Journal Article

Acceptability and feasibility of screening with a pediatric care provider-led social determinants of health identification tool

Harrison, Megan, Khorsand, Soha, Funnell, Sarah, Abi Haidar, Hounaida, Fraser-Roberts, Leigh, Cohen, Janice, Guglani, Sheena, Lyons, John S., James, Lynsey, Archibald, Douglas, Ward, Michelle, Jetty, Radha, Eyre, Alison, Bennett, Susan, Samson, Lindy, Audcent, Tobey

2024

Overview

Background Complex social determinants of health may not be easily recognized by health care providers and pose a unique challenge in the vulnerable pediatric population where patients may not be able to advocate for themselves. The goal of this study was to examine the acceptability and feasibility of health care providers using an integrated brief pediatric screening tool in primary care and hospital settings. Methods The framework of the Child and Adolescent Needs and Strengths (CANS) and Pediatric Intermed tools was used to inform the selection of items for the 9-item Child and Adolescent Needs and Strengths-Pediatric Complexity Indicator (CANS-PCI). The tool consisted of three domains: biological, psychological, and social. Semi-structured interviews were conducted with health care providers in pediatric medical facilities in Ottawa, Canada. A low inference and iterative thematic synthesis approach was used to analyze the qualitative interview data specific to acceptability and feasibility. Results Thirteen health care providers participated in interviews. Six overarching themes were identified: acceptability, logistics, feasibility, pros/cons, risk, and privacy. Overall, participants agreed that a routine, trained provider-led pediatric tool for the screening of social determinants of health is important ( n  = 10, 76.9%), acceptable ( n  = 11; 84.6%), and feasible ( n  = 7, 53.8%). Interpretation Though the importance of social determinants of health are widely recognized, there are limited systematic methods of assessing, describing, and communicating amongst health care providers about the biomedical and psychosocial complexities of pediatric patients. Based on this study’s findings, implementation of a brief provider-led screening tool into pediatric care practices may contribute to this gap.

• Publisher: BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
• Subject: Adolescent / Attitude of Health Personnel / Child / Children / Data collection / Feasibility Studies / Female / Health aspects / Health care industry / Health status indicators / Humans / Internal Medicine / International economic relations / Interviews / Interviews as Topic / Male / Mass Screening - methods / Medical research / Medical screening / Medicine / Medicine & Public Health / Medicine, Experimental / MeSH terms: Pediatrics / MeSH terms: Social Determinants of Health / Methods / Non-MeSH terms: Screening tool / Patients / Pediatric clinics / Pediatric research / Pediatrics / Primary Health Care / Qualitative Research / Services / Social Determinants of Health / Sociodemographics