Odoi Jennifer, Lee Wei-Chen, Serag Hani, Hernandez Monica, Parks Savannah, Siddiqui Sarah B, Pinheiro Laura C, Urban Randall, Sallam Hanaa S
John Sealy School of Medicine (JSSM), University of Texas Medical Branch (UTMB), Galveston, TX 77555, USA.
Department of Family Medicine, John Sealy School of Medicine (JSSM), University of Texas Medical Branch (UTMB), Galveston, TX 77555, USA.
Int J Environ Res Public Health. 2025 Aug 1;22(8):1213. doi: 10.3390/ijerph22081213.
This article describes the design, methods, and baseline characteristics of the social needs assessment (SNA) of participants enrolled in an ongoing randomized clinical trial implementing a comprehensive approach to improving diabetes self-management and providing an intensive Diabetes Self-Management Education and Support (iDSMES) Program at St. Vincent's House Clinic, a primary care practice serving resource-challenged diverse populations in Galveston, Texas. Standardized SNA was conducted to collect information on financial needs, psychosocial well-being, and other chronic health conditions. Based on their identified needs, participants were referred to non-medical existing community resources. A series of in-depth interviews were conducted with a subset of participants. A team member independently categorized these SNA narratives and aggregated them into two overarching groups: medical and social needs. Fifty-nine participants (with a mean age of 53 years and equal representation of men and women) completed an SNA. Most (71%) did not have health insurance. Among 12 potential social needs surveyed, the most frequently requested resources were occupational therapy (78%), utility assistance (73%), and food pantry services (71%). SNA provided data with the potential to address barriers that may hinder participation, retention, and outcomes in diabetes self-management. SNA findings may serve as tertiary prevention to mitigate diabetes-related complications and disparities.
本文介绍了一项正在进行的随机临床试验中参与者社会需求评估（SNA）的设计、方法和基线特征。该试验在圣文森特之家诊所采用综合方法改善糖尿病自我管理，并提供强化糖尿病自我管理教育与支持（iDSMES）项目。圣文森特之家诊所是一家初级保健机构，为得克萨斯州加尔维斯顿资源匮乏的不同人群提供服务。进行了标准化的社会需求评估，以收集有关经济需求、心理社会福祉和其他慢性健康状况的信息。根据确定的需求，将参与者转介至现有的非医疗社区资源。对一部分参与者进行了一系列深入访谈。一名团队成员对这些社会需求评估叙述进行了独立分类，并将其汇总为两个总体类别：医疗需求和社会需求。59名参与者（平均年龄53岁，男女比例均等）完成了社会需求评估。大多数人（71%）没有医疗保险。在调查的12项潜在社会需求中，最常被请求的资源是职业治疗（78%）、公用事业援助（73%）和食品储藏室服务（71%）。社会需求评估提供的数据有可能解决可能阻碍糖尿病自我管理参与、留存率和结果的障碍。社会需求评估结果可作为三级预防措施，以减轻糖尿病相关并发症和差异。
