Evidence map›Paper›PMID 38982469›Full record

ArticleBMC health services research2024

Implementation of social needs screening for minoritized patients newly diagnosed with breast cancer: a mixed methods evaluation in a pragmatic patient navigation trial.

Stephenie C Lemon, Amy M LeClair, Erika Christenson, Deborah Amburgey, Madyson FitzGerald, Howard Cabral, Chris Lloyd-Travaglini, Cheryl R Clark, Feng Qing Wang, Joellen Ross and 5 more

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Article in BMC health services research, 2024. 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.

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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

15 authors.

Stephenie C LemonDivision of Preventive and Behavioral Medicine, UMass Chan Medical School, 55 Lake Avenue North, Worcester, MA, 01655, USA. stephenie.lemon@umassmed.edu.
Amy M LeClairTufts Medical Center, Boston, MA, USA.
Erika ChristensonBoston Medical Center, Boston, MA, USA.
Deborah AmburgeyBoston Medical Center, Boston, MA, USA.
Madyson FitzGeraldBoston Medical Center, Boston, MA, USA.
Howard CabralBoston University School of Public Health, Boston, MA, USA.
Chris Lloyd-TravagliniBoston University School of Public Health, Boston, MA, USA.
Cheryl R ClarkBrigham and Women's Hospital, Boston, MA, USA.
Feng Qing WangTufts Medical Center, Boston, MA, USA.
Joellen RossBeth Israel Deaconess Medical Center, Boston, MA, USA.
Ellen OhrenbergerBeth Israel Deaconess Medical Center, Boston, MA, USA.
Jennifer S HaasMassachusetts General Hospital, Boston, MA, USA.
Karen N FreundTufts Medical Center, Boston, MA, USA.
Tracy A BattagliaBoston Medical Center, Boston, MA, USA.
TRIP Consortium [representative Tracy A. Battaglia

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSocial needs inhibit receipt of timely medical care. Social needs screening is a vital part of comprehensive cancer care, and patient navigators are well-positioned to screen for and address social needs. This mixed methods project describes social needs screening implementation in a prospective pragmatic patient navigation intervention trial for minoritized women newly diagnosed with breast cancer.

methodsTranslating Research Into Practice (TRIP) was conducted at five cancer care sites in Boston, MA from 2018 to 2022. The patient navigation intervention protocol included completion of a social needs screening survey covering 9 domains (e.g., food, transportation) within 90 days of intake. We estimated the proportion of patients who received a social needs screening within 90 days of navigation intake. A multivariable log binomial regression model estimated the adjusted rate ratios (aRR) and 95% confidence intervals (CI) of patient socio-demographic characteristics and screening delivery. Key informant interviews with navigators (n = 8) and patients (n = 21) assessed screening acceptability and factors that facilitate and impede implementation. Using a convergent, parallel mixed methods approach, findings from each data source were integrated to interpret study results.

resultsPatients' (n = 588) mean age was 59 (SD = 13); 45% were non-Hispanic Black and 27% were Hispanic. Sixty-nine percent of patients in the navigators' caseloads received social needs screening. Patients of non-Hispanic Black race/ethnicity (aRR = 1.25; 95% CI = 1.06-1.48) and those with Medicare insurance (aRR = 1.13; 95% CI = 1.04-1.23) were more likely to be screened. Screening was universally acceptable to navigators and generally acceptable to patients. Systems-based supports for improving implementation were identified.

conclusionsSocial needs screening was acceptable, yet with modest implementation. Continued systems-based efforts to integrate social needs screening in medical care are needed.

Indexed as

Breast NeoplasmsPatient NavigationAdultAgedBostonFemaleHumansMiddle AgedNeeds AssessmentProspective StudiesBreast cancerImplementationMixed methodsPatient navigationSocial needs

Identifiers

PMID38982469
PMCPMC11234663

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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.