Social and Relational Capital to Overcome Social Determinants of Health.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Social Determinants of Health (SDOH)
- Sponsor
- Mayo Clinic
- Enrollment
- 12
- Locations
- 1
- Primary Endpoint
- Change in Participant Center for Medicare and Medicaid Services (CMS) Accountable Health Social Determinants of Health (SDOH) Screening Assessment
- Status
- Completed
- Last Updated
- 9 months ago
Overview
Brief Summary
This study is being done to determine if assistance in accessing community resources can improve health outcomes. Social determinants of health are the conditions in which individuals are born, work and live that can impact health. These can include access to healthcare, healthy food, education, safe neighborhoods, transportation, political and social environments that are safe and fair.
Investigators
Nathan L. Delafield
Principal Investigator
Mayo Clinic
Eligibility Criteria
Inclusion Criteria
- •Identified social determinants of health (SDOH). need that impacts healthcare outcomes (identified by the healthcare team)
Exclusion Criteria
- •Non-english speaking patients
- •Patients who are pregnant
Outcomes
Primary Outcomes
Change in Participant Center for Medicare and Medicaid Services (CMS) Accountable Health Social Determinants of Health (SDOH) Screening Assessment
Time Frame: Baseline and 12 months
Evaluated using the CMS Accountable Health SDOH Screening Tool used to assess patient needs across the following domains: house instability, food insecurity, transportation problems, utility help needs, interpersonal safety, financial strain, employment, family and community support, education, physical activity, substance use, mental health, and disabilities that community services can help with. If the participant chose the underlined option, they might have an unmet health-related social need. Only domains where an unmet health-related social need was identified was included in the analysis.
Change in Resilience
Time Frame: Baseline and 12 months
Evaluated using the 6-item Brief Resilience Scale (BRS) questionnaire assessing the participants ability to bounce back on a 1-5 scale range. Total questions scores are divided by total number of questions answered for a final score range from 1.00-2.99 = low resilience; 3.00-4.30 = normal resilience; 4.31-5.00 = high resilience.
Secondary Outcomes
- Hospitalizations(Baseline and 12 months)
- Emergency Room Visits(Baseline and 12 months)
- Primary Care Visits(Baseline and 12 months)