Optimized Health-Related Social Needs Screening and Community Linkages
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Emergencies
- Sponsor
- Massachusetts General Hospital
- Enrollment
- 236
- Locations
- 1
- Primary Endpoint
- Self-reported Satisfaction With the Screening Process
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief 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.
Detailed 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.
Investigators
Margaret Samuels-Kalow
Assistant Professor
Massachusetts General Hospital
Eligibility Criteria
Inclusion Criteria
- •age ≥ 18 years patients and either a parent/guardian of a pediatric/cognitively disabled patient in the MGH ED,
- •triaged to the Acute, CDU, Fast Track, Urgent, and Pediatrics areas,
- •English- or Spanish-speaking, and
- •capable of informed consent.
Exclusion Criteria
- •patients unwilling to have the interview audio-recorded,
- •medically unstable patients, and
- •Section 12, lack of capacity medical hold, sexual assault, child abuse, and emotionally distressed patients.
Outcomes
Primary Outcomes
Self-reported Satisfaction With the Screening Process
Time Frame: Immediately after completing survey
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
Secondary Outcomes
- Number of Health Related Social Needs Reported(Immediately after completing survey)