The DOI matches its Crossref record; 53 of the 55 references it cites were found in a registry or an index; 2 of the 26 sources its claims cite were checked for support.
Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT
Open accessAbstract
To evaluate the effect of a clinic-based screening and referral system (WE CARE) on families' receipt of community-based resources for unmet basic needs.
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Claims the paper makes
23 Own method · 12 Own result · 10 No full text of the sources · 8 Own interpretation · 2 Not checked yet · 2 No basis given · 1 Supported · 1 Partly supported · 1 Sources not found · accuracy not yet measured
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“There was no effect modification on any outcome measure by study wave or maternal depression.”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > FIGURE 1
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“WE CARE children had greater odds of being in child care (aOR = 6.3; 95% CI, 1.5-26.0).”
- Also stated in: § FIGURE 1 · plain
“WE CARE children had greater odds of being enrolled in a child care (aOR = 6.3; 95% CI, 1.5-26.0)”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > METHODS:
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Also stated in: § FIGURE 1 · plain
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“For each type of need, WE CARE mothers had significantly greater adjusted odds of receiving a referral (Table 3).”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > FIGURE 1
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“At the 12-month visit, more WE CARE mothers had enrolled in a new community resource (39% vs 24%; aOR = 2.1; 95% CI, 1.2-3.7).”
- Also stated in: § FIGURE 1 · plain
“At the 12-month well child care visit, more WE CARE mothers had enrolled in $1 new resource (39% vs 24%; aOR = 2.1; 95% CI, 1.2-3.7).”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > METHODS:
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Also stated in: § FIGURE 1 · plain
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“WE CARE mothers had greater odds of being employed (aOR = 44.4;95% CI, 9.8-201.4).”
- Also stated in: § FIGURE 1 · plain
“WE CARE mothers had greater odds of being employed or enrolled in a job training program (aOR = 44.4;95% CI, 9.8-201.4)”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > METHODS:
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Also stated in: § FIGURE 1 · plain
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The NNT for WE CARE to result in a mother receiving a referral to community-based resources was 1.6; the NNT for families to enroll in a resource was 6.7.”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > FIGURE 1
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“At 9-month follow-up, more WE CARE mothers had contacted a community resource than control mothers (65% vs 49%; aOR = 1.5; 95% CI, 1.1-2.1).”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > FIGURE 1
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“More WE CARE mothers received $1 referral at the index visit (70% vs 8%; adjusted odds ratio [aOR] = 29.6;95% confidence interval [CI], 14.7-59.6).”
- Also stated in: § FIGURE 1 · plain
“More WE CARE mothers received $1 referral at the index visit than control mothers (70% vs 8%; aOR = 29.6;95% CI, 14.7-59.6).”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > METHODS:
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Also stated in: § FIGURE 1 · plain
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“WE CARE families had greater odds of receiving fuel assistance (aOR = 11.9;95% CI, 1.7-82.9)”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > METHODS:
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The NNT for WE CARE to result in a mother receiving a referral to community-based resources was 1.6; the NNT for families to enroll in a resource was 6.7.”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > FIGURE 1
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Probably not a substantial claim. 25
- It may state two separate claims as one. 14
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“Within the Children's HealthWatch survey, food insecurity is assessed on the 18-item US Food Security Scale, a valid and reliable instrument with established clinical cutoffs.23,25”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > Baseline Data
What the sources say
- Not checked — no full text of the sourcecites [23] Frank, 2010, Cumulative hardship and wellness of low-income, young children: multisite surveillance study., Pediatrics source
- Partly supportedcites [25] Cook, 2006, Child food insecurity increases risks posed by household food insecurity to young children’s health., J Nutr sourceExperimental — accuracy not yet measured
The paper describes the US Food Security Scale as an 18-question instrument and says the study derived food-security status from it using established procedures (Methods; Exposure variable, page not provided). It does not establish that the scale is valid and reliable or that its classification thresholds are clinical cutoffs. (LLM, conf=0.86)
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
Every source the paper cites for this claim was checked and supports it.
In the paper
“There is nearly universal agreement in the scientific and public health communities that social determinants, 1 the circumstances in which people live and work, affect health. 1”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > WHAT THIS STUDY ADDS:
What the sources say
- Supportedcites [1] Marmot, 2006 source
The Abstract says social factors are at the root of many health inequalities. Panel 2, “The solid facts,” states directly that the circumstances in which people live and work matter for both communicable and non-communicable disease. (LLM, conf=0.93)
boosteddirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim.
