Social Needs Screening Protocol for Child Health

Overseen By Matthew S Pantell, MD, MS

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: University of California, San Francisco

Disqualifiers: Non-English/Spanish, Caregiver under 18, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 2

50 Participants Needed

Trial Summary

Will I have to stop taking my current medications?

The trial information does not specify whether participants must stop taking their current medications.

What data supports the effectiveness of the Social Needs Screening Protocol treatment?

Research suggests that screening for social needs in clinical settings can improve child health outcomes, as seen in studies where electronic health records were used to support these interventions. Additionally, broad-based social needs screening programs in pediatric care have been recommended and implemented, indicating a recognized potential for positive impact on health. ^{1 2 3 4 5}

Is the Social Needs Screening Protocol for Child Health safe for humans?

The research articles reviewed do not provide specific safety data for the Social Needs Screening Protocol for Child Health, but they discuss the use of social needs screening in various healthcare settings without mentioning any safety concerns. ^{6 7 8 9 10}

How does the Social Needs Screening Protocol for Child Health differ from other treatments for addressing social needs in children?

This treatment is unique because it focuses on screening and addressing the social needs of children and families, which is not routinely done in pediatric care. It integrates social needs screening into routine primary care visits using community health workers, making it a novel approach compared to traditional medical treatments that do not typically address social determinants of health. ^{1 3 4 11 12}

What is the purpose of this trial?

The purpose of this pilot study is to determine the feasibility and acceptability of implementing a social needs screening and intervention protocol in the pediatric inpatient setting by conducting a pilot trial on a pediatric ward. The investigators' hypothesis is that it will be feasible and acceptable to implement a social needs screening and intervention protocol. The investigators will work with pediatric word healthcare team members to develop a social needs screening and intervention protocol. They will then compare preliminary health and social outcome measures between children hospitalized during the pre-intervention period (control group) vs. the post-intervention period (intervention group).

Research Team

Matthew S Pantell, MD, MS

Principal Investigator

University of California, San Francisco

Eligibility Criteria

This trial is for English or Spanish speaking adult caregivers (18+ years old) whose children, aged 0-17, are hospitalized in the Transitional Care Unit of Benioff Children's Hospital - San Francisco and are under the care of pediatric residents or advance practice providers.

Inclusion Criteria

Caregiver's child is hospitalized in the Transitional Care Unit (TCU) of Benioff Children's Hospital - San Francisco

Initially admitted to the TCU

Caregiver's child is part of a service for which pediatric residents or advance practice providers provide care

Exclusion Criteria

Non-English or non-Spanish speaking caregiver

Caregiver's child was initially admitted to a unit besides the TCU

Family participated in study previously

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

1 visit (in-person)

Pre-implementation Control

Caregivers recruited from the pediatric hospital ward before the social needs screening and intervention protocol is implemented

4 months

Intervention Implementation

Development and implementation of a social needs screening and intervention protocol

6 months

Post-implementation Intervention

Caregivers recruited from the pediatric hospital ward after the social needs screening and intervention protocol is implemented

4 months

Follow-up

Participants are monitored for social and health outcomes after intervention

3 months

1 follow-up survey (phone)

Treatment Details

Interventions

• Social Needs Screening Protocol

Trial Overview The study is testing a new protocol to identify and address social needs in hospitalized children. It compares outcomes before and after implementing this protocol on a pediatric ward to see if it's workable and helpful.

Participant Groups

Group I: Intervention (post-implementation) arm Experimental Treatment 1 Intervention

Caregivers recruited from the pediatric hospital ward after the social needs screening and intervention protocol is implemented will compose the "intervention" group or post-implementation group.

Group II: Control (pre-implementation) arm Active Control 1 Intervention

Caregivers recruited from the pediatric hospital ward before the social needs screening and intervention protocol is implemented will compose the "control" group or pre-implementation group.

Who Is Running the Clinical Trial?

University of California, San Francisco

Lead Sponsor

Trials

2,636

Recruited

19,080,000+

Agency for Healthcare Research and Quality (AHRQ)

Collaborator

Trials

415

Recruited

6,777,000+

References

1. United States pubmed.ncbi.nlm.nih.gov

Parent Perspectives on Electronic Health Record-Based Social Needs Screening and Documentation: A Qualitative Study. [2023]

2. United States pubmed.ncbi.nlm.nih.gov

A Broad-Based Approach to Social Needs Screening in a Pediatric Primary Care Network. [2021]

3. United States pubmed.ncbi.nlm.nih.gov

Implementing an EMR-based Health-related Social Needs Screen in a Pediatric Hospital System. [2023]

4. England pubmed.ncbi.nlm.nih.gov

Screening and addressing social needs of children and families enrolled in a pediatric weight management program: a protocol for a pilot randomized controlled trial. [2022]

5. England pubmed.ncbi.nlm.nih.gov

Implementation of social needs screening in primary care: a qualitative study using the health equity implementation framework. [2021]

6. Netherlands pubmed.ncbi.nlm.nih.gov

Leveraging Technology and Workflow Optimization for Health-Related Social Needs Screening: An Improvement Project at a Large Health System. [2023]

7. United States pubmed.ncbi.nlm.nih.gov

Inpatient Screening of Parental Adversity and Strengths. [2023]

8. United States pubmed.ncbi.nlm.nih.gov

Social Risk Screening for Pediatric Inpatients. [2022]

9. United States pubmed.ncbi.nlm.nih.gov

Social Needs Screening in Hospitalized Pediatric Patients: A Randomized Controlled Trial. [2023]

10. England pubmed.ncbi.nlm.nih.gov

Social needs screening and referral in pediatric primary care clinics: a multiple case study. [2022]

11. United States pubmed.ncbi.nlm.nih.gov

From Policy Statement to Practice: Integrating Social Needs Screening and Referral Assistance With Community Health Workers in an Urban Academic Health Center. [2020]

12. United States pubmed.ncbi.nlm.nih.gov

Differentiating subgroups of children with special health care needs by health status and complexity of health care needs. [2021]