Evidence map›Paper›PMID 31068394›Full record

ArticleJournal of the American Board of Family Medicine : JABFM

Provider and Staff Feedback on Screening for Social and Behavioral Determinants of Health for Pediatric Patients.

Elena Byhoff, Arvin Garg, Michelle Pellicer, Yareliz Diaz, Grace H Yoon, Martin P Charns, Mari-Lynn Drainoni

Open access · diamondAbstract read
In one paragraph

Article in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
14.3field-weighted citation impact, top 1% of its field
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

38 citing papers in PubMed, 61 citations in OpenAlex.

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  8. Impact of systematic screening for social determinants of health in a level IV neonatal intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2025
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  19. Validation of a Script to Facilitate Social Determinant of Health Conversations with Adolescent Patients.International journal of environmental research and public health · 2022
    Article
  20. Article
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 at 4 institutions in 1 country.

Elena ByhoffFrom the Department of Medicine, Tufts Medical Center; Institute for Clinical Research and Health Policy Studies, Tufts CTSI, Boston, MA (EB); Department of Medicine, Tufts University School of Medicine, Boston (EB); Department of Pediatrics, Boston University School of Medicine, Boston Medical Center, Boston (AG, MP); Department of Health Law Policy & Management, Boston University School of Public Health, Boston (YD, GHY, MPC, M-LD); VA Center for Healthcare Organization and Implementation Research, Department of Veterans Affairs, Boston, MA (MPC); Section of Infectious Diseases, Evans Center for Implementation and Improvement Sciences, Department of Medicine, Boston University School of Medicine, Boston (M-LD). ebyhoff@tuftsmedicalcenter.org.
Arvin GargFrom the Department of Medicine, Tufts Medical Center; Institute for Clinical Research and Health Policy Studies, Tufts CTSI, Boston, MA (EB); Department of Medicine, Tufts University School of Medicine, Boston (EB); Department of Pediatrics, Boston University School of Medicine, Boston Medical Center, Boston (AG, MP); Department of Health Law Policy & Management, Boston University School of Public Health, Boston (YD, GHY, MPC, M-LD); VA Center for Healthcare Organization and Implementation Research, Department of Veterans Affairs, Boston, MA (MPC); Section of Infectious Diseases, Evans Center for Implementation and Improvement Sciences, Department of Medicine, Boston University School of Medicine, Boston (M-LD).
Michelle PellicerFrom the Department of Medicine, Tufts Medical Center; Institute for Clinical Research and Health Policy Studies, Tufts CTSI, Boston, MA (EB); Department of Medicine, Tufts University School of Medicine, Boston (EB); Department of Pediatrics, Boston University School of Medicine, Boston Medical Center, Boston (AG, MP); Department of Health Law Policy & Management, Boston University School of Public Health, Boston (YD, GHY, MPC, M-LD); VA Center for Healthcare Organization and Implementation Research, Department of Veterans Affairs, Boston, MA (MPC); Section of Infectious Diseases, Evans Center for Implementation and Improvement Sciences, Department of Medicine, Boston University School of Medicine, Boston (M-LD).
Yareliz DiazFrom the Department of Medicine, Tufts Medical Center; Institute for Clinical Research and Health Policy Studies, Tufts CTSI, Boston, MA (EB); Department of Medicine, Tufts University School of Medicine, Boston (EB); Department of Pediatrics, Boston University School of Medicine, Boston Medical Center, Boston (AG, MP); Department of Health Law Policy & Management, Boston University School of Public Health, Boston (YD, GHY, MPC, M-LD); VA Center for Healthcare Organization and Implementation Research, Department of Veterans Affairs, Boston, MA (MPC); Section of Infectious Diseases, Evans Center for Implementation and Improvement Sciences, Department of Medicine, Boston University School of Medicine, Boston (M-LD).
Grace H YoonFrom the Department of Medicine, Tufts Medical Center; Institute for Clinical Research and Health Policy Studies, Tufts CTSI, Boston, MA (EB); Department of Medicine, Tufts University School of Medicine, Boston (EB); Department of Pediatrics, Boston University School of Medicine, Boston Medical Center, Boston (AG, MP); Department of Health Law Policy & Management, Boston University School of Public Health, Boston (YD, GHY, MPC, M-LD); VA Center for Healthcare Organization and Implementation Research, Department of Veterans Affairs, Boston, MA (MPC); Section of Infectious Diseases, Evans Center for Implementation and Improvement Sciences, Department of Medicine, Boston University School of Medicine, Boston (M-LD).
Martin P CharnsFrom the Department of Medicine, Tufts Medical Center; Institute for Clinical Research and Health Policy Studies, Tufts CTSI, Boston, MA (EB); Department of Medicine, Tufts University School of Medicine, Boston (EB); Department of Pediatrics, Boston University School of Medicine, Boston Medical Center, Boston (AG, MP); Department of Health Law Policy & Management, Boston University School of Public Health, Boston (YD, GHY, MPC, M-LD); VA Center for Healthcare Organization and Implementation Research, Department of Veterans Affairs, Boston, MA (MPC); Section of Infectious Diseases, Evans Center for Implementation and Improvement Sciences, Department of Medicine, Boston University School of Medicine, Boston (M-LD).
Mari-Lynn DrainoniFrom the Department of Medicine, Tufts Medical Center; Institute for Clinical Research and Health Policy Studies, Tufts CTSI, Boston, MA (EB); Department of Medicine, Tufts University School of Medicine, Boston (EB); Department of Pediatrics, Boston University School of Medicine, Boston Medical Center, Boston (AG, MP); Department of Health Law Policy & Management, Boston University School of Public Health, Boston (YD, GHY, MPC, M-LD); VA Center for Healthcare Organization and Implementation Research, Department of Veterans Affairs, Boston, MA (MPC); Section of Infectious Diseases, Evans Center for Implementation and Improvement Sciences, Department of Medicine, Boston University School of Medicine, Boston (M-LD).
Boston University · USTufts University · USBoston Medical Center · USTufts Medical Center · US

