Evaluating Intensity, Complexity, and Potential for Causal Inference in Social Needs Interventions

作者：Meera Viswanathan, Sara M. Kennedy, Nila A Sathe, Michelle Eder, Valerie Ng, Shannon Kugley, Megan A. Lewis, Laura M. Gottlieb · 发表于：JAMA Network Open · 年份：2024 · DOI：10.1001/jamanetworkopen.2024.17994 · 被引用次数：7 · 研究领域：Food Security and Health in Diverse Populations、Health disparities and outcomes、Mental Health Treatment and Access

Importance: Interventions that address needs such as low income, housing instability, and safety are increasingly appearing in the health care sector as part of multifaceted efforts to improve health and health equity, but evidence relevant to scaling these social needs interventions is limited. Objective: To summarize the intensity and complexity of social needs interventions included in randomized clinical trials (RCTs) and assess whether these RCTs were designed to measure the causal effects of intervention components on behavioral, health, or health care utilization outcomes. Evidence Review: This review of a scoping review was based on a Patient-Centered Outcomes Research Institute-funded evidence map of English-language US-based RCTs of social needs interventions published between January 1, 1995, and April 6, 2023. Studies were assessed for features related to intensity (defined using modal values as providing as-needed interaction, 8 participant contacts or more, contacts occurring every 2 weeks or more often, encounters of 30 minutes or longer, contacts over 6 months or longer, or home visits), complexity (defined as addressing multiple social needs, having dedicated staff, involving multiple intervention components or practitioners, aiming to change multiple participant behaviors [knowledge, action, or practice], requiring or providing resources or active assistance with resources, and permitting tailoring), and the ability to assess causal inferences of components ...