Social Determinants of Health Screening and Interventions

NCT03661359 | Completed Results

• 1 other identifier: SDOH Study
• Study Type: interventional
• Target: 35
• Locations: 1 country
• Sites: 1

Brief Summary

The primary objective of this study is to connect patients with community resources to improve social determinants of health. Secondary objectives are improving patient satisfaction within the trauma and general surgery service, enhancement of physician-patient communication, betterment of surgery department Hospital Consumer Assessment of Healthcare Providers and Systems scores, and increased understanding of correlations between patient satisfaction and social determinants of health. The investigators hypothesize that (1) directed screening and intervention can have a positive effect for patients and hospitals, (2) directed patient advocacy will have an effect on patients' perception of care, (2) social determinants of health will have an effect on patients' perception of care, and (4) traumatic injury and acute surgery will have an effect on patients' perception of care.

Conditions

Social Determinants of Health; Patient Satisfaction; Quality of Life

Outcome Measures

Primary Outcomes (3)

• Correlation Co-efficient Between Patient Satisfaction Assessed Using HCAHPS and the Domains at Risk

  evaluation of patient satisfaction of hospital and staff by patient questionnaire, abbreviated hospital consumer assessment of healthcare providers and system HCAHPS, 9 questions based on positive or negative patient response to hospital care. positive (yes) responses correlate to a 1, negative (no ) responses correlate to a 2. the lower the number correlates to higher hospital satisfaction score. also included a hospital rating of 1-10 with 1 being lowest score and 10 being the highest rating. A higher score correlates to a higher patient satisfaction level. Domains at risk related to social determinants of health

  Within 15 days of discharge

• Patients Who Filled Out Community Service Questionnaires

  During hospital admission each consented patient was assessed for the 5 domains of social determinants of health. Domains are education, economic stability, environment, health/healthcare, and social/community with 11 questions including financial strain, food insecurity, training/employment, housing instability education, utility needs, transportation, childcare, exposure to violence, social connection, behavioral health/substance abuse. A positive (yes) response flagged the patient for a referral to a community service including community financial resources, food banks and kitchens, community employment and training programs, local shelters. adult education programs, utility assistance programs, community transportation programs, community day resources, domestic violence programs, community centers including senior and religious, mental health and substance abuse resources.

  Within 30 days of discharge

• Correlation Co-efficient Between Physical Quality of Life and Mental Quality of Life

  evaluate the patients perception of their own health with a short form health questionnaire (SF-12). Physical component score (PCS-12): A score of 50 or less may indicate a physical condition. Mental component score (MCS-12): A score of 42 or less may indicate clinical depression. General health: Scores above 50 indicate better-than-average health, while scores below 50 indicate below-average health. This compares the physical and mental scores. A correlation coefficient is a statistical measure that indicates the strength and direction of a linear relationship between two variables, expressed as a number between -1 and 1, where -1 signifies a perfect negative correlation, 0 indicates no correlation, and +1 represents a perfect positive correlation; essentially, it tells you how closely two variables are related to each other in a linear fashion.

  within 30 days of discharge

Secondary Outcomes (2)

• Communication Between Patient and Health Care Givers Questionnaire

  Within 15 days of discharge

• Baseline HCAHPS Data

  Within 15 days of discharge

Study Arms (1)

Social Determinants of Health

EXPERIMENTAL

Intervention will be the Social Determinants of Health Referrals.

Other: Social Determinants of Health Referrals

Interventions

Social Determinants of Health Referrals OTHER

Patients who screen positive for any of the Social Determinants of Health will be given information for referral to any of the community resources that apply to their situation.

Social Determinants of Health

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• years of age or older
• Admitted to the trauma or general surgery services
• Live within Lucas County (for county referrals)
• Patient or legally authorized representative agrees to participate and is willing to sign informed consent

You may not qualify if:

• Anyone less than 18 years old
• Any patient or legally authorized representative unwilling to sign informed consent
• Anyone who lives outside of Lucas County or expresses unwillingness to use referral services

Sponsors & Collaborators

• University of Toledo Health Science Campus: lead

Study Sites (1)

University of Toledo Medical Center

Toledo, Ohio, 43614, United States

Location

MeSH Terms

Conditions

Patient Satisfaction

Condition Hierarchy (Ancestors)

Treatment Adherence and Compliance; Health Behavior; Behavior

Results Point of Contact

• Title: Heather Klepacz, M.D, Principle Investigator
• Organization: University of Toledo

heather.klepacz@utoledo.edu

419-383-6754

Study Officials

• Heather Klepacz, MD

  University of Toledo

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: OTHER
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Each patient who consents will be given the community resource interventions which apply to them based on the results of the Social Determinants of Health Screening Tool.

Study Record Dates

• First Submitted: June 20, 2018
• First Posted: September 7, 2018
• Study Start: May 14, 2018
• Primary Completion: August 20, 2019
• Study Completion: August 20, 2019
• Last Updated: January 27, 2025
• Results First Posted: January 27, 2025

Record last verified: 2025-01

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)