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Approaches to Identifying Social Needs: The SECURE RCT.

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  • 1Clinical Futures and PolicyLab, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

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View abstract on PubMed

Summary
This summary is machine-generated.

A resource menu, not social risk screening, better identifies caregivers' desire for social resources. This approach enhances engagement with essential support services.

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Area of Science:

  • Health Services Research
  • Social Determinants of Health
  • Patient Engagement

Background:

  • Social risk screening is increasingly used in healthcare.
  • Screening may not align with resource desire and can deter resource acceptance due to fear of repercussions.
  • Existing evidence suggests a disconnect between screening outcomes and patient interest in social resources.

Purpose of the Study:

  • To evaluate the impact of social risk screening versus a resource menu on caregivers' desire for and engagement with social resources.
  • To compare the effectiveness of different methods for eliciting needs among caregivers in a pediatric hospital setting.

Main Methods:

  • A randomized controlled trial involving adult caregivers in emergency and primary care clinics.
  • Participants were assigned to a social risk screener, a resource menu, or no social assessment.
  • Outcomes included desire for resources, engagement with navigation, and reported resource use at 30-day follow-up, analyzed using chi-squared tests and regression.

    • Main Results:

    • The resource menu arm showed a significantly higher proportion of caregivers desiring resources compared to the screening arm (38.4% vs 29.0%).
    • Caregivers preferring non-English languages were more likely to desire resources with a menu (OR 2.7).
    • A dose-response relationship was observed between engagement with navigation and the number of desired resource domains; 40.1% reported using the resource map.

    Conclusions:

    • A resource menu effectively elicits caregivers' desire for social resources by focusing on prioritized needs.
    • Social risk screening is not necessary for identifying caregivers' needs for social resources.
    • This approach can improve the connection between patients and needed social support services.