Evidence map›Paper›PMID 40992586›Full record

ArticleAcademic pediatrics

Addressing Health-Related Social Needs in Hospitalized Children: An Implementation Assessment.

Hemen Muleta, Samantha Levano, Jessica Haughton, Renee Whiskey-LaLanne, Miya Lemberg, Tara Buckenmyer, Patricia A Hametz, Michael L Rinke, Shivani Agarwal, Kevin P Fiori

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. 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. 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

10 authors.

Hemen MuletaDepartment of Pediatrics (H Muleta, S Levano, J Haughton, R Whiskey-LaLanne, M Lemberg, PA Hametz, ML Rinke, and KP Fiori) Children's Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, NY. Electronic address: hmuleta@montefiore.org.
Samantha LevanoDepartment of Pediatrics (H Muleta, S Levano, J Haughton, R Whiskey-LaLanne, M Lemberg, PA Hametz, ML Rinke, and KP Fiori) Children's Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, NY; Department of Family & Social Medicine (S Levano, J Haughton, and KP Fiori) Albert Einstein College of Medicine, Bronx, NY.
Jessica HaughtonDepartment of Pediatrics (H Muleta, S Levano, J Haughton, R Whiskey-LaLanne, M Lemberg, PA Hametz, ML Rinke, and KP Fiori) Children's Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, NY; Department of Family & Social Medicine (S Levano, J Haughton, and KP Fiori) Albert Einstein College of Medicine, Bronx, NY.
Renee Whiskey-LaLanneDepartment of Pediatrics (H Muleta, S Levano, J Haughton, R Whiskey-LaLanne, M Lemberg, PA Hametz, ML Rinke, and KP Fiori) Children's Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, NY.
Miya LembergDepartment of Pediatrics (H Muleta, S Levano, J Haughton, R Whiskey-LaLanne, M Lemberg, PA Hametz, ML Rinke, and KP Fiori) Children's Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, NY.
Tara BuckenmyerDepartment of Nursing (T Buckenmyer), Children's Hospital at Montefiore, Bronx, NY.
Patricia A HametzDepartment of Pediatrics (H Muleta, S Levano, J Haughton, R Whiskey-LaLanne, M Lemberg, PA Hametz, ML Rinke, and KP Fiori) Children's Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, NY.
Michael L RinkeDepartment of Pediatrics (H Muleta, S Levano, J Haughton, R Whiskey-LaLanne, M Lemberg, PA Hametz, ML Rinke, and KP Fiori) Children's Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, NY.
Shivani AgarwalDepartment of Medicine (S Agarwal), Albert Einstein College of Medicine, Bronx, NY.
Kevin P FioriDepartment of Pediatrics (H Muleta, S Levano, J Haughton, R Whiskey-LaLanne, M Lemberg, PA Hametz, ML Rinke, and KP Fiori) Children's Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, NY; Department of Family & Social Medicine (S Levano, J Haughton, and KP Fiori) Albert Einstein College of Medicine, Bronx, NY.

Funding

Einstein-Montefiore Clinical and Translational Science Award HubUM1TR004400 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI Jessica Kahn, Mimi Y Kim · 2023 to 2026
$17.3M
NCATS NIH HHS UM1 TR004400
6 · The paper itself

Abstract

objectiveHigh rates of unmet health-related social needs (HRSNs) have been reported among hospitalized children. Community health workers (CHWs) embedded within health systems can assist families with unmet HRSNs. This study evaluated an inpatient HRSNs screening, referral, and CHW resource navigation intervention in a hospital in Bronx County, New York.

methodsWe conducted a retrospective study of hospitalized families between December 2023 and November 2024. Patients were screened for HRSNs upon admission and referred to CHWs after self-reporting unmet HRSNs and confirming they wanted help. We evaluated the intervention using descriptive statistics and periodic reflections analysis following the reach, effectiveness, adoption, implementation, maintenance (RE-AIM) implementation framework.

resultsOf 5350 admitted patients, 3291 (61.6%) were screened for HRSNs with 986 (30.0%) screened patients reporting unmet HRSNs. Of the admitted patients, 670 (12.5%) were referred to CHWs and 491 (73.3% of those referred) accepted CHW navigation. Of the CHW navigated patients, 484 (98.6%) were either connected or equipped to connect to social services. Of patients connected to services, 183 (96.8%) self-reported that their HRSNs were improved or resolved. The estimated annual cost of the intervention was $180.63 (IQR $154.58-$180.63) per patient connected with CHWs. Periodic reflections analysis identified facilitators and barriers to adoption.

conclusionsMost hospitalized families were screened and those with unmet HRSNs were appropriately referred to CHWs. CHWs were successful in helping families connect to social services, leading to improved or resolved HRSNs. Future research should evaluate the impact of CHW support for unmet HRSNs on child health and health care utilization.

Indexed as

Child, HospitalizedCommunity Health WorkersHealth Services Needs and DemandAdolescentChildChild, PreschoolFemaleHumansInfantInfant, NewbornMaleNeeds AssessmentNew YorkReferral and ConsultationRetrospective StudiesSocial WorkCHWsHealth-related social needsImplementation

Identifiers

PMID40992586
PMCPMC12487842

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.