Social Determinants of Health Screening and Interventions

Quality of Life Clinical Trial

— SDOH  

Official title:

Patient Perceptions of Care: The Effects of Social Determinants of Health

Clinical Trial Details — Status: Enrolling by invitation

Administrative data

• NCT number: NCT03661359
• Other study ID #: SDOH Study
• Status: Enrolling by invitation
• Phase: N/A
• Start date: May 14, 2018
• Est. completion date: May 2020

Study information

• Verified date: September 2019
• Source: University of Toledo Health Science Campus
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The primary objective of this study is to connect patients with community resources to improve social determinants of health. Secondary objectives are improving patient satisfaction within the trauma and general surgery service, enhancement of physician-patient communication, betterment of surgery department Hospital Consumer Assessment of Healthcare Providers and Systems scores, and increased understanding of correlations between patient satisfaction and social determinants of health.

The investigators hypothesize that (1) directed screening and intervention can have a positive effect for patients and hospitals, (2) directed patient advocacy will have an effect on patients' perception of care, (2) social determinants of health will have an effect on patients' perception of care, and (4) traumatic injury and acute surgery will have an effect on patients' perception of care.

Description:

The investigators will be conducting this study as a prospective, non-randomized quality improvement study that will look at patients 18 years of age and older who are admitted under the trauma and general surgery specialties. Patients will be identified through admission to the trauma or general surgery service or referred to surgery services.

Eligible patients will be identified and approached by the study team. Once the informed consent is completed, patients will be given a Social Determinants of Health Screening Tool, an Hospital Consumer Assessment of Healthcare Providers and Systems Feedback Tool, and an short form health survey (SF-12) Quality of Life Questionnaire. Feedback from the Hospital Consumer Assessment of Healthcare Providers and Systems results will be given immediately to the relevant teams (nurses, doctors, etc.) to address the patient's concerns. Prior to discharge, the patients will also be given referrals to designated community resources. On day 15 (+/- 7 days) after discharge, the patients will receive a follow up phone call where they will be asked if they have utilized the Social Determinants of Health Referrals. Participants will also be given a second Hospital Consumer Assessment of Healthcare Providers and Systems Feedback Survey at this time. On day 30 (+/- 7 days) after discharge, the patients will receive a follow up phone call where the participants will be asked if they utilized the Social Determinants of Health Referrals. Participants will also be given a second short form health survey (SF-12) Quality of Life Survey at this time.

Recruitment information / eligibility

• Status: Enrolling by invitation
• Enrollment: 300
• Est. completion date: May 2020
• Est. primary completion date: May 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• 18 years of age or older

• Admitted to the trauma or general surgery services

• Live within Lucas County (for county referrals)

• Patient or legally authorized representative agrees to participate and is willing to sign informed consent

Exclusion Criteria:

• Anyone less than 18 years old

• Any patient or legally authorized representative unwilling to sign informed consent

• Anyone who lives outside of Lucas County or expresses unwillingness to use referral services

Related Conditions & MeSH terms

• Patient Satisfaction
• Quality of Life
• Social Determinants of Health

Intervention

Other:
• Social Determinants of Health Referrals
Patients who screen positive for any of the Social Determinants of Health will be given information for referral to any of the community resources that apply to their situation.

Locations

Country	Name	City	State
United States	University of Toledo Medical Center	Toledo	Ohio

Sponsors (1)

Lead Sponsor	Collaborator
University of Toledo Health Science Campus

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Patient Satisfaction Questionnaire	evaluation of patient satisfaction of hospital and staff by patient questionnaire, abbreviated hospital consumer assessment of healthcare providers and system (HCAHPS)	Within 15 days of discharge
Primary	Patients community services Questionnaire	evaluation of patients needs outside the hospital, social determinants of health screening tool will be utilized to assess the patients needs for various community services, including public transport, food banks, shelters	Within 30 days of discharge
Primary	Patient satisfaction of health status Questionnaire	evaluate the patients perception of their own health with a short form health questionnaire (SF-12)	within 30 days of discharge
Secondary	Communication between patient and health care givers Questionnaire	patients will evaluate the communication of the hospital staff with an abbreviated hospital consumer assessment of healthcare providers and system (HCAHPS)	Within 15 days of discharge
Secondary	Abbreviate Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Data	data will be collected on patients satisfaction level of hospital and staff	Within 15 days of discharge