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Development and evaluation of a pharmacy-based tool to assess patient social determinants of health
Background:
Social determinants of health (SDOH) are well-recognized factors that impact health. Efforts are underway across health care settings to better assess health needs related to SDOH, but a tool to assess these factors in a pharmacy setting, especially as they relate to medication use does not heretofore exist.
Objectives:
This research describes the development and evaluation of SDOHRx, a pharmacy-specific SDOH screening tool.
Methods:
SDOHRx Screening Tool data were collected and evaluated from 37 community pharmacies as part of the Project IMPACT: Cardiovascular Health + study protocol. Inclusion criteria for the study were: nonpregnant adults without implanted electronic devices presenting to a pharmacist for usual and customary care and able to provide informed consent. Four thousand one hundred eighty-six responses were collected and 1697 were utilized for analysis. The scored items of the assessment tool were analyzed using a Kuder-Richardson 20 Formula (KR20) Reliability Analysis and Exploratory Factor Analysis.
Results:
Findings from the KR20 Reliability Analysis and Exploratory Factor Analysis yielded a high degree of internal consistency (KR20 = 0.87) and a strong primary factor (eigenvalue = 10.44), respectively.
Conclusion:
The SDOHRx Screening Tool is a 15-item instrument that is developed for use by pharmacists and pharmacy team members in identifying and addressing the health-related needs of their patients.
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