ArticleImplementation science : IS2019
Study protocol: a pragmatic, stepped-wedge trial of tailored support for implementing social determinants of health documentation/action in community health centers, with realist evaluation.
Article in Implementation science : IS, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 28 papers, 2 of them syntheses that pooled 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.
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.
ASCEND: ApproacheS to CHC ImplEmeNtation of SDH Data Collection and Action
Addressing Unmet Social Needs Among Hospitalized Children
Who cites it
28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- A Systematic Review of Electronic Community Resource Referral Systems.American journal of preventive medicine · 2023Pooled it
- Evaluation of Social Impact Within Primary School Health Promotion: A Systematic Review.The Journal of school health · 2022Pooled it
- Social Risk-Informed Decision Support and Blood Pressure Control in a Primary Care Cluster Randomized Controlled Trial.Annals of family medicine · 2026Trial
- The ADVANCE Clinical Research Network Past, Present, and Future: Accelerating Partnerships for Patient-Centered Research in Community-based Primary Care Settings.Medical care · 2026Article
- Article
- The Combined and Comparative Impacts of Financial Incentives Versus Practice Facilitation Implementation Support for Social Risk Screening in Community Health Centers.Health services research · 2025Article
- School-Based Health Providers' Approaches to Social Risk Screening for Pediatric Asthma: A Qualitative Study.Pediatric pulmonology · 2025Article
- Realizing the potential of social determinants data in EHR systems: A scoping review of approaches for screening, linkage, extraction, analysis, and interventions.Journal of clinical and translational science · 2024Article
- Social Risk Screening and Response Equity: Assessment by Race, Ethnicity, and Language in Community Health Centers.American journal of preventive medicine · 2023Article
- Study protocol: Type III hybrid effectiveness-implementation study implementing Age-Friendly evidence-based practices in the VA to improve outcomes in older adults.Implementation science communications · 2023Article
- Implementation Support for a Social Risk Screening and Referral Process in Community Health Centers.NEJM catalyst innovations in care delivery · 2023Article
- Delivering Food Resources and Kitchen Skills (FoRKS) to Adults with Food Insecurity and Hypertension: A Pilot Study.Nutrients · 2023Article
- Finding meaning: a realist-informed perspective on social risk screening and relationships as mechanisms of change.Frontiers in health services · 2023Article
- Pediatric primary care provider and staff perspectives on the implementation of electronic health record-based social needs interventions: A mixed-methods study.Journal of clinical and translational science · 2023Article
- Study protocol: understanding pain after dental procedures, an observational study within the National Dental PBRN.BMC oral health · 2022Article
- The role of behavioral science in addressing cardiovascular health disparities: A narrative review of efforts, challenges, and future directions.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2022Review
- Post-Identification Approaches to Addressing Health-Related Social Needs in Primary Care: A Qualitative Study.Journal of general internal medicine · 2022Article
- An embedded multiple case study: using CFIR to map clinical food security screening constructs for the development of primary care practice guidelines.BMC public health · 2022Article
- The Lonely Brain - Associations Between Social Isolation and (Cerebro-) Vascular Disease From the Perspective of Social Neuroscience.Frontiers in integrative neuroscience · 2022Article
- Evaluation of a social determinants of health screening questionnaire and workflow pilot within an adult ambulatory clinic.BMC family practice · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
16 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundNational leaders recommend documenting social determinants of health and actions taken to address social determinants of health in electronic health records, and a growing body of evidence suggests the health benefits of doing so. However, little evidence exists to guide implementation of social determinants of health documentation/action.
methodsThis paper describes a 5-year, mixed-methods, stepped-wedge trial with realist evaluation, designed to test the impact of providing 30 community health centers with step-by-step guidance on implementing electronic health record-based social determinants of health documentation. This guidance will entail 6 months of tailored support from an interdisciplinary team, including training and technical assistance. We will report on tailored support provided at each of five implementation steps; impact of tailored implementation support; a method for tracking such tailoring; and context-specific pathways through which these tailored strategies effect change. We will track the competencies and resources needed to support the study clinics' implementation efforts. DISCUSSION: Results will inform how to tailor implementation strategies to meet local needs in real-world practice settings. Secondary analyses will assess impacts of social determinants of health documentation and referral-making on diabetes outcomes. By learning whether and how scalable, tailored implementation strategies help community health centers adopt social determinants of health documentation and action, this study will yield timely guidance to primary care providers. We are not aware of previous studies exploring implementation strategies that support adoption of social determinants of action using electronic health and interventions, despite the pressing need for such guidance.
trial registrationclinicaltrials.gov, NCT03607617 , registration date: 7/31/2018-retrospectively registered.
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What OpenQuestion holds
Registered trials
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.