Evidence map›Paper›PMID 38846737›Full record

ArticleEthnicity & disease2023

Developing a Social Determinants of Health Needs Assessment for Colorado Kids (SNACK) Tool for a School-Based Asthma Program: Findings from a Pilot Study.

Sarah E Brewer, Lisa R DeCamp, Julia Reedy, Rachel Armstrong, Heather H DeKeyser, Monica J Federico, Arthur McFarlane, Gino Figlio, Amy G Huebschmann, Stanley J Szefler and 1 more

Abstract read
In one paragraph

Article in Ethnicity & disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

11 authors.

Sarah E BrewerAdult and Child Consortium for Outcomes Research and Delivery Science, Aurora, CO.
Lisa R DeCampAdult and Child Consortium for Outcomes Research and Delivery Science, Aurora, CO.
Julia ReedyAdult and Child Consortium for Outcomes Research and Delivery Science, Aurora, CO.
Rachel ArmstrongAdult and Child Consortium for Outcomes Research and Delivery Science, Aurora, CO.
Heather H DeKeyserUniversity of Colorado School of Medicine, Department of Pediatrics, Aurora, CO.
Monica J FedericoUniversity of Colorado School of Medicine, Department of Pediatrics, Aurora, CO.
Arthur McFarlaneBreathing Institute, Children's Hospital Colorado, Aurora, CO.
Gino FiglioHigh Plains Community Health Center, Lamar, CO.
Amy G HuebschmannAdult and Child Consortium for Outcomes Research and Delivery Science, Aurora, CO.
Stanley J SzeflerUniversity of Colorado School of Medicine, Department of Pediatrics, Aurora, CO.
Lisa CicuttoNational Jewish Health and University of Colorado College of Nursing and Clinical Science, Denver, CO.

Funding

Reducing Asthma Attacks in Disadvantaged School Children with AsthmaUH3HL151297 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI Lisa Cicutto, Amy Grotelueschen Huebschmann · 2023 to 2026
$4.1M
Reducing Asthma Attacks in Disadvantaged School Children with AsthmaUG3HL151297 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI CICUTTO, LISA, HUEBSCHMANN, AMY GROTELUESCHEN · 2020 to 2022
$2.9M
NHLBI NIH HHS UG3 HL151297NHLBI NIH HHS UH3 HL151297
6 · The paper itself

Abstract

Background: School-based asthma programs effectively address poorly controlled asthma and asthma disparities, especially when coupled with screening for and addressing social determinants of health (SDOH) needs. Existing screening tools are tailored to clinical settings; therefore, we sought to develop a community-based SDOH screening tool. Design/Methods: We used a four-phase iterative design process to develop and pilot a community-based screening tool. We used a modified Delphi process to identify screening tool domains, identified validated items for inclusion, and developed an appropriate tool layout for populations with limited health/general literacy. Community advisory boards reviewed and refined a draft tool. Next, we conducted a qualitative pilot test of acceptability to parents and feasibility for staff in a community health center. Results: Six domains are included in our SDOH screening tool: health care access, transportation, food insecurity, public benefits, housing, and utilities. In the pilot test, 41 screenings were completed, and 36 parents (16.7% Spanish speaking) provided feedback. Most families understood the purpose of the screening; felt that the questions were clear, appropriate, and quick to complete; and liked the pictures. The clinic's care coordinator expressed a preference for the pilot tool compared to their existing screening tool and recommended improvements to encourage honest reporting by patients. Conclusion: This community-based screening tool addresses key SDOH needs that impact asthma and is acceptable to families. The next steps are to implement the tool in school-based asthma programs to support improvements in asthma outcomes and disparities by identifying and addressing families' unmet SDOH needs.

Indexed as

AsthmaNeeds AssessmentSchool Health ServicesSocial Determinants of HealthChildColoradoDelphi TechniqueFemaleFood InsecurityHealth Services AccessibilityHumansMaleMass ScreeningParentsPilot ProjectsAsthmaHealth EquityPediatricsScreening ToolsSocial Determinants of Health

Identifiers

PMID38846737
PMCPMC11895552

What OpenQuestion holds

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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.