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Author Spotlight: Innovations in iTUG Test for Enhanced Risk Assessment and Cognitive Insights
Published on: October 25, 2024
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.
Insights
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.
Background:
Social determinants of health impact child illness. Currently, no instrument exists to identify social need during hospital admission.
Methods:
Using the UCLA (University of California Los Angeles)-RAND appropriateness method, consensus was reached for an instrument to identify social need in hospitalized children. A panel of 11 experts reviewed candidate indicators through 3 rounds to reach consensus. The instrument then underwent usability testing.
Results:
Three hundred and forty-seven indicators from the literature were sorted into 18 social risk themes. After 3 rounds, consensus was reached on 82 indicators. Six additional social risk themes were recommended by the panel, resulting in consensus for 18 additional indicators. Final refinement resulted in an instrument containing 86 indicators representing 11 social risk themes. Usability testing identified that the tool was well received by families. Final feedback was incorporated into a post-usability instrument.
Conclusions:
Using the UCLA-RAND appropriateness method, a new pediatric social risk instrument was created to identify social need for hospitalized children.
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