- Supported
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“More than 90% of subjects reported $1 unmet basic need at baseline, 68% reported $2 needs, and 39% reported $3 needs.”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > Baseline Characteristics
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Overall, 42% of WE CARE mothers received $2 referrals at the visit; 21% received $3 referrals.”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > FIGURE 1
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The most common need was unemployment (57%), followed by housing instability (43%) (Table 2).”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > Baseline Characteristics
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
In the paper
“This scale consists of 8 questions; a score of .10 has an 88% sensitivity and 88% specificity for major depressive episode.26”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > Baseline Data
What the sources say
- Not checked — no full text of the sourcecites [26] Kroenke, 2009, The PHQ-8 as a measure of current depression in the general population., J Affect Disord source
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
None of the sources cited for this claim have been checked yet.
In the paper
“Children raised in poverty experience poorer health than children from more advantaged backgrounds and commonly face unmet basic needs such as food security, stable housing, or an adequately heated home. [3][4][5][6][7][8]”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > WHAT THIS STUDY ADDS:
What the sources say
- Not checked — no full text of the sourcecites [3] Aber, 1997, The effects of poverty on child health and development., Annu Rev Public Health source
- Not checked yetcites [4] Duncan, 1997
- Not checked — no full text of the sourcecites [5] Brooks-Gunn, 1997, The effects of poverty on children., Future Child source
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Overall, we obtained follow-up data for 271 participants (81%) (Fig 1).”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > Referrals, Contact, and Enrollment
plainn = 271- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Therefore, addressing the social determinants of child health in the clinical setting is currently more of a moral imperative than it is an evidence-based practice.”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > WHAT THIS STUDY ADDS:
plain- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. It may be too vague to check against evidence.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Initial contact was assessed in both study arms by a brief structured telephone interview performed by a masked research assistant when the infant was 9 months of age.”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > Study Outcomes
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“We estimated that each study arm would need 168 mothers to detect an absolute difference of 15% in the overall enrollment in resources assuming equal cluster sizes, an intraclass correlation of .01,an enrollment rate of 5% in the control group, statistical power of 80%, 2-tailed a of .05,and a 15% loss to follow-up.”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > Sample Size and Statistical Analysis
hedged- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
None of the sources cited for this claim have been checked yet.
In the paper
“Numerous American Academy of Pediatrics policy statements and Bright Futures health supervision guidelines support this view and have been published in an effort to reinforce this practice.[13][14][15][16][17]”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > WHAT THIS STUDY ADDS:
What the sources say
- Not checked yetcites [13] Medical Home Initiatives for Children With Special Needs Project Advisory Committee. American Academy of Pediatrics, 2002, The medical home., Pediatrics
- Not checked — no full text of the sourcecites [14] Schor, 2003, Family pediatrics: report of the Task Force on the Family., Pediatrics
- Not checked — no full text of the sourcecites [15] American Academy of Pediatrics Council on Community Pediatrics, 2013, . Community pediatrics: navigating the intersection of medicine, public health, and social determinant of children’s health., Pediatrics source
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Finally, because of a lack of previous studies, we overestimated our adjusted intraclass correlation coefficient effect.This adjustment resulted in our ability to detect smaller between-group differences than we originally anticipated.”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > DISCUSSION
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“There were no differences in age, gender, clinician type (pediatrician, nurse practitioner), or years in practice between intervention and control arm clinicians (data not shown).”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > Baseline Characteristics
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“We relied on maternal self-report to measure our outcomes, which may have introduced social desirability and recall biases.”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > DISCUSSION
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
In the paper
“our previous work found that visit time was marginally increased.19”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > DISCUSSION
What the sources say
- Not checked — no full text of the sourcecites [19] Garg, 2007, Improving the management of family psychosocial problems at low-income children’s well-child care visits: the WE CARE Project., Pediatrics source
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Written informed consent was obtained from all participants before enrollment.”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > Participants and Enrollment
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“To assess potential confounding, we examined group differences between sociodemographic variables and basic needs at baseline.”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > Sample Size and Statistical Analysis
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“All Children's HealthWatch questions are internally validated, and a composite Children's HealthWatch measure of cumulative hardships combining food, housing, and energy insecurity has previously been correlated with children's health status, developmental concerns, and a composite child wellness indicator.23”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > Baseline Data
What the sources say
- Not checked — no full text of the sourcecites [23] Frank, 2010, Cumulative hardship and wellness of low-income, young children: multisite surveillance study., Pediatrics source
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Community-based resources may be more available in Boston than in other locations.”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > DISCUSSION
hedgedcorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. The paper may give no reason why it holds.
In the paper
“Because we did not find any meaningful confounding, and per Murray and Blistein's 35 suggested method, we chose covariates (race, marital status, and maternal employment) that reduced the intraclass correlation effect for our regression models.”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > Sample Size and Statistical Analysis
What the sources say
- Not matchedcites Murray and Blistein's 35
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
- Not matched
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“To determine enrollment, 2 different study team members reviewed the questionnaires, with the primary reviewer being masked.”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > Study Outcomes
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim.
