Evidence map›Paper›PMID 39349900›Full record

ArticleJournal of racial and ethnic health disparities2025

A Proactive Telephonic Outreach Program to Address Unmet Social Needs of Children in Immigrant and Refugee Families at a Federally Qualified Health Center.

Sarah Norton, Emily Esmaili, Weston Williams, Amy Labrador, Carolyn Crowder, Rushina Cholera

Abstract read
In one paragraph

Article in Journal of racial and ethnic health disparities, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

6 authors.

Sarah NortonDuke Global Health Institute, Duke University, Durham, NC, USA.
Emily EsmailiDuke Global Health Institute, Duke University, Durham, NC, USA.
Weston WilliamsPublic Health Analytic Consulting Services, Hillsborough, NC, USA.
Amy LabradorTrinity School of Arts and Sciences, Duke University, Durham, NC, USA.
Carolyn CrowderDepartment of Behavioral Health, Lincoln Community Health Center, Durham, NC, USA.
Rushina CholeraDepartment of Pediatrics, Department of Population Health Sciences, and the Margolis Institute for Health Policy, Duke University, Durham, NC, USA. rushina.cholera@duke.edu.ORCID 0000-0003-2843-3812

Funding

Duke Center for Advancement of Child Health (CAtCH)K12HD105253 · NICHD · DUKE UNIVERSITY · PI Corinne Mary Linardic, Ann M. Reed · 2021 to 2026
$1.5M
National Institute of Health K12-HD105253NICHD NIH HHS K12 HD105253
6 · The paper itself

Abstract

objectiveWe developed a telephonic outreach and care coordination program for children in immigrant and refugee families (CIRF) at a federally qualified health center (FQHC) in North Carolina to address unmet health-related social needs (HRSN).

methodsParticipants were recruited between December 2020 and October 2021. Eligible children were ages 0-5, non-English speaking, and were seen at the FQHC in the 2 years prior. A bicultural/bilingual case manager completed telephonic outreach to caregivers of participants with HRSN screening. Bilingual patient navigators made follow-up calls to assess connection to resources and to develop strategies for addressing unmet needs.

resultsThree hundred forty-two families received outreach; 212 (62.0%) completed the baseline questionnaire. The majority (N = 160, 75.5%) completed at least one follow-up. The majority (N = 186, 88.1%) were Spanish-speaking, and over two-thirds (N = 149, 70.3%) were uninsured. Most participants had between 3-5 HRSNs identified (N = 121, 57.1%); "employment" (n = 158, 74.5%) and "food" (n = 138, 65.1%) were the most common. Despite repeated assistance, the majority of participants struggled to link to a community resource for their highest priority need (N = 123, 78.3%).

conclusionProactive phone-based HRSN screening may be a feasible and effective intervention to facilitate the identification of social needs for CIRF. The delivery of the intervention in languages other than English may have further contributed to program acceptability. Despite program feasibility and acceptability, community-level barriers to the resolution of HRSNs persist. While similar care coordination models can be considered to identify the high burden of unmet HRSN among CIRF, addressing the limited capacity of community-based resources for this population will be a critical component to ensuring the sustainability of such programs.

Indexed as

Emigrants and ImmigrantsHealth Services Needs and DemandRefugeesChild, PreschoolFemaleHumansInfantInfant, NewbornMaleNorth CarolinaTelephoneChildren of immigrant and refugee familiesHealth disparitiesHealth-related social needs (HRSNs)Social needs screening

Identifiers

PMID39349900
PMCPMC11973977

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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.