Funding

Tufts BIRCWH ProgramK12HD092535 · NICHD · TUFTS UNIVERSITY BOSTON · PI FREUND, KAREN, JAFFE, IRIS Z · 2017 to 2023
$4.3M
Reducing Socioeconomic Disparities in Health at Pediatric VisitsR01MD007793 · NIMHD · BOSTON MEDICAL CENTER · PI GARG, ARVIN · 2014 to 2018
$2.0M
NICHD NIH HHS K12 HD092535NIMHD NIH HHS R01 MD007793
6 · The paper itself

Abstract

introductionScreening and referral for Social and Behavioral Determinants of Health (SDOH) are increasingly recommended in clinical guidelines and consensus statements. It is important to understand barriers and facilitators to implementation of standardized SDOH screening and referral practices, as well as the scope of current existing SDOH screening.

methodsWe conducted a mixed-methods study to understand the current state of SDOH screening and to assess the barriers and facilitators to implementing a standardized SDOH screening and referral practice in Boston community health centers (CHCs) for pediatric patients. We requested all SDOH screening documents from 15 Boston CHCs and conducted provider and staff focus groups at intervention sites of an SDOH implementation pilot in Boston.

resultsAll CHCs screened in some form for SDOH, but there was no agreement on which domains to screen. Participating CHCs screened for a mean of 8 SDOH domains (range, 5 to 16). Overall, 16 SDOH domains emerged. From the focus groups, 5 themes emerged: 1) provider perspectives, 2) work flow, 3) prior experience, 4) site resources and staffing, and 5) sustainability. There was little agreement among participants within each theme, as all were seen as barriers and facilitators depending on the respondent. DISCUSSION: This study highlights the various SDOH screening methods currently used in Boston CHCs, and the need for workflow and process individualization of SDOH screening and referral. Providers and clinical staff should be part of the discussion when implementing SDOH screening and referral procedures to ensure appropriate work flow, staff buy-in, and to maximize resources available.

Indexed as

Health Status DisparitiesSocial Determinants of HealthAdolescentBostonChildCommunity Health CentersHealth Plan ImplementationHumansMass ScreeningMinority GroupsPilot ProjectsProgram EvaluationQualitative ResearchReferral and ConsultationBostonCommunity Health CentersCommunity MedicineFocus GroupsHealthcare DisparitiesPrimary Health CarePublic HealthQualitative ResearchSocial Determinants of HealthWorkflow

Identifiers

PMID31068394
PMCPMC12794923
OpenAlexW2943909939

What OpenQuestion holds

Textmetadata
LicenceTDM
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.