In the paper
“The WE CARE clinical screening instrument was adapted from a larger family psychosocial screening instrument with test-retest reliability of .92. 19”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > WE CARE
What the sources say
- Not checked — no full text of the sourcecites [19] Garg, 2007, Improving the management of family psychosocial problems at low-income children’s well-child care visits: the WE CARE Project., Pediatrics source
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“An intention-to-treat approach was used to compare intervention and control groups on study outcomes.”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > Sample Size and Statistical Analysis
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“We excluded preterm infants and infants with special health care needs because such infants are often engaged with other services (eg, Early Intervention) and could be expected to benefit from WE CARE differently from healthy infants in terms of our outcome measures.”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > Participants and Enrollment
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The study was conducted at CHCs, which may limit its generalizability.”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > DISCUSSION
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“Silverstein et al 41 demonstrated that a computer-generated clinic-based referral system increased enrollment of low-income children in Head Start.”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > DISCUSSION
What the sources say
- Not checked — no full text of the sourcecites [41] Silverstein, 2004, Effect of a clinic-based referral system to head start: a randomized controlled trial., JAMA source
boosteddirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“We tested effect modification by enrollment wave and maternal depression by entering interaction terms into the regression models.”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > Sample Size and Statistical Analysis
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“Wyliet al 42 demonstrated the impact that a Web-based screening and referral system has on the identification of social needs in adolescents.”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > DISCUSSION
What the sources say
- Not checked — no full text of the sourcecites [42] Wylie, 2012, Assessing and referring adolescents’ health-related social problems: qualitative evaluation of a novel web-based approach., J Telemed Telecare source
boosteddirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“The study was approved by the Boston University Medical Center Institutional Review Board and registered on clinicaltrials.gov(NCT01303458).”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > Study Design and Setting
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Additionally, for all outcome measures collected after the index visit, we adjusted the models for duration of follow-up time.”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > Sample Size and Statistical Analysis
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“A previous study by our group demonstrated that a similar system can lead to more discussion and referrals for family psychosocial problems by pediatric trainees.19”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > DISCUSSION
What the sources say
- Not checked — no full text of the sourcecites [19] Garg, 2007, Improving the management of family psychosocial problems at low-income children’s well-child care visits: the WE CARE Project., Pediatrics source
boosteddirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“We view our results as more of a proof of principle than evidence of a specific program.”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > DISCUSSION
plain- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. It may be too vague to check against evidence.
A claim is checked only against the cited paper’s full text, never its abstract, and none is available for its sources.
In the paper
“For decades, leaders in the field of pediatrics have argued that addressing a child's social needs falls within the purview of the child health provider.[9][10][11][12]”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > WHAT THIS STUDY ADDS:
What the sources say
- Not checked — no full text of the sourcecites [9] Haggerty, 1975 source
- Not checked — no full text of the sourcecites [10] Zuckerman, 1995, Preventive pediatrics—new models of providing needed health services., Pediatrics source
- Not checked — no full text of the sourcecites [11] Wood, 2003, Effect of child and family poverty on child health in the United States., Pediatrics source
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
A claim is checked only against the cited paper’s full text, never its abstract, and none is available for its sources.
In the paper
“We decided to screen for these needs because of their high prevalence among urban families, 19,27 the public availability of community resources designed to address them, and previous research demonstrating the association of these needs with negative child outcomes.23,[28][29][30][31][32][33][34]”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > WE CARE
What the sources say
- Not checked — no full text of the sourcecites [19] Garg, 2007, Improving the management of family psychosocial problems at low-income children’s well-child care visits: the WE CARE Project., Pediatrics source
- Not checked — no full text of the sourcecites [27] Garg, 2009, Screening for basic social needs at a medical home for low-income children., Clin Pediatr (Phila) source
- Not checked — no full text of the sourcecites [23] Frank, 2010, Cumulative hardship and wellness of low-income, young children: multisite surveillance study., Pediatrics source
boostedcorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
The paper relies on this without support.
There were no systematic biases in receipt of city-wide early childhood and home visitation programs between study groups.
“However, we are not aware of any systematic biases in receipt of these programs, which probably would have exerted a conservative bias.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Screening practices for social drivers of health, such as FI, are often limited in the clinical setting because of insufficient time, inadequate training, lack of resources, and sensitivity of questions [26].”
From Food Insecurity Screening and Referral Practices of Pediatric Clinicians in Metropolitan Washington, DC (2024) · cites this paper as [26]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Studies of referral-based interventions reported moderate increases in patient food program referrals (SMD = 0.67, 95% CI, 0.36-0.98; SMD = 1.42, 95% CI, 0.76-2.08)”
From Interventions Addressing Food Insecurity in Health Care Settings: A Systematic Review (2019) · cites this paper as [22]
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
In the citing paper
“One study found only modest effects of a waiting room-based intervention on patient enrollment in food-related resources (Table 2). 22”
From Interventions Addressing Food Insecurity in Health Care Settings: A Systematic Review (2019) · cites this paper as [22]
The cited source says what the claim attributes to it.
