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Development of the Pediatric Social Risk Instrument Using a Structured Panel Approach
Justine Cohen-Silver1,2,3, Sherri Adams1,2, Rishi Agrawal4
11 The Hospital for Sick Children, Toronto, Ontario, Canada.
Clinical Pediatrics
|July 14, 2018
Summary
A new tool identifies social needs in hospitalized children, addressing a gap in care. This instrument helps healthcare providers understand social determinants of health impacting pediatric illness.
Area of Science:
- Pediatric Health
- Social Determinants of Health
- Health Services Research
Background:
- Social determinants of health significantly influence child illness.
- No existing instrument effectively identifies social needs during pediatric hospital admissions.
Purpose of the Study:
- To develop and validate an instrument for identifying social needs in hospitalized children.
- To address the gap in assessing social determinants of health for pediatric patients.
Main Methods:
- Utilized the UCLA-RAND appropriateness method with a panel of 11 experts.
- Conducted 3 rounds of indicator review and consensus building.
- Performed usability testing with families to refine the instrument.
Main Results:
- Consensus reached on 86 indicators across 11 social risk themes.
- Initial review of 347 indicators narrowed down to key measures.
- Usability testing confirmed positive reception by families.
Conclusions:
- A novel pediatric social risk instrument was successfully developed.
- The instrument effectively identifies social needs in hospitalized children.
- This tool aids in addressing social determinants of health in pediatric care.
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