Social Needs Resource Connections: A Systematic Review of Barriers, Facilitators, and Evaluation

Steeves-Reece, Anna; Totten, Annette M; Broadwell, Katherine DuBose; Richardson, Dawn M.; Nicolaidis, Christina; Davis, Melinda M.

doi:10.1016/j.amepre.2021.12.002

Cited by 24 publications

(10 citation statements)

References 77 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Findings from our coping analyses help to make sense of this seeming discrepancy: Participants' coping significantly decreased month‐to‐month after the pandemic's onset and student coping's decrease accelerated as the pandemic went on (see Figure 1b). We did not show an overall difference in pre‐versus post‐pandemic coping scores, so the accelerated decrease in coping is best attributable to ongoing and/or cumulative influences during the pandemic, such as: increased loneliness and continued lack of social support (El‐Zoghby et al., 2020; Ernst et al., 2022; Luchetti et al., 2020; Saltzman et al., 2020), increased inaccessibility of public/community resources (Steeves‐Reece et al., 2022), increased financial strife (Fox & Bartholomae, 2020), and/or worsening physical health conditions (e.g., Andrade et al., 2021; Treskova‐Schwarzbach et al., 2021). This fits what Savage et al.…”

Section: Discussionmentioning

confidence: 99%

“…The effects may be akin to a “coping burnout” whereby students are both unable to manage stressors as effectively as they once did and also may lack motivation to seek out services and support that could aid them in coping. The lack of familiarly accessible resources during the pandemic caused great hardship (Steeves‐Reece et al., 2022) and students may still lack awareness of these resources, especially new college students who were not on campus before the pandemic. As educators, it may be necessary to educate our students on resources available to them and how to access these resources effectively.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

COVID‐19 pandemic effects on trajectories of college students' stress, coping, and sleep quality: A four‐year longitudinal analysis

Brown,

Papp

2023

Stress and Health

View full text Add to dashboard Cite

College students' stress levels, coping strategies, and sleep quality are important indicators of functioning and further predict their health and well‐being. The current study utilises data repeatedly collected over more than 4 years from students enroled at a large public research university in the Midwestern US. Our data collection period coincided with the COVID‐19 pandemic's onset, facilitating systematic examination of whether and how college students' trajectories (i.e., level and slopes) of stress, coping, and sleep quality changed as the pandemic progressed. Across five waves, surveys assessed multiple outcome and predictor domains every 6 months. Analyses revealed differential courses of change for the outcomes. Stress levels were overall lower immediately after the onset but trended upwards as the pandemic continued. Reported coping reduced significantly after the onset and showed a steeper decline as the pandemic wore on. Sleep quality showed no significant pandemic changes over time, though sleep duration and timing showed initial onset effects. College students' stress, coping, and sleep changed in complex and nuanced ways after the pandemic's onset and findings from our longitudinal analyses expand upon those from previous limited repeated measure and cross‐sectional studies. Altogether, findings demonstrate multifaceted changes that may have ongoing effects to affect well‐being during key developmental stages.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

COVID‐19 pandemic effects on trajectories of college students' stress, coping, and sleep quality: A four‐year longitudinal analysis

Brown,

Papp

2023

Stress and Health

View full text Add to dashboard Cite

show abstract

“…Our findings are consistent with previous reports describing intersecting systemic and personal barriers to accessing social services. [31][32][33] While previous efforts have focused on social risk screening 34,35 , continued innovation and investment are needed at each stage of the downstream process of assisting patients with their social needs to overcome patient barriers and optimize social care interventions.…”

