Evidence map›Paper›PMID 30562141›Full record

ArticlePopulation health management2019

Mechanisms Associated with Clinical Improvement in Interventions That Address Health-Related Social Needs: A Mixed-Methods Analysis.

Seth A Berkowitz, Amy Catherine Hulberg, Hilary Placzek, Anya Dangora, Jason Gomez, Sara Standish, Steven J Atlas

Abstract read
In one paragraph

Article in Population health management, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  10. Health Related Social Needs Screening and Referral Fulfillment: Toward a Complex Model.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2024
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  17. Developing a research agenda for social prescribing in the UK using lessons from the US.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Seth A BerkowitzDivision of General Medicine and Clinical Epidemiology, Department of Medicine, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina.
Amy Catherine HulbergThe Health Initiative, Boston, Massachusetts.
Hilary PlaczekHealth Leads, Boston, Massachusetts.
Anya DangoraHealth Leads, Boston, Massachusetts.
Jason GomezHealth Leads, Boston, Massachusetts.
Sara StandishHealth Leads, Boston, Massachusetts.
Steven J AtlasDivision of General Internal Medicine, Massachusetts General Hospital, Boston, Massachusetts.

Funding

Understanding & Overcoming Food Insecurity in Diabetes PatientsK23DK109200 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BERKOWITZ, SETH A · 2016 to 2020
$973k
NIDDK NIH HHS K23 DK109200
6 · The paper itself

Abstract

Linking individuals to community resources in order to help meet health-related social needs, such as food, medications, or transportation, may improve clinical outcomes. However, little is known about the mechanisms whereby such linkage interventions might improve health. The authors conducted a mixed-methods analysis consisting of outcomes from a prospective cohort study of a linkage intervention and a qualitative analysis of case records from participants. The cohort study included intervention participants who first enrolled between December 2014 and March 2015. Participants were excluded if they could not complete the assessment because of illness or language. The authors examined changes in cost-related medication underuse (CRMU), transportation barriers, and food insecurity (FI). For the qualitative analysis, a random sample of 80 participants was selected for electronic health record review - 40 cases who showed clinical improvement (responders) and 40 cases who did not (nonresponders). Themes were extracted by 3 reviewers guided by the immersion/crystallization approach. For the cohort study, 141 individuals were included; 138 (97.9%) completed follow-up. Comparing baseline to follow-up, there were significant reductions in the prevalence of CRMU (from 44.2% to 39.1%,

Indexed as

Quality ImprovementSocial Determinants of HealthAdultAgedCohort StudiesFemaleFood SupplyHealth SurveysHumansInterviews as TopicMaleMassachusettsMiddle AgedNeeds AssessmentPopulation SurveillanceQualitative Researchcost-related medication underusefood insecuritypopulation healthsocial determinants of health

Identifiers

PMID30562141
PMCPMC6765205

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.