A Mixed-Method Evaluation of the Impact of Social Risk Screening on Uptake of Social Assistance
- Conditions
- Low-income PopulationsSocial Determinants of Health
- Interventions
- Behavioral: Social Risk Screening ToolOther: Electronic Resource Map
- Registration Number
- NCT05251311
- Lead Sponsor
- Children's Hospital of Philadelphia
- Brief 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.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 3949
- Caregivers presenting with a child to the pediatric clinical setting
- Child age 0-25
- Engaged in complex care management services
- Child in critical condition
- Presenting to clinical setting specifically for social work intervention
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Social Risk Screening + Resource Map Social Risk Screening Tool Participants randomized to the experimental arm will receive a social risk assessment tool followed by an electronic resource map Social Risk Screening + Resource Map Electronic Resource Map Participants randomized to the experimental arm will receive a social risk assessment tool followed by an electronic resource map Resource Map Electronic Resource Map Participants randomized to the active comparator group will receive only an electronic resource map
- Primary Outcome Measures
Name Time Method Resource Engagement By Saves 30 days number of resources saved
Resource Impact 30 days perceived impact of resource use on social need measured by using a modified version of the WE CARE screening tool
Resource Engagement By Domain 30 days number of resources saved by domain
Resource Uptake By Domain 30 days number of searches by domain
Resource Utilization 30 days rates of resource utilization
Resource Uptake By Search 30 days total number of searches
Resource Engagement By Time 30 days time spent on site
- Secondary Outcome Measures
Name Time Method Perceived impact of screening on resource acceptance up to 45 days Qualitative semi-structured interviews
Perceived impact of screening on resource perception up to 45 days Qualitative semi-structured interviews
Trial Locations
- Locations (1)
Children's Hospital of Philadelphia
🇺🇸Philadelphia, Pennsylvania, United States