Screening for Both Child Behavior and Social Determinants of Health in Pediatric Primary Care

Berger-Jenkins, Evelyn; Monk, Catherine; DʼOnfro, Katherine; Sultana, Majeda; Brandt, Lisa; Ankam, Jyoti; Vazquez, Nadiuska; Lane, Mariellen; Meyer, Dodi

doi:10.1097/dbp.0000000000000676

Cited by 29 publications

(55 citation statements)

References 29 publications

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“…The remainder reported using observational study designs (eg, pre-post studies, feasibility studies, pilot studies). 33-90 Fifty-eight studies were conducted with primary care patients, 29-31,33…”

Section: Resultsmentioning

confidence: 99%

“…The remainder reported using observational study designs (eg, pre-post studies, feasibility studies, pilot studies). Fifty-eight studies were conducted with primary care patients, [29][30][31][72][73][74]76,[78][79][80][81][82][83][84][85][86][87][88][89] 4 took place in a specialty clinics, 32,71,75,77 1 took place in urgent care, 27 and 3 took place across multiple settings (eg, primary, specialty, and urgent care). 26,28,90 Majority of studies reported including academic sites (n = 40), 29,[34][35][36][37][38][39][41][42][43][44][47][48][49][50][51][52][53][54][55][56]…”

Section: Characteristics Of Sources Of Evidencementioning

confidence: 99%

“…26,28,90 Majority of studies reported including academic sites (n = 40), 29,[34][35][36][37][38][39][41][42][43][44][47][48][49][50][51][52][53][54][55][56][57][58][59]62,63,65,66,71,72,75,[77][78][79][80]82,84,85,89,90 including urban sites (n = 48), 26-30,32,34-56,61-63,65-68,71,72,75,77,79-81 ,83,87-90 and including the pediatric and adolescent population (n = 40). [26][27][28][29][30][35][36]…”

Section: Characteristics Of Sources Of Evidencementioning

confidence: 99%

“…-41,44-48,52,55,58,61,62,64,66,69,70,72,73,75-77,79,83,84,86,87,89,90 21 included the social care workforce, including paid and volunteer staff,[26][27][28]31,33,40,43,[49][50][51]53,57,60,63,72,74,78,80,82,85,88 7 included research staff,29,30,32,65,67,68,71 and 6 did not mention the specific type of worker 34,42,54,56,59,81. For assistance-related activities, 39 studies included the traditional healthcare workforce,29,30,[35][36][37][38][39][40][41][42][43][44][45][46][47][48]…”

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confidence: 99%

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Workforce Models to Screen for and Address Patients’ Unmet Social Needs in the Clinic Setting: A Scoping Review

Sandhu

Eisenson

et al. 2021

J Prim Care Community Health

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Objectives While healthcare organizations increasingly aim to address the social determinants of health (SDOH) in the clinic setting, there is little guidance on which staff are best equipped to assume this role. The present study is a scoping review of the peer-reviewed literature to characterize workforce models used to screen for and respond to patients’ unmet social needs in ambulatory settings. Methods Four online databases were used to identify papers published until February 2021. Eligible articles were original research studies or systematic reviews that described the implementation of a standardized assessment for multiple SDOH domains and resulting activities to respond to individual patient needs (eg, referral to community resources) in ambulatory care settings. Results Of the 1569 articles identified, 65 met study eligibility criteria. Majority of studies had observational study designs (11% were randomized control trials). For screening-related activities, more articles reported using traditional healthcare staff (51%), such as medical providers, medical assistants, and front-desk staff, than social care staff (32%), such as social workers and student volunteers. In contrast, for response-related activities, more articles reported using social care staff (88%) than traditional healthcare staff (60%). While we found wide variations in specific team configurations and training for the roles, social care staff generally provided more intensive forms of assistance than traditional healthcare staff. Conclusion While this review demonstrates the breadth of models for building or deploying a workforce to integrate health and social care, it also identifies the need for rigorous research on workforce development, implementation, and effectiveness.

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Section: Resultsmentioning

confidence: 99%

Section: Characteristics Of Sources Of Evidencementioning

confidence: 99%

Section: Characteristics Of Sources Of Evidencementioning

confidence: 99%

mentioning

confidence: 99%

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Workforce Models to Screen for and Address Patients’ Unmet Social Needs in the Clinic Setting: A Scoping Review

Sandhu

Eisenson

et al. 2021

J Prim Care Community Health

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“…North American publications using the SWYC scale report prevalence rates ranging from 28 to 47% for suspected cases of changes in social-emotional development. 20 , 21 , 22 …”

Section: Discussionmentioning

confidence: 99%

Screening for Neuropsychomotor and Social-Emotional Development in Children Under 24 Months of Age in the Brazilian Semi-Arid Region

Sousa

Claro

Rondó

2022

Rev. paul. pediatr.

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Objective: To screen children under 24 months of age for neuropsychomotor and social-emotional development in a municipality of the Brazilian semi-arid region, using the Survey of Well-Being of Young Children (SWYC) scale. Methods: This is a quantitative cross-sectional study with a non-probabilistic sample, involving children aged 1 to 24 months and their respective mothers, recruited from primary care services in the municipality of Picos, Piauí, Northeastern Brazil. The screening for neuropsychomotor and social-emotional development using the SWYC scale also provided information about the family context. In addition, we administered a questionnaire to assess the children’s demographic and socioeconomic factors. Descriptive data analysis was performed. Results: The sample consisted mostly of adult mothers (84.0%), with more than 8 years of schooling (83.3%), belonging to the C, D, and E socioeconomic classes (75.3%). The prevalence of suspected cases of delayed neuropsychomotor development and social-emotional changes was 12.7 and 42.2%, respectively. Conclusions: The results point to the existence of children at risk of delayed development, particularly in the social-emotional domain, reaffirming the need to adopt child development screening as a health service routine, with the implementation of appropriate intervention programs.

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The feasibility of remote measurement of infant sleep and motor development

DeMasi,

Waugh,

Wang

et al. 2024

Infant and Child Development

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In response to the COVID‐19 pandemic shut‐down of in‐person research laboratories, remote data collection became mainstream in developmental psychology research. The aim of this study was to test the feasibility of two remote data collection methods for studying sleep and motor development in infancy and the relationship between the two. We asked 1371 parents of infants aged 4–17 months who used the Nanit baby monitor to take the online Survey of Well‐being of Young Children (SWYC) about their infants' motor experience. Nanit uses auto‐videosomnography and computer vision algorithms to calculate and report summary statistics of infants' sleep. Nanit replicated all expected developmental trends in sleep, while the SWYC only replicated some, appearing to underestimate infants at the transition between motor milestones. However, we replicated some well‐established findings regarding the relationship between sleep and motor development using both measures, suggesting that both Nanit and the SWYC can feasibly be used for remote data collection, especially if some modifications were made to how researchers explained using the SWYC to caregivers. Researchers should consider alternatives to traditional research methods not only when in‐person participation is difficult or impossible, but also when large samples are needed and/or simple measurement tools are sufficient.

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Screening for Both Child Behavior and Social Determinants of Health in Pediatric Primary Care

Cited by 29 publications

References 29 publications

Workforce Models to Screen for and Address Patients’ Unmet Social Needs in the Clinic Setting: A Scoping Review

Workforce Models to Screen for and Address Patients’ Unmet Social Needs in the Clinic Setting: A Scoping Review

Screening for Neuropsychomotor and Social-Emotional Development in Children Under 24 Months of Age in the Brazilian Semi-Arid Region

The feasibility of remote measurement of infant sleep and motor development

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