Optimized Health-Related Social Needs Screening and Community Linkages

Emergencies Clinical Trial

Official title:

Optimized Health-Related Social Needs Screening and Community Linkages

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03834441
• Other study ID #: 2019P000128
• Status: Completed
• Phase: N/A
• Start date: May 7, 2019
• Est. completion date: February 20, 2020

Study information

• Verified date: January 2023
• Source: Massachusetts General Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The objective of this study is to to understand the most effective method for health-related social need (HRSN) screening in the challenging environment of an emergency department by randomizing patients to oral or written HRSN screening in the ED.

Description:

Bilingual research assistants (RA) will screen patients for eligibility based on the predetermined criteria and approach eligible patients with a brief description of the study and opportunity for participation. Interested participants will complete a verbal consent process to reduce the barriers to participation, a brief demographic questionnaire, and an assessment of health literacy (Newest Vital Sign) followed by the Partners Healthcare HRSN screener randomized to an oral v. iPad screening strategy.

After completion of the screening tool, participants will complete a secondary questionnaire asking about satisfaction with the process, the presence of additional HRSN not recorded by the Partners HealthCare screener, and their perspectives on screening. At the conclusion, all participants will be provided with standardized, bilingual list of community resources to address each of the screening domains.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 236
• Est. completion date: February 20, 2020
• Est. primary completion date: September 1, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

1. age = 18 years patients and either a parent/guardian of a pediatric/cognitively disabled patient in the MGH ED,

2. triaged to the Acute, CDU, Fast Track, Urgent, and Pediatrics areas,

3. English- or Spanish-speaking, and

4. capable of informed consent.

Exclusion Criteria:

1. patients unwilling to have the interview audio-recorded,

2. medically unstable patients, and

3. Section 12, lack of capacity medical hold, sexual assault, child abuse, and emotionally distressed patients.

Related Conditions & MeSH terms

• Emergencies

Intervention

Other:
• Oral HRSN screening
Verbal screening delivered by an RA
• Written HRSN screening
Patient completes written screen on iPad.

Locations

Country	Name	City	State
United States	Massachusetts General Hospital	Boston	Massachusetts

Sponsors (1)

Lead Sponsor	Collaborator
Massachusetts General Hospital

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Self-reported Satisfaction With the Screening Process	Satisfaction with screening as measured by: Please tell us how satisfied you were with the questionnaire you just took: Extremely Quite a bit Somewhat A little bit Not at all	Immediately after completing survey
Secondary	Number of Health Related Social Needs Reported	We will record the number of health related social needs reported	Immediately after completing survey