Clinical trial NCT05251311: A Mixed-Method Evaluation of the Impact of Social Risk Screening on Uptake of Social Assistance
Official title: A Mixed-Method Evaluation of the Impact of Social Risk Screening on Uptake of Social Assistance
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Low-income Populations
Social Determinants of Health
Lead sponsor: Children's Hospital of Philadelphia
Sponsor class: OTHER
First posted: 2022-02-22
Enrollment: 3949
Sex: ALL
Minimum age (years): 18
Maximum age (years): 100
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

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.


Eligibility criteria: Inclusion Criteria:

* Caregivers presenting with a child to the pediatric clinical setting
* Child age 0-25

Exclusion Criteria:

* Engaged in complex care management services
* Child in critical condition
* Presenting to clinical setting specifically for social work intervention

Primary outcomes:
measure: Resource Uptake By Search
timeFrame: 30 days
measure: Resource Uptake By Domain
timeFrame: 30 days
measure: Resource Engagement By Time
timeFrame: 30 days
measure: Resource Engagement By Saves
timeFrame: 30 days
measure: Resource Engagement By Domain
timeFrame: 30 days
measure: Resource Utilization
timeFrame: 30 days
measure: Resource Impact
timeFrame: 30 days
Secondary outcomes:
measure: Perceived impact of screening on resource acceptance
timeFrame: up to 45 days
measure: Perceived impact of screening on resource perception
timeFrame: up to 45 days
Other outcomes:
Locations:
city: Philadelphia
country: United States
facility: Children's Hospital of Philadelphia
state: Pennsylvania
Study officials:
affiliation: Children's Hospital of Philadelphia
name: Danielle Cullen, MD MPH MSHP
role: PRINCIPAL_INVESTIGATOR
References: