Optimized Health-Related Social Needs Screening and Community Linkages

Study Overview
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Brief Summary
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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
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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.

Official Title
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Optimized Health-Related Social Needs Screening and Community Linkages

Conditions
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Emergencies

Intervention / Treatment
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* Other: Oral HRSN screening
* Other: Written HRSN screening


Participation Criteria
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Eligibility Criteria
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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.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Oral screening<br> | Other: Oral HRSN screening<br>* Verbal screening delivered by an RA<br>|
| Other: Written screening<br> | Other: Written HRSN screening<br>* Patient completes written screen on iPad.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Self-reported Satisfaction With the Screening Process | 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 | Immediately after completing survey | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of Health Related Social Needs Reported | We will record the number of health related social needs reported | Immediately after completing survey | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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social needs