In the citing paper
“Rates of patients receiving referrals as a result of the intervention ranged from 30% to 75% (Table 2). 16,22,27,29,35,40”
From Interventions Addressing Food Insecurity in Health Care Settings: A Systematic Review (2019) · cites this paper as [22]
In the citing paper
“the evidence supporting the different components of this pathway is not yet robust.”
From Revising the logic model behind health care's social care investments (2024) · cites this paper as [12]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Rated minor: it would not touch a result — a value no result rests on, a p-value that stays on the same side of the significance level, or a conflict that is clerical, resolved elsewhere in the paper, or outside its own findings.
In the paper
“| ,$40 000 | 260 (79) | 134 (81) | 126 (75) | | $$40 000 | 72 (22) | 32 (19) | 40 (24) |”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > CONCLUSIONS
Reported 79 · recomputed 77.380952
Rated minor: it would not touch a result — a value no result rests on, a p-value that stays on the same side of the significance level, or a conflict that is clerical, resolved elsewhere in the paper, or outside its own findings.
In the paper
“| Non-Hispanic .1 race | 16 (4) | 12 (7) | 4 (3) |”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > CONCLUSIONS
Reported 4 · recomputed 4.761905
Rated minor: it would not touch a result — a value no result rests on, a p-value that stays on the same side of the significance level, or a conflict that is clerical, resolved elsewhere in the paper, or outside its own findings.
In the paper
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > Sample Size and Statistical Analysis
“per Murray and Blistein's 35 suggested method”
§ Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT > References
“34. Murray DM, Blistein JL. Methods to reduce the impact of intraclass correlation in group-randomized trials. Eval Rev. 2003;27(1):79-103”
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Addressing Social Determinants of Health to Promote Health Equity for Latinx Families
Martinez-Cardoso, A., Monahan, E. K., Garza, A., & Wallace, N. (2025) · Family & Community Health · doi:10.1097/fch.0000000000000433 · Cited by 1
Ramjan, S., Thies, M. B., Li, Y., Thrope, A., Silverman, L. B., Welch, J. J. G., Kahn, J. M., Kelly, K. M., Tran, T. H., Michon, B., et al. (2025) · Pediatric Blood & Cancer · doi:10.1002/pbc.31767 · Cited by 1
“HMH is also a versatile measure that allows for the potential to provide tangible interventions outside of cognitive or academic interventions; previous research has found that providing families experiencing HMH with government supports can improve health outcomes [30].”
Argumedo, A. A., Uechi, M., Gartland, M. G., & Saadi, A. (2025) · Journal of Primary Care & Community Health · doi:10.1177/21501319251348065 · Cited by 2
Comparing Two Training Approaches to Scaling Up the Safe Environment for Every Kid (SEEK) Approach
Dubowitz, H., Belanger, R., Magder, L. S., Kim, H., Saldana, L., & Palinkas, L. (2025) · Academic Pediatrics · doi:10.1016/j.acap.2025.103115 · Cited by 1
Social Worker and Community Health Worker Collaboration in Addressing Social Needs
Luke, M. J., Muleta, H., Kim, V., Beatty, B., Brittan, M. S., Bowers, M., Kenyon, C. C., Scribano, P. V., Fiori, K. P., & Vasan, A. (2025) · PEDIATRICS · doi:10.1542/peds.2025-071164 · Cited by 1
Mahmud, A., Brown, M. C., Lewis, C. C., Ornelas, I. J., Pardee, R., Mun, S., Piccorelli, A., Westbrook, E. O., Haan, H. D., & Wong, E. S. (2025) · BMC Health Services Research · doi:10.1186/s12913-025-13303-6 · Cited by 1
“Examples of the latter range from on-site community health workers to service call lines with operators who help with resource navigation [17–19].”
Reeder-Hayes, K. E., Ray, E. M., & Lafata, J. E. (2025) · JCO Clinical Cancer Informatics · doi:10.1200/cci-25-00238 · Cited by 1
Cardiovascular Health of Single Mothers: A Systematic Review
Borrowman, J. D., Pageau, L. M., Cameron, N. A., Carnethon, M. R., & Fields, N. D. (2025) · Journal of the American Heart Association · doi:10.1161/jaha.125.043296 · Cited by 1
“Such integrated re-ferrals have been shown to reduce financial and psychosocial stress, which have downstream benefits for CVH. 70,72 Clinicians should also address mental health, as chronic stress, depression, and anxiety are linked to increased CVD risk.”
