Table 1 RE-AIM constructs of reach and adoption, data sources, variables, and primary findings
Construct | Data source | Variables | Key findings |
|---|---|---|---|
Reach | REDCap | Number of screenings/number of screenings completed with needs indicated | 46.9% indicated having > one social needs |
211 Resource Specialist Database | Number of patients with needs/number referred to 211; number referred/number contacted and referred to agencies by 211 | 34.2% with needs who desired referrals 20.3% referred reached for community-based services | |
Adoption | REDCap | Reasons given by staff for not screening a patient | 36% of approaches were not screened 43% due to patient refusal 16% too sick/trauma |
Patient Engagement Studio | Patient-identified benefits of, and barriers to, social needs screening and referral processes | Potential embarrassment “Would I answer? Yes, Maybe, No” Need for sincerity “I need to know YOU before I answer.” “I need to feel the person cares.” Vulnerability “These questions make me vulnerable.” “I wouldn’t want these in my permanent record.” | |
Staff observation | Barriers and facilitators of screening during patient encounters | Use of professional “intuition” to decide who to screen Decisions not to screen based on patient insurance or appearance, “profiling” Screener as the “right” tool Staff make the screen [their] own. Perceptions of usefulness It is about the staff trusting that the information is useful. | |
Staff interviews | Provider-identified benefits of, and barriers to, social needs screening and referral process |