Evidence map›Paper›PMID 40490189›Full record

ArticleAcademic pediatrics

Feasibility, Acceptability, and Appropriateness of Screening and Referring for Social Risks in a Community Hospital Setting.

Jana C Leary, Hannah Bagley, Frank P Giacchetto, Kayley Pate, Amy M Foote, Jennifer E Murzycki, Karen M Freund, Arvin Garg, Christopher P Landrigan

Abstract read
In one paragraph

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

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

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

9 authors.

Jana C LearyDivision of General Pediatrics (JC Leary and CP Landrigan), Boston Children's Hospital, Boston, Mass. Electronic address: jana.leary@childrens.harvard.edu.
Hannah BagleyDepartment of Pediatrics (H Bagley), Tufts Medical Center, Boston, Mass.
Frank P GiacchettoTufts University School of Medicine (FP Giacchetto and K Pate), Boston, Mass.
Kayley PateTufts University School of Medicine (FP Giacchetto and K Pate), Boston, Mass.
Amy M FooteDepartment of Pediatrics (AM Foote and JE Murzycki), Tufts Medicine, Lowell General Hospital, Lowell, Mass.
Jennifer E MurzyckiDepartment of Pediatrics (AM Foote and JE Murzycki), Tufts Medicine, Lowell General Hospital, Lowell, Mass.
Karen M FreundDepartment of Medicine (KM Freund), Tufts Medical Center, Boston, Mass.
Arvin GargDepartment of Pediatrics (A Garg), UMass Memorial Medical Center, University of Massachusetts Medical School, Worcester, Mass.
Christopher P LandriganDivision of General Pediatrics (JC Leary and CP Landrigan), Boston Children's Hospital, Boston, Mass.

Funding

Social Risk Screening and Referral Implementation for All Pediatric Hospitals – The SOCIAL-H StudyK23HD113884 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI Jana Leary · 2025 to 2026
$316k
NICHD NIH HHS K23 HD113884
6 · The paper itself

Abstract

objectiveIn response to American Academy of Pediatrics and Centers for Medicare & Medicaid Services recommendations, a growing number of hospitals are implementing inpatient social care systems, but nearly all pediatric studies to date have been conducted in children's hospitals. In 2022, a university-affiliated community hospital implemented a pediatric inpatient social risk screening and referral system. We aimed to assess the feasibility, acceptability, and appropriateness of this system in the community hospital setting.

methodsWe used a concurrent mixed methods approach from March to December 2023, surveying parents of hospitalized children and clinicians who perform or respond to screening, to assess implementation outcomes-feasibility, acceptability, and appropriateness-using validated measures based on 5-point Likert scales. We concurrently performed semistructured interviews assessing clinician and parent experiences with implementation and performed a thematic analysis.

resultsForty-three parents (67%) and 31 clinicians (78%) completed surveys, and 20 interviews (11 parents and 9 clinicians) were performed. Among parents and clinicians, respectively, 95% and 97% rated implementation as feasible, 97% and 93% as acceptable, and 95% and 97% as appropriate. Interview themes emerged regarding feasibility: 1) community/hospital resources enable social care, 2) challenging limitations in social service personnel; acceptability: 1) value added to inpatient care, 2) positive impact on families' health, 3) inadequate expectation-setting concerns; and appropriateness: 1) natural fit within workflows, 2) desire for different modality/timing options.

conclusionsImplementation of a pediatric inpatient social care system was feasible, acceptable, and appropriate in a community hospital setting; however, challenges and key areas for improvement were identified that can serve as leverage points for future implementation strategies.

Indexed as

Attitude of Health PersonnelHospitals, CommunityMass ScreeningParentsReferral and ConsultationAdultChildChild, PreschoolFeasibility StudiesFemaleHumansInfantInterviews as TopicMaleSurveys and Questionnairesmixed methodsscreeningsocial determinants of health

Identifiers

PMID40490189
PMCPMC12509459

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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.