Related Experiment Video

Updated: Oct 14, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
19:15

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

86.7K

Assessing the Social Determinants of Health and Adverse Childhood Experiences in Patients Attending a Children's

Ethan Ponton1,2, Rebecca Courtemanche3,4, Tanjot K Singh5

  • 1Office of Pediatric Surgical Evaluation and Innovation, 12358British Columbia Children's Hospital, University of British Columbia, Vancouver, British Columbia, Canada.

The Cleft Palate-Craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
|November 3, 2021
PubMed

Insights

Many families in cleft and craniofacial programs face social and financial challenges impacting health. Integrating social determinants of health (SDoH) discussions into care is feasible and valued by patients.

Area of Science:

  • Health Services Research
  • Psychosocial Medicine
  • Public Health

Background:

  • Cleft and craniofacial anomalies present complex patient needs extending beyond medical and surgical interventions.
  • Social determinants of health (SDoH) significantly influence health and surgical outcomes in these patient populations.
  • Multidisciplinary Cleft Palate-Craniofacial programs require integrated approaches to address non-medical factors.

Purpose of the Study:

  • To describe SDoH for patients in a Cleft Palate-Craniofacial program.
  • To develop and assess the feasibility of incorporating trauma-informed psychosocial histories into clinic workflows.
  • To promote discussions on SDoH and their impact on patient health and surgical outcomes.

Main Methods:

  • A single-site, cross-sectional study was conducted.
  • Questionnaires were administered to 290 families within a provincial quaternary care Cleft Palate-Craniofacial program.
  • Data collection focused on barriers to healthcare access, financial struggles, adverse childhood experiences, social support, and resilience.

Main Results:

  • Significant barriers to primary health care access (34%) and financial struggles (51%) were reported.
  • 11% of families reported high Adverse Childhood Experiences (ACEs) scores, and 47% lacked adequate social support.
  • Families welcomed discussions on SDoH and valued involvement in care decisions.

Conclusions:

  • Integrating SDoH assessments into multidisciplinary Cleft Palate-Craniofacial team care is feasible and beneficial.
  • Healthcare providers should proactively inquire about SDoH and advocate for social work support.
  • Addressing psychosocial factors is critical for optimizing health and surgical outcomes in patients with craniofacial anomalies.

Keywords:
PediatricsSocial supportquality of life

More Related Videos

Assessment of Child Anthropometry in a Large Epidemiologic Study09:36

Assessment of Child Anthropometry in a Large Epidemiologic Study

Published on: February 2, 2017

27.3K
Assessment of Social Interaction Behaviors06:41

Assessment of Social Interaction Behaviors

Published on: February 25, 2011

94.0K

Related Concept Videos

Assessment of Respiration01:23

Assessment of Respiration

The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
1.4K
Socioemotional Development during Infancy01:30

Socioemotional Development during Infancy

Socio-emotional development in infancy is primarily shaped by early emotional responses and social connections, with temperament playing a central role. Temperament refers to the consistent patterns in an individual's emotional and behavioral responses, observable even in infancy. By examining temperament, researchers can better understand an infant's unique ways of interacting with the world, influencing subsequent personality and socio-emotional growth.
Primary Temperament Types
189
Assessment of the Mouth01:26

Assessment of the Mouth

A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
512
Relationship with Parents: Attachment01:28

Relationship with Parents: Attachment

Parent-child interactions lay the foundation for how we understand relationships throughout life. These interactions are not uniform across families; instead, they are shaped by a range of environmental, emotional, and behavioral factors unique to each caregiver-child dynamic. Social psychologists study these early relationships to understand how patterns formed in infancy influence social functioning and interpersonal behavior in adulthood.Attachment Theory and Early Relational ModelsJohn...
23
Strategies for Assessing and Addressing Confounding01:25

Strategies for Assessing and Addressing Confounding

Confounding is a critical issue in epidemiological studies, often leading to misleading conclusions about associations between exposures and outcomes. It occurs when the relationship between the exposure and the outcome is mixed with the effects of other factors that influence the outcome. Given that, addressing confounding is of high importance for drawing accurate inferences in research.
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
174
Assessment of Airway, Skin Color, and Use of Accessory Muscles01:30

Assessment of Airway, Skin Color, and Use of Accessory Muscles

A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
1.2K