Evidence map›Paper›PMID 38702643›Full record

ArticleBMC pediatrics2024

Acceptability and feasibility of screening with a pediatric care provider-led social determinants of health identification tool.

Alison Eyre, Janice Cohen, Sarah Funnell, Lynsey James, Sheena Guglani, Hounaida Abi Haidar, Lindy Samson, Michelle Ward, Radha Jetty, Megan Harrison and 6 more

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In one paragraph

Article in BMC pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

16 authors.

Alison EyreDepartment of Family Medicine, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada. alison.eyre@aeyre.com.
Janice CohenDepartment of Psychiatry, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Sarah FunnellDepartment of Family Medicine, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Lynsey JamesCentretown Community Health Centre, Ottawa, ON, Canada.
Sheena GuglaniDepartment of Family Medicine, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Hounaida Abi HaidarDepartment of Family Medicine, Faculty of Medicine, Queen's University, Kingston, ON, Canada.
Lindy SamsonChildren's Hospital of Eastern Ontario, Ottawa, ON, Canada.
Michelle WardChildren's Hospital of Eastern Ontario, Ottawa, ON, Canada.
Radha JettyChildren's Hospital of Eastern Ontario, Ottawa, ON, Canada.
Megan HarrisonChildren's Hospital of Eastern Ontario, Ottawa, ON, Canada.
John S LyonsCentre for Innovation in Population Health, University of Kentucky, Lexington, KY, USA.
Leigh Fraser-RobertsChildren's Hospital of Eastern Ontario, Ottawa, ON, Canada.
Susan BennettChildren's Hospital of Eastern Ontario, Ottawa, ON, Canada.
Douglas ArchibaldDepartment of Family Medicine, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Soha KhorsandFaculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Tobey AudcentChildren's Hospital of Eastern Ontario, Ottawa, ON, Canada.

Funding

PRIME Grant, Department of Family Medicine of the Faculty of Medicine #939501601
6 · The paper itself

Abstract

backgroundComplex social determinants of health may not be easily recognized by health care providers and pose a unique challenge in the vulnerable pediatric population where patients may not be able to advocate for themselves. The goal of this study was to examine the acceptability and feasibility of health care providers using an integrated brief pediatric screening tool in primary care and hospital settings.

methodsThe framework of the Child and Adolescent Needs and Strengths (CANS) and Pediatric Intermed tools was used to inform the selection of items for the 9-item Child and Adolescent Needs and Strengths-Pediatric Complexity Indicator (CANS-PCI). The tool consisted of three domains: biological, psychological, and social. Semi-structured interviews were conducted with health care providers in pediatric medical facilities in Ottawa, Canada. A low inference and iterative thematic synthesis approach was used to analyze the qualitative interview data specific to acceptability and feasibility.

resultsThirteen health care providers participated in interviews. Six overarching themes were identified: acceptability, logistics, feasibility, pros/cons, risk, and privacy. Overall, participants agreed that a routine, trained provider-led pediatric tool for the screening of social determinants of health is important (n = 10, 76.9%), acceptable (n = 11; 84.6%), and feasible (n = 7, 53.8%).

interpretationThough the importance of social determinants of health are widely recognized, there are limited systematic methods of assessing, describing, and communicating amongst health care providers about the biomedical and psychosocial complexities of pediatric patients. Based on this study's findings, implementation of a brief provider-led screening tool into pediatric care practices may contribute to this gap.

Indexed as

Feasibility StudiesMass ScreeningSocial Determinants of HealthAdolescentAttitude of Health PersonnelChildFemaleHumansInterviews as TopicMalePediatricsPrimary Health CareQualitative ResearchMeSH terms: PediatricsMeSH terms: Social Determinants of HealthNon-MeSH terms: Screening tool

Identifiers

PMID38702643
PMCPMC11067211

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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.