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”
Citations
Cites
‘Small Changes' to Diet and Physical Activity Behaviors for Weight Management
Hills, A. P., Byrne, N. M., Lindstrom, R. C., & Hill, J. O. (2013) · Obesity Facts · doi:10.1159/000345030 · Cited by 9,526
The PHQ-8 as a measure of current depression in the general population
Kroenke, K., Strine, T. W., Spitzer, R. L., Williams, J. B. W., Berry, J. T., & Mokdad, A. H. (2009) · Journal of Affective Disorders · doi:10.1016/j.jad.2008.06.026 · Cited by 5,121
From Neurons to Neighborhoods: The Science of Early Childhood Development
(2000) · doi:10.17226/9824 · Cited by 4,484
The effects of poverty on children.
Brooks-Gunn, J., & Duncan, G. J. (1997) · The Future of Children · doi:10.2307/1602387 · Cited by 2,837
Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents.
Green, M. (1994) · Cited by 1,663
Consequences of growing up poor
Frasch, K. M. (1999) · Children and Youth Services Review · doi:10.1016/s0190-7409(99)00059-6 · Cited by 1,604
Carmen, D.-W., Proctor, B. D., & Smith, J. C. (2008) · University Libraries (University of Maryland) · doi:10.13016/ulfd-hsp8 · Cited by 1,569
Consequences of growing up poor
Duncan, G. J., & Jeanne Brooks-gunn, B. (1999) · Russell Sage Foundation eBooks · Cited by 1,547
Pediatrics, S. O. D. B. (2006) · PEDIATRICS · doi:10.1542/peds.2006-1231 · Cited by 1,472
Garner, A. S., Shonkoff, J. P., Siegel, B., Dobbins, M. I., Earls, M. F., Garner, A. S., McGuinn, L. J., Pascoe, J. M., & Wood, D. L. (2011) · PEDIATRICS · doi:10.1542/peds.2011-2662 · Cited by 1,095
Research works printed but not linked: 1
- Shonkoff, 2000, From Neurons to Neighborhoods
Cited by
Sorted by citations
Andermann, A. A. J. (2016) · Canadian Medical Association Journal · doi:10.1503/cmaj.160177 · Cited by 727
A Systematic Review of Interventions on Patients’ Social and Economic Needs
Gottlieb, L. M., Wing, H., & Adler, N. E. (2017) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2017.05.011 · Cited by 455
Gottlieb, L. M., Hessler, D., Long, D., Laves, E., Burns, A. R., Amaya, A., Sweeney, P., Schudel, C., & Adler, N. E. (2016) · JAMA Pediatrics · doi:10.1001/jamapediatrics.2016.2521 · Cited by 419
Andermann, A. (2018) · Public Health Reviews · doi:10.1186/s40985-018-0094-7 · Cited by 323
“A cluster RCT conducted by Garg and colleagues [51] demonstrated that screening for social determinants of health during well child care visits led to greater referral to social support resources, greater odds of being employed and having child care at 12 months of follow-up, and lower odds of being in a shelter.”
Backgroundde la Vega, P. B., Losi, S., Martinez, L. S. S., Bovell-Ammon, A., Garg, A., James, T. L., Ewen, A. M., Stack, M., DeCarvalho, H., Sandel, M. T., et al. (2019) · Medical Care · doi:10.1097/mlr.0000000000001029 · Cited by 327
Self-citation
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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
A language model drew the claims from the paper on 2026-10-11, under version 3 of the claim definition (model deepseek-v4.1-flash, prompt extract-v3).
A second model labelled each claim on 2026-10-11 (model jev-1.13-20260917, definition revision gold-guideline-v0.2).
Cited sources are checked with a language model’s help (gpt-6-sol).
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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