Section: Discussionmentioning

confidence: 99%

Patient Barriers to Accessing Referred Resources for Unmet Social Needs

et al. 2022

View full text Add to dashboard Cite

Introduction: Many primary care clinics screen patients for their unmet social needs, such as food insecurity and housing instability, and refer them to community-based organizations (CBOs). However, the ability for patients to have their needs met is difficult to evaluate and address. This study explores patient-reported barriers to accessing referred resources using a conceptual framework that identifies opportunities for intervening to optimize success.Methods: Patients who participated in a social needs screening and referral intervention at a Federally Qualified Health Center (FQHC) were called 2 weeks after the clinic encounter. We conducted a directed content analysis across 6 domains of access to examine responses from patients who reported barriers.Results: Of the 462 patients that were reached for follow-up, 366 patients reported 537 total barriers. The most frequent challenges related to resource availability (24.6%, eg, patients waiting for submitted application to process) and approachability (23.8%, eg, patients lacking information needed to contact or access resources). Barriers in the domains of acceptability (21.6%, eg, competing life priorities such as medical issues, major life events, or caretaking responsibilities) and appropriateness (17.9%, eg, resource no longer needed) largely represented patient constraints expressed only after the clinical encounter. It was less common for patients to identify accommodation (eg, physical limitations, language barriers, transportation barriers, administrative complexity) or affordability of community resources as barriers (11.2% and 0.9%, respectively).Conclusion: Findings suggest opportunities for improvement across the access continuum, from initial referrals from primary care staff during the clinical encounter to patients' attempts to accessing services in the community. Future efforts should consider increased collaboration between health and social service organizations, and advocacy for structural changes that mitigate system-level barriers related to resource availability and administrative complexity.

show abstract

“… 42 There remains stigma regarding how people report the level of care they provide or receive. 43 Further prospective means of assessing caregiving requirements and receipt would be helpful to determine such potential biases. Finally, whilst assessments were made on socio-economic status, religion and ethnicity, there was limited data provided through the datasets on culture and attitudes to caregiving.…”

Section: Discussionmentioning

confidence: 99%

Caregiving for older people living with chronic pain: analysis of the English longitudinal study of ageing and health survey for England

Smith

Mansfield

Hanson

et al. 2022

British Journal of Pain

View full text Add to dashboard Cite

Background Chronic pain is a disabling condition. Many people with chronic pain seek informal support for everyday activities of daily living (ADL). However, there remains uncertainty on the type of people with chronic pain who access this support, what types of support they need and who provides such support. The purpose of this analysis was to answer these uncertainties. Methods Data from the Health Survey for England (HSE) and English Longitudinal Study of Ageing (ELSA) were accessed. People who reported chronic pain (moderate or above for minimum of 12 months) were identified. From these cohorts, we determined if individuals self-reported receiving informal care. Data on caregiver profiles and caregiving activities were reported through descriptive statistics. Logistic regression analyses were performed to compare health status outcomes between people with pain who received and who did not receive informal care. Results 2178 people with chronic pain from the ELSA cohort and 571 from the HSE cohort were analysed. People who received care were frequently female, older aged with several medical morbidities including musculoskeletal diseases such as arthritis. People with chronic pain received informal care for several diverse tasks. Most frequently these related to instrumental activities of daily living (IADL) such as shopping and housework. They were most frequently provided by partners or their children. Although they reported greater disability and symptoms ( p < 0.001), people who received care did not report differences in health status, loneliness or wellbeing ( p = 0.27; p = 0.46). Conclusions Whilst it may be possible to characterise people living in chronic pain who receive informal care, there is some uncertainty on the impact of informal caregiving on their health and wellbeing. Consideration should now be made on how best to support both care recipients and informal caregivers, to ensure their health and quality of life is promoted whilst living with chronic pain.

show abstract

Social Needs Resource Connections: A Systematic Review of Barriers, Facilitators, and Evaluation

Cited by 24 publications

References 77 publications

COVID‐19 pandemic effects on trajectories of college students' stress, coping, and sleep quality: A four‐year longitudinal analysis

COVID‐19 pandemic effects on trajectories of college students' stress, coping, and sleep quality: A four‐year longitudinal analysis

Patient Barriers to Accessing Referred Resources for Unmet Social Needs

Caregiving for older people living with chronic pain: analysis of the English longitudinal study of ageing and health survey for England

Contact Info

Product

Resources

About