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OpenTrials
Completed

NCT Number: NCT04491448

Acceptability of Social Risk Screening

Social risk screening asks patients to provide information on health-related social needs that are non-medical but affect health. These include housing stability, food security, reliable medical transportation, consistent utilities service (heat, light, water), and interpersonal safety. This research will determine the acceptability of such screening in adult patients who attend a primary care clinic in-person or via a telemedicine visit, the level of social need in patients, and how to flag such information for care, planning, and follow up.

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Key information

Conditions

Primary Health Care

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

University of Pittsburgh

Pittsburgh, Pennsylvania, 15261, United States

About this study

This study will evaluate the acceptability of social risk screening among adult patients seen in the General Internal Medicine Offices (GIMO) at Montefiore Hospital. The research will enroll patients using the resident clinic, which provides medical care to lower-income patients as well as other patients. The study will be limited to new patients or patients receiving routine follow-up care.

Acceptability will be assessed by (i) the proportion of patients completing the screen among those approached; (ii) the proportion of screening questions completed; and (iii) the proportion of patients willing to complete the screening over the phone (a) by interviewer or (b) on via website using Qualtrics.

The representativeness of the sample will be assessed by comparing the participant sample to aggregate clinic demographic characteristics and deidentified Epic EHR indicators using an honest broker.

The survey instrument is the CMS Accountable Care Communities instrument. It includes patient indicators (demography) and appraisals of care (e.g., trust) that will allow assessment of correlates of social need and acceptability of screening in the clinical setting.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Aged 18+
  • New patient or routine physical exam, GIMO clinic, Montefiore Hospital

Exclusion criteria

  • Unable to provide verbal informed consent
  • Unable to complete questionnaire

Treatment and study plan

Social needs screening

Behavioral

Interview and referral for non-medical health-related social needs

Primary outcomes

  1. Acceptability of social needs screening in medical encounter

    Time frame: One-time interview, 20-25 minutes

    Proportion reporting social needs relevant to medical care

Secondary outcomes

  1. Effects of reported social needs on medical utilization and patient behavior

    Time frame: One-time interview, 20-25 minutes

    Reports of missed appointments and need for social work referrals

Sponsors and collaborators

Lead sponsor

University of Pittsburgh

Other

Registry information

Official study title

Acceptability of Social Risk Screening in Adult Primary Care

Important dates

Study start
2020
Primary completion
2021
Study completion
2021
First posted
Jul 29, 2020
Registry last updated
Sep 5, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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