Observational studyMedical care2026
Associations Between Social Drivers of Health and Intervention Reach During Implementation of a Supervised Walking Program.
Observational study in Medical care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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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.
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.
Who cites it
0 citing papers in PubMed.
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Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
objectiveTo examine associations between social drivers of health and veteran-level reach of STRIDE, a supervised walking program implemented in the Veterans Health Administration (VA). STUDY SETTING AND
designWe included 2527 patients across 5 facilities. We tested whether housing insecurity, rurality, race, and neighborhood deprivation were associated with reach, defined as any STRIDE walk during hospitalization. DATA SOURCES AND ANALYTICAL SAMPLE: We used the first 6 months of postimplementation data from a stepped-wedge implementation trial. PRINCIPAL
findingsDuring the implementation period, 197 veterans (7.8%) received at least 1 STRIDE walk. In unadjusted models, patients residing rurally (vs. urban) and those who were White, non-Hispanic/Latino (NH) (vs. Black NH) were significantly more likely to receive ≥1 STRIDE walk. Unadjusted models showed large site differences in STRIDE reach, ranging from 3% to 26% probability by site. Reach differences coincided somewhat with facility-level racial composition: the lowest reach was observed at a site with a majority of Black NH admitted patients, whereas the highest reach was found at a site with a majority of White NH patients. In adjusted models, patient-level rurality remained associated with greater reach (probability 9% for rural veterans vs. 6% for urban veterans), but race was no longer associated (probability 6% among White NH veterans vs. 7% among Black NH veterans).
conclusionsPatient-level rurality was consistently positively associated with implementation outcomes. Patient-level race was associated with implementation outcomes in unadjusted but not adjusted models. Secondary analyses in implementation trials may help assess how social drivers of health are associated with implementation outcomes.
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