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Abstract

We aim to develop and formatively evaluate a brief social needs screening tool that adheres to Massachusetts Department of Public Health (MDPH) clinical service standards for sexual and reproductive health (SRH) agencies and is acceptable and feasible for use by staff during a clinical encounter. Through a multi-stage literature and expert review process, we developed an evidence-informed, two-page social needs screening tool, scoring form, and implementation guide. We piloted this tool at three SRH agencies in Massachusetts and recruited staff to provide quantitative and qualitative feedback through post-pilot test self-reported surveys and semi-structured interviews. Participants (n = 13) felt the social needs screening tool was easy to integrate into their clinical workflow and were comfortable using it with patients. All participants reported feeling comfortable administering the tool, scoring it, and referring patients to appropriate resources, if applicable. Most reported they would like to continue using the tool after the pilot implementation period, either with or without modifications. Our multi-stage tool development and formative evaluation process involving literature review, expert review, and pilot-testing in clinical settings enabled our team to create a brief, evidence-informed social needs screening tool that is acceptable to staff and feasible for use during a short clinic visit at SRH agencies in Massachusetts. Staff felt that there is value in using this tool, are comfortable using it, and are able to integrate it into their existing clinical workflows.

Keywords

social determinants of health screening evaluation formative evaluation reproductive health/reproductive justice access to care sexual health

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References

Bouchelle

Vasan

Cholera

(2024). Mandates and incentives to support social needs screening—Challenges and opportunities. JAMA Pediatrics, 178(2), 105–106. https://doi.org/10.1001/jamapediatrics.2023.5232

Bowleg

(2012). The problem with the phrase women and minorities: Intersectionality-an important theoretical framework for public health. American Journal of Public Health, 102(7), 1267–1273. https://doi.org/10.2105/AJPH.2012.300750

Centers for Disease Control and Prevention. (2022, December 8). Social determinants of health at CDC. https://www.cdc.gov/about/sdoh/index.html

Hsu

Cruz

Placzek

Chapdelaine

Levin

Gutierrez

Standish

Maki

Carl

Orantes

M. R.

Newman

Cheadle

(2020). Patient perspectives on addressing social needs in primary care using a screening and resource referral intervention. Journal of General Internal Medicine, 35(2), 481–489. https://doi.org/10.1007/s11606-019-05397-6

Institute of Medicine. (2003). The future of the public’s health in the 21st century. National Academies Press. https://doi.org/10.17226/10548

Massachusetts Sexual and Reproductive Health Training Center. (2024). Resources. MASRH.Org. https://masrh.org/resources/

Moen

Storr

German

Friedmann

Johantgen

(2020). A review of tools to screen for social determinants of health in the United States: A practice brief. Population Health Management, 23(6), 422–429. https://doi.org/10.1089/pop.2019.0158

National Institute on Drug Abuse. (2014a). Instrument: Drug Abuse Screening Test (DAST-10). NIDA CTN Common Data Elements. https://cde.nida.nih.gov/instrument/e9053390-ee9c-9140-e040-bb89ad433d69

National Institute on Drug Abuse. (2014b). Instrument: Patient Health Questionnaire-9 (PHQ-9). NIDA CTN Common Data Elements. https://cde.nida.nih.gov/instrument/f226b1a0-897c-de2a-e040-bb89ad4338b9

10.

Partners in Contraceptive Choice and Knowledge. (2023). Social Determinants of Health (SDOH) short form, scorer, and implementation guide. https://picck.org/resource/sdoh-short-form-scorer-and-implementation-guide/

11.

Peahl

Rubin-Miller

Paterson

Plough

Jahnke

H. R.

Henrich

Moss

Shah

(2023). A short-form screening tool for detecting social needs efficiently in pregnancy. American Journal of Obstetrics & Gynecology, 228(1), S253. https://doi.org/10.1016/j.ajog.2022.11.459

12.

Scutchfield

F. D.

Howard

A. F.

(2011). Moving on upstream: The role of health departments in addressing socioecologic determinants of disease. American Journal of Preventive Medicine, 40(1), S80–S83. https://doi.org/10.1016/j.amepre.2010.10.003

13.

White

K. O.

Lerner

N. M.

LeRoy

Decker

Clark

(2022). Massachusetts initiative to improve contraception services: A tale of two programs. American Journal of Public Health, 112(S5), S478–S483. https://doi.org/10.2105/AJPH.2022.306905

14.

Yan

A. F.

Chen

Wang

Campbell

J. A.

Xue

Q.-L.

Williams

M. Y.

Weinhardt

L. S.

Egede

L. E.

(2022). Effectiveness of social needs screening and interventions in clinical settings on utilization, cost, and clinical outcomes: A systematic review. Health Equity, 6(1), 454–475. https://doi.org/10.1089/heq.2022.0010

15.

Yearby

(2020). Structural racism and health disparities: Reconfiguring the social determinants of health framework to include the root cause. The Journal of Law, Medicine & Ethics: A Journal of the American Society of Law, Medicine & Ethics, 48(3), 518–526. https://doi.org/10.1177/1073110520958876

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