581 - Implementation and Outcomes using RE-AIM Framework for Novel FLiP Navigator Program: Connecting Pediatric Families to Resources Related to Food Insecurity, Nutrition Education, and Physical Activity

Poster Number: 581
Publication Number: 581.241

Katrina Stumbras, Children's National Health System, Washington, DC, United States; Nia Bodrick, George Washington University School of Medicine and Health Sciences, Washington, DC, United States; Shannon Menezes, George Washington University School of Medicine and Health Sciences, Washington, DC, United States; Eleanor R. Mackey, Children's National Hospital, Washington, DC, United States; Laura Fischer, Children's National Health System, Washington, DC, United States; Kristy McCarron, YMCA of Metropolitan Washington, Washington, DC, United States; Nicole Farmer, National Institutes of Health, Bethesda, MD, United States; Chloe Becker, The George Washington University School of Medicine and Health Sciences, Washington, DC, United States; Victoria Smith, George Washington University School of Medicine and Health Sciences, Washington, DC, United States; Kofi Essel, Children's National Health System, Washington, DC, United States

Background: The Family Lifestyle Program (FLiP) is a clinical-community collaborative designed to address diet-related chronic disease through a family-centered lens. The student-led FLiP Patient Navigator Program is designed to connect families to community resources related to nutrition education, physical activity, and food insecurity in historically marginalized settings. Families are connected to resources by FLiP Navigators, medical students, trained in community resource navigation, food insecurity/policy, cultural humility, and health equity.

Objective: To use the RE-AIM framework (Reach, Effectiveness, Adoption, Implementation, Maintenance) as a lens to evaluate the outcomes and design of a novel patient navigator program designed to connect families to community resources surrounding diet-related chronic disease and food insecurity.

Design/Methods: Medical students were trained in resource navigation and organized into leadership groups to promote sustainability and program development. Families were connected to FLiP Navigators through primary care provider (PCP) referral or self-referral via flyers in patient exam rooms. Interested families completed a brief online survey. FLiP Navigators then completed intake calls, identified and emailed resources using the FLiP Community Resource Guide, and followed up with families via phone contact and PCPs via EMR. All data was collected and stored via Children’s National REDCap.

Results: This pilot program included two clinical sites. Over a 4-month period, 144 families completed an initial referral. 60% of families completed an initial intake call with a Navigator. Families were interested in resources for physical activity (78%), food insecurity (61%), and nutrition education (55%). Of families interested in food resources, over a quarter reported need for emergency food. On average, Navigators connected with families 8 days from initial referral. 62.8% of families completed a follow-up phone call, on average 7 weeks following intake call. Overall, 20-30% of families reported using resources and 39% were interested in additional food resources.Conclusion(s): Initial examination of this novel program indicates a clear need and desire amongst families for connection to resources in nutrition education, physical activity, and food insecurity. The program’s primary objective of connecting families to resources in a timely manner is being met. There are limitations and areas for improvement. On-going evaluation via the RE-AIM model allows for further development, sustainability, and expansion of the novel FLiP Navigator program.
Katrina Stumbras CVKatrina Stumbras_CV_2021.pdf
Table 2. Key Outcomes of FLiP Navigator Program in First 4 Months of Program Implementation