Can the Social Vulnerability Index Enhance Models Predicting Adherence to Craniofacial Speech Evaluations?
Bo Hyun Kong1, Katherine Dillon2, Colin M Brady2
1Emory University School of Medicine, Atlanta, GA, USA.
Summary
The Social Vulnerability Index (SVI) does not predict adherence to speech evaluations. Factors like insurance type, cleft severity, and speech function are key predictors for attending these crucial appointments.
Area of Science:
- Pediatric Health
- Speech Pathology
- Health Services Research
Background:
- Adherence to speech evaluations is critical for children with cleft-related diagnoses.
- Understanding factors influencing appointment attendance is essential for optimizing care.
- The Social Vulnerability Index (SVI) is a tool to identify at-risk populations.
Purpose of the Study:
- To investigate if the Centers for Disease Control and Prevention's Social Vulnerability Index (SVI) impacts adherence to speech evaluations.
- To determine if SVI influences adherence beyond established demographic and clinical factors.
Main Methods:
- Retrospective cohort analysis of 535 children with cleft diagnoses at a US tertiary children's hospital.
- Examined adherence to initial and follow-up speech evaluations.
- Logistic regression models were used to assess the influence of SVI and other factors.
Main Results:
- The SVI was not a significant predictor of adherence to speech evaluations.
- Children with private insurance showed higher odds of attending initial evaluations (OR = 2.14).
- More severe cleft phenotypes and presence of velopharyngeal dysfunction/compensatory errors were associated with increased adherence.
Conclusions:
- The Social Vulnerability Index (SVI) did not enhance the prediction of adherence to speech evaluations.
- Insurance type, cleft severity, and speech function are the primary determinants of adherence.
- Clinical and demographic factors are more influential than SVI in predicting speech evaluation attendance.
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