To Screen or Not to Screen? Future Considerations for Social Care Intervention Delivery
Leary, J. C., Branley, C. E., & Garg, A. (2026) · PEDIATRICS · doi:10.1542/peds.2025-075261 · Cited by 1
Self-citationGlattacker, M., Schlett, C., Metzner, G., van Staa, J., Höhn, C., Horstmann, S., Jünemann, S., Barth, M., Giesler, J. M., Kaier, K., et al. (2026) · Children and Youth Services Review · doi:10.1016/j.childyouth.2026.108964 · Cited by 1
Social drivers in lactation for mothers of very premature infants
Kalluri, N. S., Peña, M.-M., & Parker, M. G. K. (2026) · Seminars in Perinatology · doi:10.1016/j.semperi.2026.152232 · Cited by 1
Prevalence and Correlates of Families’ Unmet Social Needs in Pediatric Primary Care Settings
Waters, K., Kaul, S. K., Donepudi, S., Danchine, S. D., Hilgeman, J., Eberhart, G. M., & Pascoe, J. M. (2026) · Healthcare · doi:10.3390/healthcare14121671 · Cited by 1
“Screening programs that incorporate resource navigation, care coordination, and community partnerships help address these needs and improve child health outcomes [15,20,22,38].”
A Social Care Intervention in Pediatric Practices: A Stepped Wedge Cluster Trial
Garg, A., Brochier, A., Torres, A., Paz, K. B., Drainoni, M., Shone, L. P., Fiks, A. G., Scheindlin, B., Tripodis, Y., Griffith, M., et al. (2026) · PEDIATRICS · doi:10.1542/peds.2026-076146 · Cited by 1
Self-citationPromoting Early Childhood Development in the Pediatric Medical Home
Duby, J. C. (2016) · Springer eBooks · doi:10.1007/978-3-319-39059-8_6 · Cited by 1
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Rudel, R. K., Byhoff, E., Strombotne, K. L., Drainoni, M., & Greece, J. A. (2024) · Journal of the Academy of Nutrition and Dietetics · doi:10.1016/j.jand.2024.04.008 · Cited by 1
Clinical practice guideline recommendations can promote or undermine health equity
Persaud, N. (2025) · Clinical and Public Health Guidelines · doi:10.1002/gin2.70011 · Cited by 3
“17 Clinical practice guidelines can help to advance access to care that might be deemed controversial or even illegal in some settings such as care and reproductive care.”
Hutchins, C., Poudel, S., Tambyraja, S. R., & Schmitt, M. B. (2025) · International Journal of Language & Communication Disorders · doi:10.1111/1460-6984.70142 · Cited by 1
Easing Social Distress in Pediatric Cancer
Pelletier, W., Ripamonti, I., & Bona, K. O. (2017) · Pediatric oncology · doi:10.1007/978-3-319-61391-8_10 · Cited by 1
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Well-child visit attendance of children who have experienced a parental COVID-19 diagnosis
Sabu, S., Simeonsson, K. L., Tumin, D., & Buckman, C. (2022) · Minerva Pediatrics · doi:10.23736/s2724-5276.22.06777-5 · Cited by 1
Addressing Barriers to Accessing Head Start Programs via the Medical Home: A Qualitative Study
Saoud, K., Saavedra, J., Hirshfield, L. E., et al. (2022) · Maternal and Child Health Journal · doi:10.1007/s10995-022-03498-z · Cited by 1
“…limited availability of programs and difficulty completing paperwork (Karoly & Gonzalez, 2011), and pediatricians’ difficulty with screening and referral due to time constraints, little knowledge of available resources, and little staff support (Garg et al., 2015; Silverstein et al., 2003).”
BackgroundRangachari, P., Parvez, I., LaFontaine, A.-A., Mejias, C. D., Thawer, F., Chen, J., Pathak, N., & Mehta, R. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20021508 · Cited by 1
“In addition to implementing telehealth services, a growing number of healthcare providers have initiated screening for social determinants of health, given the positive impact this could have on overall health status [35,36].”
Background(2000) · Time to knit · doi:10.1016/j.yped.2015.07.073 · Cited by 1
Recognizing the Importance of the Social Determinates of Health
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Parsing Language and Measures Around Child Maltreatment
Campbell, K. A., Myrup, T., & Svedin, L. M. (2016) · PEDIATRICS · doi:10.1542/peds.2016-3475
What a Summer Nutrition Benefit Program Could Mean for Clinicians and Their Patients
Palakshappa, D., & Skelton, J. A. (2018) · PEDIATRICS · doi:10.1542/peds.2017-2701
Developing an Action Plan to Fight Food Insecurity
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An Advocate’s Well-Child Check
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Expanding Concepts of Youth Adversity: Relationships With a Positive Patient Health Questionnaire-2.
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Diversity Issues in Pediatric Behavioral Health Care
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Food insecurity as a pediatric health concern
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Understanding the Influences and Organization of Systems to Improve Community Health
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The Impact of Hurricane Harvey on the Wellbeing of Hospitalized Children and Their Families
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Evidence-Based Best Practice Toolkit for Social Determinants of Health: A Program Evaluation Review
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“Screening for SDOH Encourages Referrals Implementation of a SDOH screening workflow was successful in identifying and providing relevant resource referrals (Buitron de la Vega et al., 2019; Hassann et al., 2015; Sokol et al., 2021; Garg et al., 2015; Bittner et al., 2021).”
