Evidence map›Paper›PMID 41979728›Full record

ArticleJournal of general internal medicine2026

Veterans' Experiences with a Social Need Intervention.

Rory Ostrow, Aneeza Z Agha, Melissa Dichter, Gemmae M Fix, Kelly Hunt, Barbara Niles, Lauren Fanning, Deborah Gurewich

Registry-linked trialAbstract read
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In one paragraph

Article in Journal of general internal medicine, 2026. 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. 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.

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

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

8 authors.

Rory OstrowCenter for Health Optimization & Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA, USA. Rory.Ostrow@va.gov.ORCID http://orcid.org/0009-0009-4945-9481
Aneeza Z AghaCenter for Health Equity Research and Promotion (CHERP), Crescenz VA Medical Center, Philadelphia, PA, USA.
Melissa DichterCenter for Health Equity Research and Promotion (CHERP), Crescenz VA Medical Center, Philadelphia, PA, USA.
Gemmae M FixCenter for Health Optimization & Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA, USA.
Kelly HuntCharleston Health Equity and Rural Outreach Innovation Center (HEROIC), Ralph H. Johnson VA Medical Center, Charleston, SC, USA.
Barbara NilesNational Center for PTSD, VA Boston Healthcare System, Boston, MA, USA.
Lauren FanningMedical University of South Carolina, Charleston, SC, USA.
Deborah GurewichCenter for Health Optimization & Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA, USA.

Funding

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

Abstract

backgroundHealthcare-based screening and referral (S&R) for social needs is accelerating. A goal of these initiatives is to connect patients to resources that can assist identified social needs. To date, S&R for a broad number of social needs has been understudied among Veterans enrolled in the Veterans Health Administration (VHA).

objectiveUnderstand the conditions that facilitate and impede Veterans' connecting to resources to assist with their social needs.

designQualitative interviews conducted as part of an explanatory sequential mixed methods randomized controlled trial (RCT) assessing the efficacy of S&R among Veterans on the primary outcome of resource connection.

participantsA purposeful sample of Veterans enrolled in the RCT (N = 32) representing a mixture of RCT participants who did and did not connect to resources. APPROACH: Guided by Andersen's model of service utilization, domains of inquiry centered on the predisposing, enabling, and need factors that thwarted and facilitated resource connection. KEY

resultsWe identified four themes reflecting potential barriers to resource connection: military culture of self-reliance, resource inadequacy including mistrust that available resources can meet needs, competing demands, and complex resource application processes. Across participants, regardless of resource connection, participants valued and derived emotional well-being from being asked about their needs. Participants also offered suggestions for strategies to facilitate Veterans' connection to social need resources.

conclusionsStudy findings inform potential strategies for improving future social need intervention design and implementation. This includes increasing Veteran awareness of the link between health and social needs to increase engagement in social need resources, strengthening ties with community-based agencies to shrink the gap between Veteran unmet social needs and the adequacy of social need resources, and leveraging trusted entities such as Veteran Service Organizations. Findings also suggest outcomes from S&R interventions over-and-above connection to resources that are valuable to patients, such as improved patient experience. CLINICAL TRIALS INFORMATION: Registry, Clinicaltrials.gov; trial registration number, NCT04977583; date of registration, 7/16/2021.

Indexed as

resource connectionsocial needsveterans

Identifiers

What OpenQuestion holds

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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.