Evidence map›Paper›PMID 36895054›Full record

ArticlePilot and feasibility studies2023

A feasibility and acceptability study of screening the parents/guardians of pediatric dental patients for the social determinants of health.

Raghbir Kaur, Martin Lieberman, Margaret K Mason, Isaac P Dapkins, Rebecca Gallager, Kathleen Hopkins, Yinxiang Wu, Andrea B Troxel, Ayah Rashwan, Chelsea Hope and 2 more

Open access · goldAbstract read
In one paragraph

Article in Pilot and feasibility studies, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

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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

12 authors at 3 institutions in 1 country.

Raghbir KaurDepartment of Dental Medicine, Advanced Education in Pediatric Dentistry Program, Family Health Centers at NYU Langone, 150 55Th Street, First Floor, Brooklyn, NY, 11220, USA.
Martin LiebermanGraduate Dental Education and Distance Learning, NYU Langone Dental Medicine Postdoctoral Residency Programs, Family Health Centers at NYU Langone, Department of Dental Medicine, Hansjörg Wyss Department of Plastic Surgery, NYU Grossman School of Medicine, 5800 Third Avenue, Third Floor, Brooklyn, NY, 11220, USA.
Margaret K MasonDepartment of Dental Medicine, Family Health Centers at NYU Langone, 5800 Third Avenue, Room 320, Brooklyn, NY, 11220, USA.
Isaac P DapkinsDepartments of Medicine and Population Health, Family Health Centers at NYU Langone, NYU Grossman School of Medicine, 5800 Third Avenue, Suite 2-020, Brooklyn, NY, 11220, USA.
Rebecca GallagerYouth and Adolescent Services, Family Health Centers at NYU Langone, 150 55Th Street, Brooklyn, NY, 11256, USA.
Kathleen HopkinsDepartment of Community Programs, Family Health Centers at NYU Langone, 6025 6Th Avenue, Second Floor, Brooklyn, NY, 11220, USA.
Yinxiang WuDepartment of Population Health, NYU Grossman School of Medicine, 180 Madison Avenue, Fifth Floor, New York, NY, 10016, USA.
Andrea B TroxelDivision of Biostatistics, Department of Population Health, NYU Grossman School of Medicine, 180 Madison Avenue, Fifth Floor, 5-55, New York, NY, 10016, USA.
Ayah RashwanDepartment of Dental Medicine, Advanced Education in Pediatric Dentistry Program, Family Health Centers at NYU Langone, 150 55Th Street, First Floor, Brooklyn, NY, 11220, USA.
Chelsea HopeDepartment of Dental Medicine, Advanced Education in Pediatric Dentistry Program, Family Health Centers at NYU Langone, 150 55Th Street, First Floor, Brooklyn, NY, 11220, USA.
Daniel J KaneDepartment of Dental Medicine, Advanced Education in Pediatric Dentistry Program, Family Health Centers at NYU Langone, 150 55Th Street, Third Floor, Brooklyn, NY, 11220, USA.
Mary E NorthridgeFamily Health Centers at NYU Langone, Department of Dental Medicine, Hansjörg Wyss Department of Plastic Surgery, NYU Grossman School of Medicine, 5800 Third Avenue, Room 344, Brooklyn, NY, 11220, USA. Mary.Northridge@nyulangone.org.ORCID http://orcid.org/0000-0003-0358-8930
Lutheran Family Health Centers · USNew York University · USYouth & Family Services · US

Funding

HRSA HHS D88HP37549
6 · The paper itself

Abstract

backgroundThe social determinants of health (SDOH) are the conditions in which people are born, grow, work, live, and age. Lack of SDOH training of dental providers on SDOH may result in suboptimal care provided to pediatric dental patients and their families. The purpose of this pilot study is to report the feasibility and acceptability of SDOH screening and referral by pediatric dentistry residents and faculty in the dental clinics of Family Health Centers at NYU Langone (FHC), a Federally Qualified Health Center (FQHC) network in Brooklyn, NY, USA.

methodsGuided by the Implementation Outcomes Framework, 15 pediatric dentists and 40 pediatric dental patient-parent/guardian dyads who visited FHC in 2020-2021 for recall or treatment appointments participated in this study. The a priori feasibility and acceptability criteria for these outcomes were that after completing the Parent Adversity Scale (a validated SDOH screening tool), ≥ 80% of the participating parents/guardians would feel comfortable completing SDOH screening and referral at the dental clinic (acceptable), and ≥ 80% of the participating parents/guardians who endorsed SDOH needs would be successfully referred to an assigned counselor at the Family Support Center (feasible).

resultsThe most prevalent SDOH needs endorsed were worried within the past year that food would run out before had money to buy more (45.0%) and would like classes to learn English, read better, or obtain a high school degree (45.0%). Post-intervention, 83.9% of the participating parents/guardians who expressed an SDOH need were successfully referred to an assigned counselor at the Family Support Center for follow-up, and 95.0% of the participating parents/guardians felt comfortable completing the questionnaire at the dental clinic, surpassing the a priori feasibility and acceptability criteria, respectively. Furthermore, while most (80.0%) of the participating dental providers reported being trained in SDOH, only one-third (33.3%) usually or always assess SDOH for their pediatric dental patients, and most (53.8%) felt minimally comfortable discussing challenges faced by pediatric dental patient families and referring patients to resources in the community.

conclusionsThis study provides novel evidence of the feasibility and acceptability of SDOH screening and referral by dentists in the pediatric dental clinics of an FQHC network.

Indexed as

Community health centersCommunity resourcesDelivery of health careFederally Qualified Health CenterHealth equityInterprofessional educationPediatric dentistryQuality of health careScreeningSocial determinants of health (10; limit = 10)

Identifiers

PMID36895054
PMCPMC9996555
OpenAlexW4323655967

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.