Understanding and Enhancing Health-Related Social Needs (HRSN) Screening Among Community Oncology Practices
Overview
- Phase
- Not Applicable
- Intervention
- Non-Interventional
- Conditions
- Cancer
- Sponsor
- Wake Forest University Health Sciences
- Enrollment
- 144
- Locations
- 71
- Primary Endpoint
- HRSN screening reach (Part 1)
- Status
- Enrolling By Invitation
- Last Updated
- 2 months ago
Overview
Brief Summary
This study evaluates health related social needs screening processes in community oncology clinics.
Detailed Description
The primary objective of this study is to assess current processes around health related social needs (HRSN) screening among NCORP clinics and categorize clinics based on their implementation of HRSN screening. The primary endpoint will be a detailed understanding of current processes, with attention to variability by key clinic characteristics. There are 3 parts of the study in which participants can participate in one or all parts (3 total). Part 1: Participants attend training, complete clinic assessments and observations and may complete an interview on study. Part 2: Identified clinic staff will be interviewed to discuss factors that influence HRSN screening at their clinic and help develop generalized guidance. Part 3: Participants attend a co-design workshop and complete surveys on study feasibility.
Investigators
Eligibility Criteria
Inclusion Criteria
- •NCORP PRACTICES:
- •Must be an affiliate or sub-affiliate of an NCORP Community or Minority Underserved Community site
- •Must provide outpatient oncology care
- •Must be a NCORP practice (defined as one or more NCORP affiliates/sub-affiliates, that have a common administrative structure and share providers and/or patients)
- •Must have identified two or more Practice Staff that are available and willing to participate on the Practice Interest Form
- •Must have identified at least 1-3 outpatient oncology clinics willing to participate on the Practice Interest Form
- •1-3 clinics within the practice should be selected
- •Clinics may or may not be located in different physical locations
- •The investigators will encourage NCORP practices to select clinics within a practice that differ in current or potential implementation of health related social needs (HRSN) screening (e.g., different clinic workflow or staff, different screening triggers, different tools), so that heterogeneity within NCORP practices can be captured
- •Clinics must be willing to allow Practice Staff participants to observe the clinical operations in-person
Exclusion Criteria
- •PRACTICE STAFF:
- •\*\* Unable to understand, read and communicate in English, as the trainings and observations will be documented in English
- •STAFF WORKSHOP PARTICIPANT:
- •\*\* Unable to understand, read and communicate in English, as the workshop will be conducted in English
- •PATIENT WORKSHOP PARTICIPANT:
- •\*\* Unable to understand, read and communicate in English, as the workshop will be conducted in English
Arms & Interventions
Part 1
Part 1: Participants attend training, complete clinic assessments and observations and may complete an interview on study.
Intervention: Non-Interventional
Part 2
Part 2: Identified clinic staff will be interviewed to discuss factors that influence health related social needs (HRSN) screening at their clinic and help develop generalized guidance.
Intervention: Non-Interventional
Part 3
Part 3: Participants attend a co-design workshop and complete surveys on study feasibility.
Intervention: Non-Interventional
Outcomes
Primary Outcomes
HRSN screening reach (Part 1)
Time Frame: From study enrollment to approximately 4 and 16 weeks post initial study training
Determining the perception of the proportion of patients at clinics who are screened for health related social needs (HRSN).
Barriers and facilitators influencing HRSN screening implementation
Time Frame: From study enrollment to time completion of key informant interviews, approximately within 6 months
Synthesize themes to create a list of barriers and facilitators influencing HRSN screening implementation within high-implementation clinics, moderate-implementation clinics, and low-implementation clinics.
Generation of a tailored implementation plan for each participating clinic
Time Frame: Between time of clinic selection and co-design workshop completion, to be no more than 6 months
Generation (defined for each clinic as completed or not completed) of a tailored implementation plan for each participating clinic in Part 3 that includes (1) adaptations to current HRSN screening and follow-up processes, and (2) potential implementation strategies to enhance HRSN screening implementation.