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A Mixed-Method Evaluation of the Impact of Social Risk Screening on Uptake of Social Assistance

Children's Hospital of Philadelphia (CHOP) logo

Children's Hospital of Philadelphia (CHOP)

Status

Completed

Conditions

Low-income Populations
Social Determinants of Health

Treatments

Behavioral: Social Risk Screening Tool
Other: Electronic Resource Map

Study type

Interventional

Funder types

Other

Identifiers

NCT05251311
21-018785

Details and patient eligibility

About

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.

Enrollment

3,949 patients

Sex

All

Ages

18 to 100 years old

Volunteers

Accepts Healthy Volunteers

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

Trial design

Primary purpose

Health Services Research

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

3,949 participants in 2 patient groups

Social Risk Screening + Resource Map
Experimental group
Description:
Participants randomized to the experimental arm will receive a social risk assessment tool followed by an electronic resource map
Treatment:
Other: Electronic Resource Map
Behavioral: Social Risk Screening Tool
Resource Map
Active Comparator group
Description:
Participants randomized to the active comparator group will receive only an electronic resource map
Treatment:
Other: Electronic Resource Map

Trial contacts and locations

1

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Central trial contact

Danielle Cullen, MD MPH MSHP

Data sourced from clinicaltrials.gov

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