A feasibility and acceptability study of screening the parents/guardians of pediatric dental patients for the social determinants of health
Abstract Background The social determinants of health (SDOH) are the conditions in which people are born, grow, work, live, and age. Lack of SDOH training of dental providers on SDOH may result in suboptimal care provided to pediatric dental patients and their families. The purpose of this pilot stu...
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| Format: | Article |
| Language: | English |
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BMC
2023-03-01
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| Series: | Pilot and Feasibility Studies |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40814-023-01269-3 |
| _version_ | 1827985195641339904 |
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| author | Raghbir Kaur Martin Lieberman Margaret K. Mason Isaac P. Dapkins Rebecca Gallager Kathleen Hopkins Yinxiang Wu Andrea B. Troxel Ayah Rashwan Chelsea Hope Daniel J. Kane Mary E. Northridge |
| author_facet | Raghbir Kaur Martin Lieberman Margaret K. Mason Isaac P. Dapkins Rebecca Gallager Kathleen Hopkins Yinxiang Wu Andrea B. Troxel Ayah Rashwan Chelsea Hope Daniel J. Kane Mary E. Northridge |
| author_sort | Raghbir Kaur |
| collection | DOAJ |
| description | Abstract Background The social determinants of health (SDOH) are the conditions in which people are born, grow, work, live, and age. Lack of SDOH training of dental providers on SDOH may result in suboptimal care provided to pediatric dental patients and their families. The purpose of this pilot study is to report the feasibility and acceptability of SDOH screening and referral by pediatric dentistry residents and faculty in the dental clinics of Family Health Centers at NYU Langone (FHC), a Federally Qualified Health Center (FQHC) network in Brooklyn, NY, USA. Methods Guided by the Implementation Outcomes Framework, 15 pediatric dentists and 40 pediatric dental patient–parent/guardian dyads who visited FHC in 2020–2021 for recall or treatment appointments participated in this study. The a priori feasibility and acceptability criteria for these outcomes were that after completing the Parent Adversity Scale (a validated SDOH screening tool), ≥ 80% of the participating parents/guardians would feel comfortable completing SDOH screening and referral at the dental clinic (acceptable), and ≥ 80% of the participating parents/guardians who endorsed SDOH needs would be successfully referred to an assigned counselor at the Family Support Center (feasible). Results The most prevalent SDOH needs endorsed were worried within the past year that food would run out before had money to buy more (45.0%) and would like classes to learn English, read better, or obtain a high school degree (45.0%). Post-intervention, 83.9% of the participating parents/guardians who expressed an SDOH need were successfully referred to an assigned counselor at the Family Support Center for follow-up, and 95.0% of the participating parents/guardians felt comfortable completing the questionnaire at the dental clinic, surpassing the a priori feasibility and acceptability criteria, respectively. Furthermore, while most (80.0%) of the participating dental providers reported being trained in SDOH, only one-third (33.3%) usually or always assess SDOH for their pediatric dental patients, and most (53.8%) felt minimally comfortable discussing challenges faced by pediatric dental patient families and referring patients to resources in the community. Conclusions This study provides novel evidence of the feasibility and acceptability of SDOH screening and referral by dentists in the pediatric dental clinics of an FQHC network. |
| first_indexed | 2024-04-09T23:09:58Z |
| format | Article |
| id | doaj.art-a4ea830fd6594227bff40adb0f00e237 |
| institution | Directory Open Access Journal |
| issn | 2055-5784 |
| language | English |
| last_indexed | 2024-04-09T23:09:58Z |
| publishDate | 2023-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Pilot and Feasibility Studies |
| spelling | doaj.art-a4ea830fd6594227bff40adb0f00e2372023-03-22T10:26:42ZengBMCPilot and Feasibility Studies2055-57842023-03-019111110.1186/s40814-023-01269-3A feasibility and acceptability study of screening the parents/guardians of pediatric dental patients for the social determinants of healthRaghbir Kaur0Martin Lieberman1Margaret K. Mason2Isaac P. Dapkins3Rebecca Gallager4Kathleen Hopkins5Yinxiang Wu6Andrea B. Troxel7Ayah Rashwan8Chelsea Hope9Daniel J. Kane10Mary E. Northridge11Department of Dental Medicine, Advanced Education in Pediatric Dentistry Program, Family Health Centers at NYU LangoneGraduate Dental Education and Distance Learning, NYU Langone Dental Medicine Postdoctoral Residency Programs, Family Health Centers at NYU Langone, Department of Dental Medicine, Hansjörg Wyss Department of Plastic Surgery, NYU Grossman School of MedicineDepartment of Dental Medicine, Family Health Centers at NYU LangoneDepartments of Medicine and Population Health, Family Health Centers at NYU Langone, NYU Grossman