Institute of Medicine Measures of Social and Behavioral Determinants of Health: A Feasibility Study

Autor: Sheila V. Kusnoor, Li-Ching Huang, Sharon Phillips, Laura M. Gottlieb, Nunzia Bettinsoli Giuse, Taneya Y. Koonce, William W. Stead, Nancy E. Adler, Aric A. Prather, Yu Shyr
Rok vydání: 2017
Předmět:
Adult
Male
Gerontology
Time Factors
Randomization
and Medicine
Social Determinants of Health
U.S
Epidemiology
MEDLINE
Institute of medicine
Affect (psychology)
Medical and Health Sciences
Article
Education
Random Allocation
Young Adult
03 medical and health sciences
Engineering
0302 clinical medicine
Clinical Research
Behavioral and Social Science
Humans
Medicine
030212 general & internal medicine
Social determinants of health
Young adult
National Academies of Science
Engineering
and Medicine
U.S.
Health and Medicine Division
030505 public health
business.industry
Public Health
Environmental and Occupational Health
Medical practice
Health and Medicine Division
Middle Aged
Health Surveys
United States
Mental Health
Good Health and Well Being
Feasibility Studies
Female
National Academies of Science
Generic health relevance
Public Health
Completion time
0305 other medical science
business
Zdroj: American journal of preventive medicine, vol 52, iss 2
ISSN: 0749-3797
DOI: 10.1016/j.amepre.2016.07.033
Popis: Introduction Social and behavioral factors are known to affect health but are not routinely assessed in medical practice. To date, no studies have assessed a parsimonious panel of measures of social and behavioral determinants of health (SBDs). This study evaluated the panel of SBD measures recommended by the Institute of Medicine and examined the effect of question order. Methods Adults, aged ≥18 years, were recruited using ResearchMatch.org for this randomized, parallel design study conducted in 2015 (data analyzed in 2015–2016). Three versions of the SBD measures, sharing the same items but in different orders of presentation (Versions 1–3), were developed. Randomized to six groups, participants completed each version at least 1 week apart (Weeks 1–3). Version order was counterbalanced across each administration and randomization was stratified by gender, race, and age. Main outcomes were effect of question order, completion time, and non-response rates. Results Of 781 participants, 624 (80%) completed the Week 1 questionnaire; median completion time for answering all SBD questions was 5 minutes, 583/624 participants answered all items, and no statistically significant differences associated with question order were observed when comparing responses across all versions. No significant differences in responses within assignment groups over time were found, with the exception of the stress measure for Group 5 ( p =0.036). Conclusion Question order did not significantly impact participant responses. Time to complete the questionnaire was brief, and non-response rate was low. Findings support the feasibility of using the Institute of Medicine–recommended questionnaire to capture SBDs.
Databáze: OpenAIRE
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