Food Security and Perceptions and Barriers to Healthy Eating in Individuals With Spinal Cord Injuries



Status:Recruiting
Conditions:Hospital, Hospital, Orthopedic
Therapuetic Areas:Orthopedics / Podiatry, Other
Healthy:No
Age Range:18 - Any
Updated:4/17/2018
Start Date:October 1, 2017
End Date:December 31, 2020
Contact:Jesse Lieberman, MD
Email:Jesse.Lieberman@Carolinashealthcare.org
Phone:704-355-0649

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Assessment of Food Security and Perceptions and Barriers to Healthy Eating in Individuals With Spinal Cord Injuries Living in the Community

Food security is one's ability to get food. Individuals with a Spinal Cord Injury (SCI) have
many risk factors for low rates of food security. Some of these risk factors include lower
levels of income and employment. Our long-term goal is to identify if food security is more
prevalent in the SCI population, and to develop ways to improve food security in the SCI
population. The purpose of this study is to determine the rates of food insecurity in a
sample of people living with a SCI and to identify some perceptions of barriers to healthy
eating in the SCI population.

Food security is one's ability to get food. Individuals with a SCI have many risk factors for
low rates of food security. Some of these risk factors include lower levels of income and
employment. This study consists of a one-time survey using the US Adult Food Security Survey
and another previously validated survey about perceptions of barriers to healthy eating.

Our long-term goal is to develop a large SCI food security and perceived barriers to healthy
eating multicenter study in order to determine if these factors are significant issues in the
SCI population. We also aim to determine the causes of these issues in order to develop
interventions to improve the health of all people living with a SCI and potentially reduce
their health care costs. The purpose of this study is to determine the rates of food
insecurity in a sample of people living with a SCI and to identify some perceptions of
barriers to healthy eating in the SCI population. This will also develop preliminary data to
support a NIH R level grant application for a large, multicenter study to further explore SCI
food security at the national level. Our central hypothesis is that there will be an
increased rate of food insecurity in the SCI population compared to other groups in the
literature, and that this will be associated with income and environmental barriers.

Inclusion Criteria:

- age > 18 years old

- Male or female, any ethnicity, with the history of a spinal cord injury at least one
year prior (without a diagnosis of Multiple Sclerosis or malignant cancer)

- Community wheelchair user

- Voluntary, informed consent of participant and interest in participating in further
research studies

- Lives in the community, not a skilled nursing facility

Exclusion Criteria:

- age <18 years old

- Chronic, nontobacco substance-abuse

- Community ambulator
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