A Mixed-Method Evaluation of the Impact of Social Risk Screening on Uptake of Social Assistance
1 other identifier
interventional
3,949
1 country
1
Brief Summary
Children are disproportionately affected by the rise in poverty rates in the United States. Economic hardships can compromise child development, overall health, and the ability to succeed in school and in life. The current economic recession and racial disparities underscored by COVID19 have magnified this impact on children and hastened the already rapid growth of screening protocols for social risk factors- such as food and housing insecurity, financial strain, and unsafe environments-within pediatric health care. However, it remains unclear what effect standardized screening has on family perception of and engagement with resources. Current implementation momentum for screening protocols is outpacing research, and is raising concern among patient advocates for unintended harm-alienating families for fear of stigma or worse, and overpromising services that may not exist. Through a rigorous mixed-method approach, the proposed study will explore the impact of screening on acceptance, perception, and engagement with social resources among families with children. Furthermore, by leveraging the new technology of resource mapping as the method of resource referral, this study will provide insight regarding its effectiveness as a social needs assistance strategy. The knowledge gained will provide guidance for policymakers and other healthcare systems on how to integrate social risk interventions into healthcare delivery in order to maximize the benefit to children and families.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Apr 2022
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 30, 2021
CompletedFirst Posted
Study publicly available on registry
February 22, 2022
CompletedStudy Start
First participant enrolled
April 19, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 22, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
September 22, 2023
CompletedNovember 27, 2024
November 1, 2024
1.4 years
September 30, 2021
November 25, 2024
Conditions
Outcome Measures
Primary Outcomes (7)
Resource Uptake By Search
total number of searches
30 days
Resource Uptake By Domain
number of searches by domain
30 days
Resource Engagement By Time
time spent on site
30 days
Resource Engagement By Saves
number of resources saved
30 days
Resource Engagement By Domain
number of resources saved by domain
30 days
Resource Utilization
rates of resource utilization
30 days
Resource Impact
perceived impact of resource use on social need measured by using a modified version of the WE CARE screening tool
30 days
Secondary Outcomes (2)
Perceived impact of screening on resource acceptance
up to 45 days
Perceived impact of screening on resource perception
up to 45 days
Study Arms (3)
Social Risk Screening + Resource Map
EXPERIMENTALParticipants randomized to the experimental arm will receive a social risk assessment tool followed by an electronic resource map
Resource Map
ACTIVE COMPARATORParticipants randomized to the active comparator group will receive only an electronic resource map
Resource Menu + Resource Map
EXPERIMENTALParticipants randomized to this experimental arm will receive a social resource menu tool followed by an electronic resource map.
Interventions
Investigators will use an adapted version of the evidence-based WE CARE screening tool, which assesses need in the 5 domains most frequently requested by our patient population: housing, transportation, child care, food security, and household heat and electricity. This tool was selected as it is evidence-based, takes fewer than 5 minutes to complete, is written at a 3rd grade reading level, and allows for differentiation between social risk and caregiver desire for assistance, as well as areas of "emergency" need.
All participants will receive access to an electronic, geographically searchable resource map hosted on Aunt Bertha
Participants randomized to this experimental arm will receive a social resource menu tool, which assess desire for social resources.
Eligibility Criteria
You may qualify if:
- Caregivers presenting with a child to the pediatric clinical setting
- Child age 0-25
You may not qualify if:
- Engaged in complex care management services
- Child in critical condition
- Presenting to clinical setting specifically for social work intervention
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19146, United States
Related Publications (1)
Brown R, Cigarroa Kennedy S, Carranco Chavez E, Dumeng-Rodriguez J, Cullen D. Evaluation of a notes-based rapid qualitative analysis method to facilitate implementation. Implement Sci Commun. 2025 Mar 3;6(1):23. doi: 10.1186/s43058-025-00709-w.
PMID: 40033458DERIVED
Study Officials
- PRINCIPAL INVESTIGATOR
Danielle Cullen, MD MPH MSHP
Children's Hospital of Philadelphia
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- CARE PROVIDER
- Masking Details
- Social worker that follows up with each participant will be blinded to randomization arm
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 30, 2021
First Posted
February 22, 2022
Study Start
April 19, 2022
Primary Completion
September 22, 2023
Study Completion
September 22, 2023
Last Updated
November 27, 2024
Record last verified: 2024-11
Data Sharing
- IPD Sharing
- Will not share