia, PA.
  • Welles S; Department of Epidemiology, Dornsife School of Public Health, Drexel University, Philadelphia, PA.
  • Dugan J; Department of Health Services, School of Public Health, University of Washington, Seattle, WA.
  • Booshehri L; Department of Health Services, School of Public Health, University of Washington, Seattle, WA.
  • Brown Weida E; Department of Health Management and Policy, Dornsife School of Public Health, Drexel University, Philadelphia, PA.
  • Chilton M; Department of Health Management and Policy, Dornsife School of Public Health, Drexel University, Philadelphia, PA. Electronic address: mmc33@drexel.edu.
J Nutr Educ Behav ; 52(5): 465-473, 2020 05.
Article em En | MEDLINE | ID: mdl-32389241
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.
Assuntos
Palavras-chave

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Assistência Alimentar / Empoderamento / Segurança Alimentar Tipo de estudo: Clinical_trials / Health_economic_evaluation / Prognostic_studies / Qualitative_research Limite: Adolescent / Adult / Child / Child, preschool / Female / Humans / Infant / Male / Newborn País/Região como assunto: America do norte Idioma: En Revista: J Nutr Educ Behav Assunto da revista: CIENCIAS DA NUTRICAO / CIENCIAS DO COMPORTAMENTO / EDUCACAO Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Panamá

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Assistência Alimentar / Empoderamento / Segurança Alimentar Tipo de estudo: Clinical_trials / Health_economic_evaluation / Prognostic_studies / Qualitative_research Limite: Adolescent / Adult / Child / Child, preschool / Female / Humans / Infant / Male / Newborn País/Região como assunto: America do norte Idioma: En Revista: J Nutr Educ Behav Assunto da revista: CIENCIAS DA NUTRICAO / CIENCIAS DO COMPORTAMENTO / EDUCACAO Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Panamá