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A Community-Based Intervention to Address Social Determinants of Health: A Pilot Study
Joint Commission Journal on Quality and Patient Safety
|September 5, 2025
Summary
Community volunteers successfully addressed most social determinants of health needs for patients. The intervention demonstrated feasibility but highlighted challenges in volunteer time and patient recruitment for broader impact.
Area of Science:
- Public Health and Social Medicine
- Community Health Interventions
- Health Services Research
Background:
- Social determinants of health (SDoH) significantly impact patient well-being.
- Community-based social support is a potential strategy to address SDoH.
- Federally Qualified Health Centers (FQHCs) serve vulnerable populations with SDoH needs.
Purpose of the Study:
- To assess the feasibility and impact of a community-volunteer intervention for SDoH.
- To evaluate the resolution of primary SDoH needs using patient-defined goals.
- To explore effects on patient resilience, healthcare utilization, and other SDoH metrics.
Main Methods:
- Adult patients (N=12) from an FQHC with SDoH needs were enrolled.
- Community volunteers (Open Table Network Table) provided support over 12 months.
- Outcomes measured included intervention implementation, SDoH resolution, resilience, and healthcare utilization via qualitative interviews and paired analyses.
Main Results:
- Community volunteers resolved 91.7% of patients' primary SDoH needs.
- Median volunteer effort was 47.5 hours per participant.
- No significant changes observed in patient resilience, other SDoH metrics, or healthcare utilization.
Conclusions:
- The Open Table Network Table intervention was feasible at an FQHC.
- Significant volunteer effort and creativity were required for implementation.
- Further research is needed on scalability, sustainability, and long-term impact.
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