Trauma-Informed Financial Empowerment Programming Improves Food Security Among Families With Young Children.
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 OUTCOMEMEASURES:
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 ratioâ¯=â¯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.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
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Child, preschool
/
Female
/
Humans
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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