03312nam a22004337a 4500 OSt 20260504175142.0 a 260504b |||||||| |||| 00| 0 eng d Foundation University RA 421 .F35 Bernardin, Mary E. MD author. 15947 Social determinants of health screening and remote intervention for a pediatric emergency department/ Mary E. Bernardin MD; Danielle Zoellner, MPH NRP; Destri Eichaman, BA;Bin MD MA; Isabella McCarney, BHS; Castro, Mariana Mendoza Castro; Elizabeth Kendrick, BA, NRP; Janisha Eubanks ; Megan EuDaly,PA-C,CAQ-EM; Julie Stilley, PhD; Alexandra James, MD MPH; Jennae Reken, DO 2025 Index pages 259-266; illustration pages text txt unmediated n rdacarrier index volume nc Nursing Index Bernardin et al. conducted a prospective cohort study in a rural pediatric emergency department to evaluate the implementation of social determinants of health (SDOH) screening and a post-visit remote intervention program. Caregivers of pediatric patients were screened across 11 SDOH domains, including food insecurity, housing instability, and access to transportation. Out of all participants, 42% screened positive for at least one social need, with food insecurity being the most prevalent. Among those with identified needs, 40% requested assistance when contacted after discharge. Of those who accepted help, 75% were successfully connected to community resources through remote follow-up (e.g., phone-based support). Statistical analysis showed that caregiver unemployment and Medicaid insurance were significantly associated with higher likelihood of SDOH needs. Conversely, families residing in rural areas were less likely to request assistance, suggesting potential barriers such as stigma, access, or resource awareness. The study demonstrates that ED-based SDOH screening combined with remote intervention is feasible and moderately effective, particularly for identifying unmet needs and linking families to support services. However, it highlights gaps in engagement among rural populations and calls for further research on improving uptake and long-term health outcomes. Health disparities 15948 rural community health 15949 social determinants of health 15950 social needs 15951 Nursing Index Zoellner, Danielle, MPH NRP author. 15952 Eichaman, Destri, BA;Bin MD MA; author. 15953 McCarney,Isabella, BHS author. 15954 Castro, Mariana Mendoza author. 15955 Kendrick, Elizabeth BA, NRP author. 15956 Eubanks, Janisha author. 15957 EuDaly, Megan, PA-C,CAQ-EM author. 15958 Stilley Julie, PhD author. 15959 James, Alexandra, MD MPH author. 15960 Reken, Jennae, DO author. 15961 Bura-ay, Ivy Mae Indexer 15962 https://docs.google.com/document/d/1hHVztFkY1pepfNyo8ajxCrPAI7mIiNRjFAbRjJpwaUc/edit?tab=t.0 access online lcc INDEX RA 421 .F35 (CON-P) 0 5898 5898 https://docs.google.com/document/d/1hHVztFkY1pepfNyo8ajxCrPAI7mIiNRjFAbRjJpwaUc/edit?tab=t.0 0 0 lcc 0 1 NFIC FULIndexes FULIndexes MAIN-CoN 2026-05-04 0 RA 421 .F35 CoN-I-2026001 2026-05-04 17:50:37 2026-05-04 INDEX CoN-I-2026001