A Mixed-Method Evaluation of the Impact of Social Risk Screening on Uptake of Social Assistance

Social Determinants of Health Clinical Trial

Official title:

A Mixed-Method Evaluation of the Impact of Social Risk Screening on Uptake of Social Assistance

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05251311
• Other study ID #: 21-018785
• Status: Completed
• Phase: N/A
• Start date: April 19, 2022
• Est. completion date: September 22, 2023

Study information

• Verified date: April 2024
• Source: Children's Hospital of Philadelphia
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Children are disproportionately affected by the rise in poverty rates in the United States. Economic hardships can compromise child development, overall health, and the ability to succeed in school and in life. The current economic recession and racial disparities underscored by COVID19 have magnified this impact on children and hastened the already rapid growth of screening protocols for social risk factors- such as food and housing insecurity, financial strain, and unsafe environments-within pediatric health care. However, it remains unclear what effect standardized screening has on family perception of and engagement with resources. Current implementation momentum for screening protocols is outpacing research, and is raising concern among patient advocates for unintended harm-alienating families for fear of stigma or worse, and overpromising services that may not exist. Through a rigorous mixed-method approach, the proposed study will explore the impact of screening on acceptance, perception, and engagement with social resources among families with children. Furthermore, by leveraging the new technology of resource mapping as the method of resource referral, this study will provide insight regarding its effectiveness as a social needs assistance strategy. The knowledge gained will provide guidance for policymakers and other healthcare systems on how to integrate social risk interventions into healthcare delivery in order to maximize the benefit to children and families.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 3949
• Est. completion date: September 22, 2023
• Est. primary completion date: September 22, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 100 Years

Eligibility

Inclusion Criteria:

• Caregivers presenting with a child to the pediatric clinical setting
• Child age 0-25

Exclusion Criteria:

• Engaged in complex care management services
• Child in critical condition
• Presenting to clinical setting specifically for social work intervention

Related Conditions & MeSH terms

• Social Determinants of Health

Intervention

Behavioral:
• Social Risk Screening Tool
Investigators will use an adapted version of the evidence-based WE CARE screening tool, which assesses need in the 5 domains most frequently requested by our patient population: housing, transportation, child care, food security, and household heat and electricity. This tool was selected as it is evidence-based, takes fewer than 5 minutes to complete, is written at a 3rd grade reading level, and allows for differentiation between social risk and caregiver desire for assistance, as well as areas of "emergency" need.

Other:
• Electronic Resource Map
All participants will receive access to an electronic, geographically searchable resource map hosted on Aunt Bertha

Locations

Country	Name	City	State
United States	Children's Hospital of Philadelphia	Philadelphia	Pennsylvania

Sponsors (1)

Lead Sponsor	Collaborator
Children's Hospital of Philadelphia

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Resource Uptake By Search	total number of searches	30 days
Primary	Resource Uptake By Domain	number of searches by domain	30 days
Primary	Resource Engagement By Time	time spent on site	30 days
Primary	Resource Engagement By Saves	number of resources saved	30 days
Primary	Resource Engagement By Domain	number of resources saved by domain	30 days
Primary	Resource Utilization	rates of resource utilization	30 days
Primary	Resource Impact	perceived impact of resource use on social need measured by using a modified version of the WE CARE screening tool	30 days
Secondary	Perceived impact of screening on resource acceptance	Qualitative semi-structured interviews	up to 45 days
Secondary	Perceived impact of screening on resource perception	Qualitative semi-structured interviews	up to 45 days