BackgroundMethodInfluentialEcological Intervention at the Macro Level
Sprinson, J., & Berrick, K. (2022) · Oxford University Press eBooks · doi:10.1093/oso/9780197506790.003.0013
Ecological Intervention at the Micro Level
Sprinson, J., & Berrick, K. (2022) · Oxford University Press eBooks · doi:10.1093/oso/9780197506790.003.0011
Final Thoughts and Questions for Moving Forward
Sprinson, J., & Berrick, K. (2022) · Oxford University Press eBooks · doi:10.1093/oso/9780197506790.003.0014
Sprinson, J., & Berrick, K. (2022) · Oxford University Press eBooks · doi:10.1093/oso/9780197506790.003.0005
Sprinson, J., & Berrick, K. (2022) · Oxford University Press eBooks · doi:10.1093/oso/9780197506790.003.0003
Systems as Ecological Adversities
Sprinson, J., & Berrick, K. (2022) · Oxford University Press eBooks · doi:10.1093/oso/9780197506790.003.0008
Sprinson, J., & Berrick, K. (2022) · Oxford University Press eBooks · doi:10.1093/oso/9780197506790.002.0007
Sprinson, J., & Berrick, K. (2022) · Oxford University Press eBooks · doi:10.1093/oso/9780197506790.003.0001
Some General Principles of Ecological Intervention
Sprinson, J., & Berrick, K. (2022) · Oxford University Press eBooks · doi:10.1093/oso/9780197506790.003.0010
Sprinson, J., & Berrick, K. (2022) · Oxford University Press eBooks · doi:10.1093/oso/9780197506790.003.0002
Sprinson, J., & Berrick, K. (2022) · doi:10.1093/oso/9780197506790.001.0001
Sprinson, J., & Berrick, K. (2022) · Oxford University Press eBooks · doi:10.1093/oso/9780197506790.003.0004
The Internalization of Adversity
Sprinson, J., & Berrick, K. (2022) · Oxford University Press eBooks · doi:10.1093/oso/9780197506790.003.0009 · Cited by 1
Social Connectedness and Support
Sprinson, J., & Berrick, K. (2022) · Oxford University Press eBooks · doi:10.1093/oso/9780197506790.003.0007
Ecological Intervention at the Meso Level
Sprinson, J., & Berrick, K. (2022) · Oxford University Press eBooks · doi:10.1093/oso/9780197506790.003.0012
Sprinson, J., & Berrick, K. (2022) · Oxford University Press eBooks · doi:10.1093/oso/9780197506790.002.0003
Sprinson, J., & Berrick, K. (2022) · Oxford University Press eBooks · doi:10.1093/oso/9780197506790.003.0006
Sprinson, J., & Berrick, K. (2022) · Oxford University Press eBooks · doi:10.1093/oso/9780197506790.002.0005
Cigarettes: A toxic lifelong cycle
Gribben, V., & Chang, A. Y. (2022) · Elsevier eBooks · doi:10.1016/b978-0-12-818872-9.00138-2
The impacts of COVID-19 pandemic on food security among pregnant women
Peng, G. (2023) · Highlights in Science Engineering and Technology · doi:10.54097/hset.v36i.6115
Sokol, R. L., Clift, J., Mitchell, L., Martínez, J. J., & Rusnak, C. (2023) · Journal of the Society for Social Work and Research · doi:10.1086/725701
Francis-Oliviero, F., Driollet, B., & Alla, F. (2023) · European Journal of Pediatrics · doi:10.1007/s00431-023-05005-0
Elevating Parents’ Voices in Designing and Implementing Pediatric Inpatient Social Care Systems
Leary, J. C., Pantell, M. S., & Garg, A. (2023) · Hospital Pediatrics · doi:10.1542/hpeds.2023-007326
Self-citationLa promotion de l’évolution optimale de la santé mentale chez les enfants et les adolescents
Arruda, W., Bélanger, S. A., Cohen, J. S., Hrycko, S., Kawamura, A. A., Lane, M. A., Patriquin, M. J., & Korczak, D. J. (2023) · Paediatrics & Child Health · doi:10.1093/pch/pxad033
Gucciardi, E., Yang, A., Cohen-Olivenstein, K., Parmentier, B., & Wegener, J. (2023) · doi:10.32920/24614967
Gucciardi, E., Yang, A., Cohen-Olivenstein, K., Parmentier, B., & Wegener, J. (2023) · doi:10.32920/24614967.v1 · Cited by 1
Recommandations pour des soins préventifs pour promouvoir l’équité en matière de santé
Persaud, N., Sabir, A., Woods, H., Sayani, A., Agarwal, A., Chowdhury, M., de Leon-Demare, K., Ibezi, S., Jan, S. H., Katz, A., et al. (2023) · Canadian Medical Association Journal · doi:10.1503/cmaj.230237-f · Cited by 1
“Un feuillet contenant quelques questions sur les risques sociaux et les ressources appropriées pourrait servir d’entrée en matière pour une discussion 197 .”
