Trial Outcomes & Findings for Social Determinants of Health Screening and Interventions (NCT NCT03661359)

NCT ID: NCT03661359

Last Updated: 2025-01-27

Results Overview

evaluation of patient satisfaction of hospital and staff by patient questionnaire, abbreviated hospital consumer assessment of healthcare providers and system HCAHPS, 9 questions based on positive or negative patient response to hospital care. positive (yes) responses correlate to a 1, negative (no ) responses correlate to a 2. the lower the number correlates to higher hospital satisfaction score. also included a hospital rating of 1-10 with 1 being lowest score and 10 being the highest rating. A higher score correlates to a higher patient satisfaction level. Domains at risk related to social determinants of health

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

35 participants

Primary outcome timeframe

Within 15 days of discharge

Results posted on

2025-01-27

Participant Flow

Participant milestones

Participant milestones
Measure
Social Determinants of Health
Intervention will be the Social Determinants of Health Referrals. Social Determinants of Health Referrals: Patients who screen positive for any of the Social Determinants of Health will be given information for referral to any of the community resources that apply to their situation.
Overall Study
STARTED
35
Overall Study
COMPLETED
35
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Social Determinants of Health
n=35 Participants
Intervention will be the Social Determinants of Health Referrals. Social Determinants of Health Referrals: Patients who screen positive for any of the Social Determinants of Health will be given information for referral to any of the community resources that apply to their situation.
Age, Categorical
<=18 years
0 Participants
n=35 Participants
Age, Categorical
Between 18 and 65 years
27 Participants
n=35 Participants
Age, Categorical
>=65 years
8 Participants
n=35 Participants
Age, Continuous
44.97 years
n=35 Participants
Sex: Female, Male
Female
19 Participants
n=35 Participants
Sex: Female, Male
Male
16 Participants
n=35 Participants
Region of Enrollment
United States
35 participants
n=35 Participants

PRIMARY outcome

Timeframe: Within 15 days of discharge

evaluation of patient satisfaction of hospital and staff by patient questionnaire, abbreviated hospital consumer assessment of healthcare providers and system HCAHPS, 9 questions based on positive or negative patient response to hospital care. positive (yes) responses correlate to a 1, negative (no ) responses correlate to a 2. the lower the number correlates to higher hospital satisfaction score. also included a hospital rating of 1-10 with 1 being lowest score and 10 being the highest rating. A higher score correlates to a higher patient satisfaction level. Domains at risk related to social determinants of health

Outcome measures

Outcome measures
Measure
Social Determinants of Health
n=35 Participants
Intervention will be the Social Determinants of Health Referrals. Social Determinants of Health Referrals: Patients who screen positive for any of the Social Determinants of Health will be given information for referral to any of the community resources that apply to their situation.
Correlation Co-efficient Between Patient Satisfaction Assessed Using HCAHPS and the Domains at Risk
-0.061 correlation coefficient

PRIMARY outcome

Timeframe: Within 30 days of discharge

Population: only 1 patient utilized the community resources available after discharge

During hospital admission each consented patient was assessed for the 5 domains of social determinants of health. Domains are education, economic stability, environment, health/healthcare, and social/community with 11 questions including financial strain, food insecurity, training/employment, housing instability education, utility needs, transportation, childcare, exposure to violence, social connection, behavioral health/substance abuse. A positive (yes) response flagged the patient for a referral to a community service including community financial resources, food banks and kitchens, community employment and training programs, local shelters. adult education programs, utility assistance programs, community transportation programs, community day resources, domestic violence programs, community centers including senior and religious, mental health and substance abuse resources.

