TY - JOUR
AU - A. Eyre
AU - J. Cohen
AU - S. Funnell
AU - L. James
AU - S. Guglani
AU - Abi Haidar
AU - L. Samson
AU - M. Ward
AU - R. Jetty
AU - M. Harrison
AU - J. S. Lyons
AU - L. Fraser-Roberts
AU - S. Bennett
AU - D. Archibald
AU - S. Khorsand
AU - T. Audcent
A1 - 
AB - 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.
AD - Department of Family Medicine, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada. alison.eyre@aeyre.com.; Centretown Community Health Centre, Ottawa, ON, Canada. alison.eyre@aeyre.com.; Department of Psychiatry, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.; Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.; Department of Family Medicine, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.; Department of Family Medicine, Faculty of Medicine, Queen's University, Kingston, ON, Canada.; Centre for Indigenous Health Research and Education, University of Ottawa, Ottawa, ON, Canada.; Centretown Community Health Centre, Ottawa, ON, Canada.; Bruyère Research Institute, Ottawa, ON, Canada.; Department of Paediatrics, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.; Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada.; Centre for Innovation in Population Health, University of Kentucky, Lexington, KY, USA.; Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
AN - 38702643
BT - BMC Pediatr
C5 - Healthcare Disparities
CP - 1
DA - May 3
DO - 10.1186/s12887-024-04759-2
DP - NLM
ET - 20240503
IS - 1
JF - BMC Pediatr
LA - eng
N2 - 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.
PY - 2024
SN - 1471-2431
SP - 300
ST - Acceptability and feasibility of screening with a pediatric care provider-led social determinants of health identification tool
T1 - Acceptability and feasibility of screening with a pediatric care provider-led social determinants of health identification tool
T2 - BMC Pediatr
TI - Acceptability and feasibility of screening with a pediatric care provider-led social determinants of health identification tool
U1 - Healthcare Disparities
U3 - 10.1186/s12887-024-04759-2
VL - 24
VO - 1471-2431
Y1 - 2024
ER -