BackgroundFederally Qualified Health Centers’ Screening for Social Risk Factors and Health Outcomes
Davlyatov, G. K., Choi, S., Borkowski, N. M., Hearld, K. R., & Aswani, M. S. (2024) · Journal of Ambulatory Care Management · doi:10.1097/jac.0000000000000494
Training Health Professional Students as Social Risk Advocates
Taylor, J. D., & Bruno, D. (2024) · Pedagogy in Health Promotion · doi:10.1177/23733799241258448
“Social risk care focuses on the practice of teaching learners to build clinical-community partnerships designed to diminish social and economic barriers to health while promoting healthful behaviors (Berkowitz et al., 2017; Garg et al., 2015; Gottlieb et al., 2019).”
Screening tools for employment in clinical healthcare delivery systems: a content analysis
Colon, A., & Goodman, J. M. (2024) · BMC Health Services Research · doi:10.1186/s12913-024-10976-3
Addressing unmet social needs of children with obesity: a pilot randomized controlled trial
Wahi, G., Marjerrison, S., Gill, S., Krasevich, K., Morrison, K. M., & Thabane, L. (2024) · Pilot and Feasibility Studies · doi:10.1186/s40814-024-01570-9 · Cited by 1
“Evidence in pediatrics shows that interventions to screen and address social needs improve health outcomes [14, 15].”
Rosado, J. I., Gabany, S., Fortino, M., et al. (2024) · Journal of Pediatric Health Care · doi:10.1016/j.pedhc.2024.10.015
Baker, K. A. (2024) · Gastroenterology Nursing · doi:10.1097/sga.0000000000000870
Medical Trainee Education Around Health-Related Social Needs
Berman, R. S., & Hassan, I. F. (2025) · American Academy of PediatricsItasca, IL eBooks · doi:10.1542/9781610027922-9
Whitmire, R., Wikstrom, D., Lockridge, R., Holland, E. M., Sprang, A. V., Toledo‐Tamula, M. A., Akshintala, S., Kaplan, R. N., Wolters, P. L., & Martin, S. C. (2026) · Supportive Care in Cancer · doi:10.1007/s00520-026-10843-3
“Household material hardship (HMH) is a measure of tangible resource needs that has been operationalized and well-studied as a domain of poverty [8–11].”
Leary, J. C., Bagley, H., Giacchetto, F. P., Pate, K., Foote, A. M., Murzycki, J. E., Freund, K. M., Garg, A., & Landrigan, C. P. (2025) · Academic Pediatrics · doi:10.1016/j.acap.2025.102872
Self-citationShi, M., Woo, S., Levano, S. R., Fiori, K. P., & Iyer, S. (2025) · Journal of Primary Care & Community Health · doi:10.1177/21501319251340818
“8 12-14 Given the importance of housing to health and wellbeing, and the presence of available resources to address housing needs, health systems may have a particular role to play in linking patients to housing-related resources.”
Food Insecurity Before and During the COVID-19 Pandemic and Early Childhood Development
Lambert, J. O., Perrin, E. M., STURNER, R. A., Howard, B. J., & Johnson, S. B. (2025) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/dbp.0000000000001393
A consensus study leading to HALT- a tool to prevent homelessness in primary carePreprint
Huey, A., Kearney, G. P., & Hart, N. D. (2025) · Research Square · doi:10.21203/rs.3.rs-6783597/v1
Joffer, J., Engström, M., Tell, J., Golsäter, M., Randell, E., & Lucas, S. (2025) · Child Protection and Practice · doi:10.1016/j.chipro.2025.100213
Social Determinants of Health Screening and Remote Intervention for a Pediatric Emergency Department
Bernardin, M. E., Zoellner, D., Eichman, D., Ge, B., McCartney, I., Castro, M. M., Kendrick, E., Eubanks, J., EuDaly, M., Stilley, J. A. W., et al. (2025) · Family & Community Health · doi:10.1097/fch.0000000000000439
Park, S., Coven, S. L., Tran, Y. H., & Mendonça, E. A. (2025) · American Journal of Clinical Oncology · doi:10.1097/coc.0000000000001240
Hardship-Free Households Are Associated With Optimal Caregiver and Child Health
Sheward, R. S., de Cuba, S. E., Cutts, D. B., Frank, D. A., Poblacion, A. P., Ochoa, E. R., Lê‐Scherban, F., Black, M. M., Coleman, S. M., Heeren, T., et al. (2025) · AJPM Focus · doi:10.1016/j.focus.2025.100422
“53 This study uses a sentinel sample from safety-net hospitals, which is not nationally representative.”