Outcome measures

Outcome measures
Measure
Social Determinants of Health
n=35 Participants
Intervention will be the Social Determinants of Health Referrals. Social Determinants of Health Referrals: Patients who screen positive for any of the Social Determinants of Health will be given information for referral to any of the community resources that apply to their situation.
Patients Who Filled Out Community Service Questionnaires
1 participants

PRIMARY outcome

Timeframe: within 30 days of discharge

evaluate the patients perception of their own health with a short form health questionnaire (SF-12). Physical component score (PCS-12): A score of 50 or less may indicate a physical condition. Mental component score (MCS-12): A score of 42 or less may indicate clinical depression. General health: Scores above 50 indicate better-than-average health, while scores below 50 indicate below-average health. This compares the physical and mental scores. A correlation coefficient is a statistical measure that indicates the strength and direction of a linear relationship between two variables, expressed as a number between -1 and 1, where -1 signifies a perfect negative correlation, 0 indicates no correlation, and +1 represents a perfect positive correlation; essentially, it tells you how closely two variables are related to each other in a linear fashion.

Outcome measures

Outcome measures
Measure
Social Determinants of Health
n=35 Participants
Intervention will be the Social Determinants of Health Referrals. Social Determinants of Health Referrals: Patients who screen positive for any of the Social Determinants of Health will be given information for referral to any of the community resources that apply to their situation.
Correlation Co-efficient Between Physical Quality of Life and Mental Quality of Life
0.5 correlation coefficient

SECONDARY outcome

Timeframe: Within 15 days of discharge

patients will evaluate the communication of the hospital staff with an abbreviated hospital consumer assessment of healthcare providers and system (HCAHPS) and rate the communication. the scale is based on positive (yes) or negative (no) responses. positive (yes) correlates to 1, negative (no) correlates to a 2. This scale of total answers can range from 1 to 10. One being the worst score and 10 being the best score. Once the questionnaire was completed. The negative (no) responses are shared with hospital leadership and unit directors to improve patient/staff communication.

Outcome measures

Outcome measures
Measure
Social Determinants of Health
n=35 Participants
Intervention will be the Social Determinants of Health Referrals. Social Determinants of Health Referrals: Patients who screen positive for any of the Social Determinants of Health will be given information for referral to any of the community resources that apply to their situation.
Communication Between Patient and Health Care Givers Questionnaire
8 Scores on a scale
Interval 1.0 to 10.0

SECONDARY outcome

Timeframe: Within 15 days of discharge

Baseline data obtained for evaluation of patient satisfaction of hospital and staff by patient questionnaire, abbreviated hospital consumer assessment of healthcare providers and systems, HCAHPS. 10 questions total. 9 based on positive (yes) and negative (no) answers. Positive response (yes) correlates to number 1. negative response (no) correlates to a number 2. The lower the score the greater the patient satisfaction with the hospital. 1 question was a hospital rating scale of 1-10 with 1 being the lowest score and 10 being the highest score. A higher score correlates to a higher patient satisfaction level. A correlation coefficient is a statistical measure that indicates the strength and direction of a linear relationship between two variables, expressed as a number between -1 and 1, where -1 signifies a perfect negative correlation, 0 indicates no correlation, and +1 represents a perfect positive correlation; essentially, it tells you how closely two variables are related to ea

Outcome measures

Outcome measures
Measure
Social Determinants of Health
n=35 Participants
Intervention will be the Social Determinants of Health Referrals. Social Determinants of Health Referrals: Patients who screen positive for any of the Social Determinants of Health will be given information for referral to any of the community resources that apply to their situation.
Baseline HCAHPS Data
-0.061 correlation coefficient

Adverse Events

Social Determinants of Health

Serious events: 2 serious events
Other events: 0 other events
Deaths: 2 deaths

Serious adverse events

Serious adverse events
Measure
Social Determinants of Health
n=35 participants at risk
Intervention will be the Social Determinants of Health Referrals. Social Determinants of Health Referrals: Patients who screen positive for any of the Social Determinants of Health will be given information for referral to any of the community resources that apply to their situation.
Injury, poisoning and procedural complications
death
2.9%
1/35 • Number of events 1 • 37days
Social circumstances
death
2.9%
1/35 • Number of events 1 • 37days

Other adverse events

Adverse event data not reported

Additional Information

Heather Klepacz, M.D, Principle Investigator

University of Toledo

Phone: 419-383-6754

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place