Acceptability of Social Risk Screening

Primary Health Care Clinical Trial

Official title:

Acceptability of Social Risk Screening in Adult Primary Care

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04491448
• Other study ID #: STUDY20010212
• Status: Completed
• Start date: August 12, 2020
• Est. completion date: August 31, 2021

Study information

• Verified date: September 2021
• Source: University of Pittsburgh
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Social risk screening asks patients to provide information on health-related social needs that are non-medical but affect health. These include housing stability, food security, reliable medical transportation, consistent utilities service (heat, light, water), and interpersonal safety. This research will determine the acceptability of such screening in adult patients who attend a primary care clinic in-person or via a telemedicine visit, the level of social need in patients, and how to flag such information for care, planning, and follow up.

Description:

This study will evaluate the acceptability of social risk screening among adult patients seen in the General Internal Medicine Offices (GIMO) at Montefiore Hospital. The research will enroll patients using the resident clinic, which provides medical care to lower-income patients as well as other patients. The study will be limited to new patients or patients receiving routine follow-up care.

Acceptability will be assessed by (i) the proportion of patients completing the screen among those approached; (ii) the proportion of screening questions completed; and (iii) the proportion of patients willing to complete the screening over the phone (a) by interviewer or (b) on via website using Qualtrics.

The representativeness of the sample will be assessed by comparing the participant sample to aggregate clinic demographic characteristics and deidentified Epic EHR indicators using an honest broker.

The survey instrument is the CMS Accountable Care Communities instrument. It includes patient indicators (demography) and appraisals of care (e.g., trust) that will allow assessment of correlates of social need and acceptability of screening in the clinical setting.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 218
• Est. completion date: August 31, 2021
• Est. primary completion date: August 31, 2021
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

1. Aged 18+

2. New patient or routine physical exam, GIMO clinic, Montefiore Hospital

Exclusion Criteria:

1. Unable to provide verbal informed consent

2. Unable to complete questionnaire

Related Conditions & MeSH terms

• Primary Health Care

Intervention

Behavioral:
• Social needs screening
Interview and referral for non-medical health-related social needs

Locations

Country	Name	City	State
United States	University of Pittsburgh	Pittsburgh	Pennsylvania

Sponsors (1)

Lead Sponsor	Collaborator
University of Pittsburgh

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Acceptability of social needs screening in medical encounter	Proportion reporting social needs relevant to medical care	One-time interview, 20-25 minutes
Secondary	Effects of reported social needs on medical utilization and patient behavior	Reports of missed appointments and need for social work referrals	One-time interview, 20-25 minutes