School of MedicineYouth and Adolescent Services, Family Health Centers at NYU LangoneDepartment of Community Programs, Family Health Centers at NYU LangoneDepartment of Population Health, NYU Grossman School of MedicineDivision of Biostatistics, Department of Population Health, NYU Grossman School of MedicineDepartment of Dental Medicine, Advanced Education in Pediatric Dentistry Program, Family Health Centers at NYU LangoneDepartment of Dental Medicine, Advanced Education in Pediatric Dentistry Program, Family Health Centers at NYU LangoneDepartment of Dental Medicine, Advanced Education in Pediatric Dentistry Program, Family Health Centers at NYU LangoneFamily Health Centers at NYU Langone, Department of Dental Medicine, Hansjörg Wyss Department of Plastic Surgery, NYU Grossman School of MedicineAbstract Background The social determinants of health (SDOH) are the conditions in which people are born, grow, work, live, and age. Lack of SDOH training of dental providers on SDOH may result in suboptimal care provided to pediatric dental patients and their families. The purpose of this pilot study is to report the feasibility and acceptability of SDOH screening and referral by pediatric dentistry residents and faculty in the dental clinics of Family Health Centers at NYU Langone (FHC), a Federally Qualified Health Center (FQHC) network in Brooklyn, NY, USA. Methods Guided by the Implementation Outcomes Framework, 15 pediatric dentists and 40 pediatric dental patient–parent/guardian dyads who visited FHC in 2020–2021 for recall or treatment appointments participated in this study. The a priori feasibility and acceptability criteria for these outcomes were that after completing the Parent Adversity Scale (a validated SDOH screening tool), ≥ 80% of the participating parents/guardians would feel comfortable completing SDOH screening and referral at the dental clinic (acceptable), and ≥ 80% of the participating parents/guardians who endorsed SDOH needs would be successfully referred to an assigned counselor at the Family Support Center (feasible). Results The most prevalent SDOH needs endorsed were worried within the past year that food would run out before had money to buy more (45.0%) and would like classes to learn English, read better, or obtain a high school degree (45.0%). Post-intervention, 83.9% of the participating parents/guardians who expressed an SDOH need were successfully referred to an assigned counselor at the Family Support Center for follow-up, and 95.0% of the participating parents/guardians felt comfortable completing the questionnaire at the dental clinic, surpassing the a priori feasibility and acceptability criteria, respectively. Furthermore, while most (80.0%) of the participating dental providers reported being trained in SDOH, only one-third (33.3%) usually or always assess SDOH for their pediatric dental patients, and most (53.8%) felt minimally comfortable discussing challenges faced by pediatric dental patient families and referring patients to resources in the community. Conclusions This study provides novel evidence of the feasibility and acceptability of SDOH screening and referral by dentists in the pediatric dental clinics of an FQHC network.https://doi.org/10.1186/s40814-023-01269-3Community health centersCommunity resourcesDelivery of health careFederally Qualified Health CenterHealth equityInterprofessional education |
| spellingShingle | Raghbir Kaur Martin Lieberman Margaret K. Mason Isaac P. Dapkins Rebecca Gallager Kathleen Hopkins Yinxiang Wu Andrea B. Troxel Ayah Rashwan Chelsea Hope Daniel J. Kane Mary E. Northridge A feasibility and acceptability study of screening the parents/guardians of pediatric dental patients for the social determinants of health Pilot and Feasibility Studies Community health centers Community resources Delivery of health care Federally Qualified Health Center Health equity Interprofessional education |
| title | A feasibility and acceptability study of screening the parents/guardians of pediatric dental patients for the social determinants of health |
| title_full | A feasibility and acceptability study of screening the parents/guardians of pediatric dental patients for the social determinants of health |
| title_fullStr | A feasibility and acceptability study of screening the parents/guardians of pediatric dental patients for the social determinants of health |
| title_full_unstemmed | A feasibility and acceptability study of screening the parents/guardians of pediatric dental patients for the social determinants of health |
| title_short | A feasibility and acceptability study of screening the parents/guardians of pediatric dental patients for the social determinants of health |
| title_sort | feasibility and acceptability study of screening the parents guardians of pediatric dental patients for the social determinants of health |
| topic | Community health centers Community resources Delivery of health care Federally Qualified Health Center Health equity Interprofessional education |
| url | https://doi.org/10.1186/s40814-023-01269-3 |
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