Acceptability of Social Risk Screening

Sponsor
University of Pittsburgh (Other)
Overall Status
Completed
CT.gov ID
NCT04491448
Collaborator
(none)
218
1
12.6
17.3

Study Details

Study Description

Brief Summary

Social risk screening asks patients to provide information on health-related social needs that are non-medical but affect health. These include housing stability, food security, reliable medical transportation, consistent utilities service (heat, light, water), and interpersonal safety. This research will determine the acceptability of such screening in adult patients who attend a primary care clinic in-person or via a telemedicine visit, the level of social need in patients, and how to flag such information for care, planning, and follow up.

Condition or Disease Intervention/Treatment Phase
  • Behavioral: Social needs screening

Detailed Description

This study will evaluate the acceptability of social risk screening among adult patients seen in the General Internal Medicine Offices (GIMO) at Montefiore Hospital. The research will enroll patients using the resident clinic, which provides medical care to lower-income patients as well as other patients. The study will be limited to new patients or patients receiving routine follow-up care.

Acceptability will be assessed by (i) the proportion of patients completing the screen among those approached; (ii) the proportion of screening questions completed; and (iii) the proportion of patients willing to complete the screening over the phone (a) by interviewer or (b) on via website using Qualtrics.

The representativeness of the sample will be assessed by comparing the participant sample to aggregate clinic demographic characteristics and deidentified Epic EHR indicators using an honest broker.

The survey instrument is the CMS Accountable Care Communities instrument. It includes patient indicators (demography) and appraisals of care (e.g., trust) that will allow assessment of correlates of social need and acceptability of screening in the clinical setting.

Study Design

Study Type:
Observational
Actual Enrollment :
218 participants
Observational Model:
Cohort
Time Perspective:
Cross-Sectional
Official Title:
Acceptability of Social Risk Screening in Adult Primary Care
Actual Study Start Date :
Aug 12, 2020
Actual Primary Completion Date :
Aug 31, 2021
Actual Study Completion Date :
Aug 31, 2021

Outcome Measures

Primary Outcome Measures

  1. Acceptability of social needs screening in medical encounter [One-time interview, 20-25 minutes]

    Proportion reporting social needs relevant to medical care

Secondary Outcome Measures

  1. Effects of reported social needs on medical utilization and patient behavior [One-time interview, 20-25 minutes]

    Reports of missed appointments and need for social work referrals

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  1. Aged 18+

  2. New patient or routine physical exam, GIMO clinic, Montefiore Hospital

Exclusion Criteria:
  1. Unable to provide verbal informed consent

  2. Unable to complete questionnaire

Contacts and Locations

Locations

Site City State Country Postal Code
1 University of Pittsburgh Pittsburgh Pennsylvania United States 15261

Sponsors and Collaborators

  • University of Pittsburgh

Investigators

  • Principal Investigator: Steven M Albert, PhD, University of Pittsburgh

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Steven M. Albert, Professor, University of Pittsburgh
ClinicalTrials.gov Identifier:
NCT04491448
Other Study ID Numbers:
  • STUDY20010212
First Posted:
Jul 29, 2020
Last Update Posted:
Sep 5, 2021
Last Verified:
Sep 1, 2021
Individual Participant Data (IPD) Sharing Statement:
Yes
Plan to Share IPD:
Yes
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No

Study Results

No Results Posted as of Sep 5, 2021