Evidence map›Paper›PMID 39849274›Full record

Trial reportJournal of general internal medicine2025

Screening and Referral for Social Needs Among Veterans: A Randomized Controlled Trial.

Deborah Gurewich, Kelly Hunt, Barbara Bokhour, Gemmae Fix, Hannah Friedman, Mingfei Li, Amy M Linsky, Barbara Niles, Melissa Dichter

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Journal of general internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04977583 (The Effect of Screening and Referral for Social Determinants of Health on Veterans' Outcomes), which is not on this 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.

NCT04977583 nacompletednot on this map

The Effect of Screening and Referral for Social Determinants of Health on Veterans' Outcomes

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2022 to 2023Enrolled479ConditionsCardiovascular Disease, Hypertension, Diabetes Mellitus, HyperlipidemiaArmsUnmet Need Screening, Unmet Need Referral - Resource Sheet, Unmet Need Referral Assistance
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

9 authors.

Deborah GurewichCenter for Healthcare Organization and Implementation Research, VA Boston Healthcare System, Boston, MA, USA. Deborah.Gurewich@va.gov.ORCID 0000-0002-9398-7646
Kelly HuntCharleston Health Equity and Rural Outreach Innovation Center, Ralph H. Johnson VA Medical Center, Charleston, SC, USA.
Barbara BokhourCenter for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, MA, USA.
Gemmae FixSection of General Internal Medicine, Boston University School of Medicine, Boston, MA, USA.
Hannah FriedmanCenter for Healthcare Organization and Implementation Research, VA Boston Healthcare System, Boston, MA, USA.
Mingfei LiCenter for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, MA, USA.
Amy M LinskyCenter for Healthcare Organization and Implementation Research, VA Boston Healthcare System, Boston, MA, USA.
Barbara NilesNational Center for PTSD, VA Boston Healthcare System, Boston, MA, USA.
Melissa DichterCenter for Health Equity Research and Promotion, Crescenz VA Medical Center, Philadelphia, PA, USA.

Funding

Health Services Research and Development IIR 19-013HSRD VA I01 HX003060
6 · The paper itself

Abstract

backgroundHealthcare-based social need screening and referral (S&R) among adult populations has produced equivocal results regarding social need resource connection.

objectiveAssess the efficacy of S&R on resource connection (primary outcome) and unmet need reduction (secondary outcome).

designIntention-to-treat randomized controlled trial. Analyses adjusted for demographics (e.g., age, race), comorbidity (Elixhauser), and VA priority group (PG).

participantsVeterans with and at-risk for cardiovascular disease and one of more (hereafter " ≥ 1") social needs receiving healthcare at one of three Veterans Healthcare Administration (VHA) medical facilities.

interventionStudy arms represented referral strategies of varying intensity. Arm 1 (control) received generic resource information; Arm 2 (low intensity) received generic and tailored resource information; Arm 3 (high intensity) received all the above plus social work navigation assistance. MAIN MEASURES: Post index surveys at 2-months assessed resource connection (connection to ≥ 1 new resources) and 6-months assessed need reduction (≥ 1 needs at the index screen no longer identified). KEY

resultsA total of 479 Veterans were randomized: 50% were minoritized Veterans, mean age was 64, and 91% were male. Arm 3 was associated with greater resource connection but differences across study arms were not statistically significant. For example, compared to the control arm, participants in Arm 3 had higher but non-statistically significant odds of connecting to ≥ 1 resources (OR = 1.60, CI [.96, 2.67]).

conclusionsAmong VHA-enrolled Veterans, a high-intensity S&R intervention was associated with a non-statistically significant increase in connection to social need resources. Further study needed to establish S&R efficacy.

trial registrationNCT04977583.

Indexed as

Mass ScreeningReferral and ConsultationVeteransAdultAgedFemaleHumansMaleMiddle AgedUnited StatesUnited States Department of Veterans AffairsCardiovascular diseaseRandomized controlled trialSocial needsVeterans

Identifiers

PMID39849274
PMCPMC12405108

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Registered trials

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.