ArticleWomen's health (London, England)
A qualitative assessment for planning the implementation of a social needs intervention in community-based home visiting.
Article in Women's health (London, England). 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
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.
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.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
BackgroundSocial determinants of health (SDOH) and related social needs (e.g., food insecurity, financial strain) are major drivers of maternal health disparities. Pregnant women of color and those with low socioeconomic status (SES) experience a disproportionate burden of social needs, which are associated with adverse pregnancy outcomes and increased risk of chronic disease for both mothers and children. Home visiting programs represent a promising, community-based platform for identifying and addressing social needs; however, little is known about how these processes occur in practice or how they can be strengthened.ObjectivesExplore how social needs are identified and referred for intervention within the Parents as Teachers (PAT) home visiting model.DesignQualitative.MethodsWe conducted semi-structured interviews with supervisors, parent educators (home visitors), and pregnant women of color and low SES participating in PAT across seven U.S. states. Interview guides and analysis were informed by the Consolidated Framework for Implementation Research (CFIR) and the Healthy People 2030 SDOH framework.ResultsParticipants (25 PAT providers; 15 pregnant women) described social needs as pervasive and central to maternal well-being, with limited and variable community resources. Determinants spanned multiple CFIR domains. In the outer setting, availability of community resources and interorganizational partnerships shaped referral success. In the inner setting, time constraints, inconsistent resource tracking systems, and variable infrastructure posed barriers. At the implementer level, educators reported role strain and uncertainty regarding scope of practice, while noting that trusting relationships facilitated disclosure of sensitive needs.ConclusionHome visiting programs are uniquely positioned to identify and address social needs through longitudinal, relationship-based engagement. Findings highlight the need for brief assessment processes; enhanced training and role clarity for home visitors; and systems to support resource management and partnerships. These insights can inform scalable social needs interventions within home visiting to advance maternal health equity.
Indexed as
Identifiers
What OpenQuestion holds
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.