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• W4285735862 abstract "ObjectiveCompare rates of identification of families with health-related social needs (HRSN) and connection to resources by targeted versus universal, pediatric clinic-based interventions.MethodsThis observational cohort study included 1677 families that received care (January 2017–May 2020) at 8 pediatric medical homes in 3 states implementing Developmental Understanding and Legal Collaboration for Everyone (DULCE)—a universal, evidence-based intervention that addresses HRSN for families with infants. We divided the cohort into 2 groups using 4 common risk criteria in targeted programs serving families with infants; 862 families had no high-risk characteristics (Risk Criteria Absent [RCA]); 815 families had high-risk characteristics (Risk Criteria Present [RCP]). We compared both groups by prevalence of HRSN and connection to supports and estimated the performance of high-risk criteria to identify HRSN.ResultsDULCE identified 990 families with HRSN, compared to an estimated 274 families, if a risk-targeted approach had been used. More than half of RCA families had HRSN, 11% used resources at enrollment, and 42.5% accessed resources through DULCE. Simultaneously, 68.8% of RCP families had ongoing HRSN although 46.0% used resources at enrollment; 63.9% accessed additional resources through DULCE. Commonly used risk criteria had a sensitivity of 55.3% (95% confidence interval [CI], 52.2%–58.5%), specificity of 61.1% (95% CI, 57.2%–64.9%), positive predictive value of 68.8% (95% CI, 65.4%–72.0%), and negative predictive value of 46.9% (95% CI, 43.5%–50.4%).ConclusionsRisk criteria commonly used to identify families for targeted interventions are imperfect proxies for HRSN. Universal, medical home-based approaches can play a key role in supporting families with infants." @default.
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• W4285735862 date "2022-11-01" @default.
• W4285735862 modified "2023-10-18" @default.
• W4285735862 title "Benefits of a Universal Intervention in Pediatric Medical Homes to Identify and Address Health-Related Social Needs: An Observational Cohort Study" @default.
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• W4285735862 doi "https://doi.org/10.1016/j.acap.2022.06.013" @default.
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