Relationship between intervention dosage and success of resource connections in a social needs intervention
| Autor: | B.A. Darby, N. Manian, C.A. Wagner, H. Placzek, Debra J. Rog, T.J. Kaiser |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Service delivery framework Psychological intervention Vulnerable Populations 03 medical and health sciences 0302 clinical medicine Resource (project management) Nursing Phone Intervention (counseling) Social needs Humans 030212 general & internal medicine Multinomial logistic regression 030503 health policy & services Public Health Environmental and Occupational Health Social Support General Medicine Odds ratio Middle Aged United States Telephone Logistic Models Health Resources Female 0305 other medical science Psychology Case Management |
| Zdroj: | Public Health. 185:324-331 |
| ISSN: | 0033-3506 |
| Popis: | Objectives Social needs interventions in medical settings aim to mitigate the effects of adverse social circumstances on health outcomes by connecting vulnerable patients with resources. This study examined the relationship between intervention dosage and the success of resource connections using data from a social needs intervention in multiple clinical settings across the US. Study design The intervention uses a case management approach to connect patients with unmet needs to resources and services in the community. Intervention dosage was conceptualized as the number of contacts between the navigator and the patient, categorized as direct contact (phone vs. in person) and indirect contact (initiated by the navigator vs. patient). Success of the intervention was conceptualized as ‘none,’ ‘partial,’ or ‘optimal’ for each patient, based on the number of social needs the resource connections addressed. Methods Administrative data were extracted for 38,404 unique patients who screened positive for unmet resource needs between 2012 and 2017. Owing to the large sample size, statistical corrections were made to reduce type I error. Results Multinomial logistic regression analyses showed that higher intervention dosage was related to greater success of resource connections, after adjusting for the patient and site characteristics, and the number of needs (odds ratios ranged from 1.62 to 2.89). In-person contact, although received by only 25% of the patients, was associated with the highest probability of optimal success. Conclusions This study demonstrates a feasible way to conceptualize an intervention dose for a social needs intervention that uses a case management approach and has implications for how intervention delivery may improve success of resource connections. |
| Databáze: | OpenAIRE |
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