Social Stress
Conditions
Keywords
Social Determinants of Health
Brief summary
This will be a randomized control trial of 800 children admitted to the Pediatric Hospital Medicine service at Texas Children's Hospital. Each eligible participant will give informed consent prior to enrollment. Study participants will be randomized into an intervention (400 participants) or control group (400 participants). The intervention group will receive a survey (WE CARE HOUSTON) that has been designed to assess family need for community resources that address the SDH (such as food insecurity, housing insecurity, etc.). The intervention group will receive referrals to community resources based on their responses to the WE CARE HOUSTON survey.
Detailed description
This will be a randomized control trial of 800 children admitted to the Pediatric Hospital Medicine service at Texas Children's Hospital. Each eligible participant will give informed consent prior to enrollment. Study participants will be randomized into an intervention (400 participants) or control group (400 participants). The intervention group will receive a survey (WE CARE HOUSTON) that has been designed to assess family need for community resources that address the SDH (such as food insecurity, housing insecurity, etc.). The intervention group will receive referrals to community resources based on their responses to the WE CARE HOUSTON survey. The intervention group will receive a phone call within 3 months of discharge to ask if they have had trouble following up with resources. Both the intervention and the control groups will be followed for 6 months. Study investigators will obtain outcome data through structured telephone interviews at 6 months and also through medical record review. This research has been designed to test our hypotheses: 1. The use of the WE CARE HOUSTON screening tool and subsequent referral to community resources will result in increased family participation in community resources that address the SDH; i.e. we believe that the intervention group will enroll in more community resources than the control group over the 6 month study period. 2. The use of the WE CARE HOUSTON screening tool and subsequent referral to community resources will result in improved health outcomes, i.e. children in the intervention group will have fewer emergency department visits, fewer readmissions, improved BMI and improved parent perception of child's health during the study period.
Interventions
OTHERScreening survey and accompanying handout for resources
Intervention group will be completing a survey of social determinants of health and providing resources based on caregiver responses.
Sponsors
Baylor College of Medicine
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
SCREENING
Masking
NONE
Intervention model description
Quantify unmet socioeconomic determinants of health (SDH) needs using a screening tool in the inpatient settings at Texas Children's Hospital (TCH). Screen will assess educational attainment, employment, literacy, language skills, substance dependence, childcare and child behavior, mental health, domestic violence, housing insecurity and conditions, medical insurance, access to primary care, transportation to medical appointments, ability to pay for prescriptions, legal issues and immigration services. 2. Increase vulnerable family enrollment in community resources to decrease unmet psychosocial and economic needs in the study population 3. Evaluate impact of this intervention on health outcome indicators and hospital resource utilization (body mass index (BMI), return visit to ED, hospital readmission, and parent's perception of child's health).
Eligibility
Sex/Gender
ALL
Age
No minimum to 18 Years
Healthy volunteers
Yes
Inclusion criteria
* Children admitted to pediatric hospital medicine service
Exclusion criteria
* Children in child protective service custody * Children residing outside of the greater Houston area
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Enrollment (yes/no) in social determinant of health resources based on answer to questionnaire | 6 months after study enrollment | We will assess whether study participants followed up with the resources provided and were able to enroll in needed resources with follow up phone call. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Decreased emergency department revisits and hospital readmissions | 6 months after study enrollment | We will assess whether children in the intervention group will have fewer quantity of all cause emergency department visits, fewer quantity of hospital readmissions on chart review. |
| Improved parental perception of child's health | study enrollment to 6 months after enrollment | We will compare caregiver's baseline and 6 month self-rating of their child's health in categories of excellent, good, fair or poor. |
| Child's immunization status | 6 months after study enrollment | Self report of compliance with vaccinations by parents on follow up survey |
| Child's growth | 6 months after study enrollment | Weight and height will be combined to report BMI in kg/m\^2. If height is unavailable, weight will be used and reported in kilograms. |
Countries
United States
Outcome results
None listed