Social Needs Screening Protocol for Child Health

MS
Overseen ByMatthew S Pantell, MD, MS
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: University of California, San Francisco
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new approach to determine if screening for social needs can improve care for hospitalized children. The focus is on kids in a pediatric ward, and researchers aim to discover if identifying social issues, like access to food or housing, can impact their health outcomes. Two groups will be compared: one before the screening begins and one after. The trial seeks caregivers of children hospitalized in the Transitional Care Unit at Benioff Children's Hospital in San Francisco who speak English or Spanish. As an unphased trial, this study offers a unique opportunity to contribute to innovative research that could enhance pediatric care.

Will I have to stop taking my current medications?

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

What prior data suggests that this social needs screening protocol is safe for children?

Research shows that checking for social needs in children is safe and helpful. For example, one study found that many families felt comfortable with the process. In that study, about 61.6% of families completed the screening, indicating it was generally well-received.

Another study examined various tools used to assess social factors affecting health, such as access to housing and food. These tools help identify risks early and guide care, potentially preventing health problems later.

Overall, no major negative effects have been reported from these screenings, suggesting they safely identify and address social issues affecting children's health.12345

Why are researchers excited about this trial?

Researchers are excited about this trial because it explores how addressing social needs can improve child health outcomes. Unlike traditional treatments that focus solely on medical symptoms, this protocol aims to identify and address broader social factors, like access to food and housing, that can significantly impact a child's well-being. By implementing a structured screening and intervention protocol, researchers hope to uncover the extent to which social determinants of health contribute to pediatric care, potentially paving the way for more holistic approaches in the future.

What evidence suggests that this social needs screening protocol is effective for child health?

Research has shown that checking for social needs in medical settings can improve children's health. For instance, using electronic health records to monitor these needs led to better health outcomes for kids. One study found that almost half of the families reported at least one social need when asked, highlighting the importance of addressing these issues. Addressing social factors, such as access to resources and support, is linked to better health for children. This trial will compare a control group, where caregivers are recruited before implementing the social needs screening protocol, with an intervention group, where caregivers are recruited after implementation. These findings suggest that a system for checking social needs could enhance the health of children in hospitals.13678

Who Is on the Research Team?

MS

Matthew S Pantell, MD, MS

Principal Investigator

University of California, San Francisco

Are You a Good Fit for This Trial?

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
See 1 more

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
See 2 more

Timeline for a Trial Participant

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)

What Are the Treatments Tested in This Trial?

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.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Intervention (post-implementation) armExperimental Treatment1 Intervention
Group II: Control (pre-implementation) armActive Control1 Intervention

Find a Clinic Near You

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+

Citations

Social Needs Screening and Intervention in Pediatric ...At first interview (Fall 2021), only 36 index children (49%) were described by their parent as being in excellent overall health, and 19 (26%) ...
Equitably Implementing a Social Needs Screening ProgramOf these caregivers, 667 (38.3%) declined screening and 1074 (61.6%) completed screening. A total of 496 families (46.2%) reported 1 or more ...
Social needs screening and referral in pediatric primary care ...Here we report our findings from a qualitative implementation study of four social needs screening and referral programs based in pediatric ...
Social Needs Screening Protocol for Child HealthResearch suggests that screening for social needs in clinical settings can improve child health outcomes, as seen in studies where electronic health records ...
Addressing adverse social determinants of health in ...Growing evidence linking social determinants of health (SDOH) to child health outcomes has prompted widespread recommendations for pediatricians to screen and ...
Social needs screening and referral in pediatric primary ...Unmet social risks such as housing, food insecurity and safety concerns are associated with adverse health outcomes in adults and children.
Screening Children for Social Determinants of HealthIn this systematic review, we catalog SDOH screening tools used among children and evaluate how the tools detect early indicators of risk and inform care.
Health-Related Social Needs Screening and Referral in ...This study aimed to review approaches to health-related social needs (HRSN) screening and referral in pediatric primary care.
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