Carlin, D. K., Martin, A., VanCliff, C., Baldwin, N., Aoyama, B. C., Collaco, J. M., & McGrath‐Morrow, S. A. (2025) · Pediatric Pulmonology · doi:10.1002/ppul.71286
“Since there are few existing pediatric SDoH screening tools and of these, validity is largely unevaluated [16], we included questions from two previously validated social needs screening tools, the Wellrx and We Care (Supplemental Figure 1) [17, 18].”
O papel dos determinantes socioeconómicos na saúde das crianças
Russo, T., & Pereira, J. (2025) · Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT)
Caregiver Experiences With Inpatient Health-Related Social Needs Screening
Stokes, S., Latta, H., Gayle, T. L., et al. (2026) · Hospital Pediatrics · doi:10.1542/hpeds.2025-008630
Bayoumi, I., Parkin, P. C., Tabassum, F., Johnson, C. L., Sherwood, M., Mitchell, M., Birken, C. S., Bloch, G. C., Carsley, S., Cole, M., et al. (2026) · BMJ Open · doi:10.1136/bmjopen-2025-111158
“24 Gottleib et al used volunteers for social needs screening and navigation and found improved parent-reported global child health.”
Implications for Pediatric Advocacy and Public Policy
(2025) · American Academy of PediatricsItasca, IL eBooks · doi:10.1542/9781610028196-ch11
Gago, C. M., León, E. D., Zhang, L., Lopez, J. A., Egede, J. K., Gallager, R. P., Hopkins, K. A., & Schoenthaler, A. (2026) · BMC Health Services Research · doi:10.1186/s12913-026-14351-2
“…most have focused on supporting HRSN resource navigation among parents with children receiving care in pediatric patient clinical settings [25, 43–45]; these parent populations likely face unique facilitators and barriers to self-navigation compared to adult primary care populations.”
Healthcare Utilization Following Implementation of a Pediatric Social Needs Screening Program
Gibson, A., Riggs‐Harpur, K., Jafry, M. Z., Mathur, M., Le, Y.-C., & McKay, S. (2026) · Journal of Primary Care & Community Health · doi:10.1177/21501319261428865
“…conducted in 8 urban community health centers showed screening and referral among infants’ mothers increased enrollment in new community resources, 31 while another RCT among caregivers of children in 2 urban hospitals found that patient navigators reduced reported social needs at 4-month follow…”
A Case-Based Analysis of Social Drivers in Diabetes Outcomes
Matics, K. (2026) · The Journal for Nurse Practitioners · doi:10.1016/j.nurpra.2026.105761
Improving Screening Rates for Social Determinants of Health in Pediatric Primary Care Practices
Rao, V. S., Chamberlain, C., Bernstein, B. A., Williams, N.-T., & Cooper, M. R. (2026) · Population Health Management · doi:10.1177/19427891261434673
Improving Social Risk Factors Screening and Resource Referrals in Hospitalized Pediatric Patients
Ng, G., Joshi, S., Bracken, A., Keller, A. R., Knittel, G., Present, M., Schriefer, J. A., Sosa, T. K., & Fallon, A. (2026) · Hospital Pediatrics · doi:10.1542/hpeds.2025-008649
Metadata
- Authors
- Garg, A., Toy, S., Tripodis, Y., Silverstein, M., & Freeman, E.
- Affiliations
- Boston University (US)
- Northeastern University (US)
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2015-02-01
- Volume
- 135
- Issue
- 2
- Pages
- e296-e304
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- PMC
- PMC4306802
- OpenAlex
- W2033448635
- Cited by
- 643
- References
- 55
- Citations by year
- 2026: 40 · 2025: 49 · 2024: 70 · 2023: 82 · 2022: 84 · 2021: 76 · 2020: 71 · 2019: 52 · 2018: 50 · 2017: 27 · 2016: 30 · 2015: 11
- FWCI
- 71.73
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- PEDIATRICS (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- National Institute of Child Health and Human Development
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R00HD056160)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Child and Adolescent Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Food Security and Health in Diverse Populations
- Social Sciences › Health › Public Health and Social Inequalities
- Keywords
- social determinants of health, well-child care, unmet basic needs, community resource referral, community health centers, food security, housing, child care, employment, homelessness, mothers of infants
- MeSH terms
- Adult, Child, Child Welfare, Child, Preschool, Community Health Centers, Female, Follow-Up Studies, Humans, Infant, Male, Mass Screening, Primary Health Care, Surveys and Questionnaires, Referral and Consultation, Social Work, United States, Cluster Analysis, Community Networks, Needs Assessment, Vulnerable Populations, Social Determinants of Health
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