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OpenTrials
Completed

NCT Number: NCT03834441

Optimized Health-Related Social Needs Screening and Community Linkages

The objective of this study is to to understand the most effective method for health-related social need (HRSN) screening in the challenging environment of an emergency department by randomizing patients to oral or written HRSN screening in the ED.

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Key information

Conditions

Emergencies Disease Attributes Pathologic Processes Pathological Conditions, Signs and Symptoms

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Massachusetts General Hospital

Boston, Massachusetts, 02114, United States

About this study

Bilingual research assistants (RA) will screen patients for eligibility based on the predetermined criteria and approach eligible patients with a brief description of the study and opportunity for participation. Interested participants will complete a verbal consent process to reduce the barriers to participation, a brief demographic questionnaire, and an assessment of health literacy (Newest Vital Sign) followed by the Partners Healthcare HRSN screener randomized to an oral v. iPad screening strategy.

After completion of the screening tool, participants will complete a secondary questionnaire asking about satisfaction with the process, the presence of additional HRSN not recorded by the Partners HealthCare screener, and their perspectives on screening. At the conclusion, all participants will be provided with standardized, bilingual list of community resources to address each of the screening domains.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • age ≥ 18 years patients and either a parent/guardian of a pediatric/cognitively disabled patient in the MGH ED,
  • triaged to the Acute, CDU, Fast Track, Urgent, and Pediatrics areas,
  • English- or Spanish-speaking, and
  • capable of informed consent.

Exclusion criteria

  • patients unwilling to have the interview audio-recorded,
  • medically unstable patients, and
  • Section 12, lack of capacity medical hold, sexual assault, child abuse, and emotionally distressed patients.

Treatment and study plan

Oral HRSN screening

Other

Verbal screening delivered by an RA

Written HRSN screening

Other

Patient completes written screen on iPad.

Primary outcomes

  1. Self-reported Satisfaction With the Screening Process

    Time frame: Immediately after completing survey

    Satisfaction with screening as measured by:

    Please tell us how satisfied you were with the questionnaire you just took:

    Extremely Quite a bit Somewhat A little bit Not at all

Secondary outcomes

  1. Number of Health Related Social Needs Reported

    Time frame: Immediately after completing survey

    We will record the number of health related social needs reported

Sponsors and collaborators

Lead sponsor

Massachusetts General Hospital

Other

Registry information

Important dates

Study start
2019
Primary completion
2019
Study completion
2020
First posted
Feb 8, 2019
Registry last updated
Feb 9, 2023

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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