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CompletedNCT04630041Updated Nov 16, 2020

Social Needs Screenings in ED

An interventional study of 211 Referral in Social Determinants of Health, sponsored by Andrea Wallace. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-11-16.

Primary conditionnone(registry's first term: Emergencies)No conditionIs this wrong?Emergencies describes something many studies share rather than a condition a study is about. The study names no condition we can place it under, so it is not compared with other studies by condition.

Sponsored by Andrea Wallace · Not applicable, Interventional, and Health services research

From the registry’s dates

  • Registered 1 year 6 months after the study started (first participant enrolled May 2019, registered Nov 2020).
Phase
Not applicable
Study type
Interventional
Enrollment
5,081
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This study will determine whether existing Health Information Technology can be leveraged to 1) implement a universal, patient-centered social needs assessment and referral process during routine Emergency Department care; 2) understand whether linking social needs assessment, community based referral, and health outcomes data may facilitate an understanding of population health; and 3) address the needs and wishes of patients and clinicians.

Hypothesis: Results of this study will provide much needed information to already overburdened hospital systems regarding whether systematically incorporating social needs information and referrals into emergency discharge processes allows for a better understanding of factors placing patients at risk for poor outcomes post-discharge, and whether doing so has potential for enhancing discharge support for a larger patient population seen in emergency departments.

02

Conditions studied

  • Social Determinants of Health

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Keywords

  • Emergencies
  • Social needs
03

In context

Lead sponsor

Andrea Wallace is the lead sponsor of 4 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • seen in the UHealth University hospital ED
  • ability to use touchpad technology
  • ability to communicate via telephone for 211 follow-up

Exclusion criteria

Exclusion Criteria:

  • Non-English and non-Spanish speaking (English nor Spanish need not be the 1st language)
  • unable to communicate verbally
  • admitted to an inpatient unit or to a skilled nursing facility (vs discharged to a community-based setting where participants are responsible for their own self-care)
05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
5,081 participants (actual)

Study arms

  • Experimental
    Social Needs Assessment

    Patients in the Emergency Department will complete a social needs assessment screener that may refer them to 211 services

    Behavioral: 211 Referral

Interventions

  • Behavioral211 Referral

    Patients with one or more reported social need will be referred to 211 for community based services. 211 will reach out and contact patients for follow-up.

06

What researchers measure

Primary outcomes

  1. Health Utilization Outcome questionnaire

    The variable will be created by combining primary care utilization (yes/no), ED revisit (yes/no), and hospitalization (yes/no) within 60 days of original ED visit. Scores range from 0 to 3. Higher scores indicate worse health utilization outcomes.

    Time frame: 60 days

07

Study locations

1 site
  • University of Utah
    Salt Lake City, Utah 84112, United States
08

References and documents

Publications

  • Wallace AS, Luther BL, Sisler SM, Wong B, Guo JW. Integrating social determinants of health screening and referral during routine emergency department care: evaluation of reach and implementation challenges. Implement Sci Commun. 2021 Oct 7;2(1):114. doi: 10.1186/s43058-021-00212-y. PubMed 34620248 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from May 2019 to primary completion in Oct 2020, 17 months.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 11, 2020
First posted
Nov 16, 2020
StartActual
May 1, 2019
Primary completionActual
Oct 1, 2020
CompletionActual
Oct 1, 2020
Last update
Nov 16, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 16, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04630041
Lead sponsor
Andrea Wallace
Collaborators
Agency for Healthcare Research and Quality (AHRQ)
Responsible party
Andrea Wallace (Associate Professor, University of Utah) — Sponsor-investigator
First posted
Nov 16, 2020
Start date
May 1, 2019
Primary completion
Oct 1, 2020
Completion
Oct 1, 2020
Last update
Nov 16, 2020

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2020. You cannot join it, but the record below documents what was studied.

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Discussion

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