NCT04977583Completed
Unmet Social Needs Study
The Effect of Screening and Referral for Social Determinants of Health on Veterans' Outcomes
Source: ClinicalTrials.gov · Last updated 30 Apr 2025
Brief summary (registry, in English)
The impacts of unmet social needs, such as homelessness, inconsistent access to food, and exposure to violence on health are well-established, especially for cardiovascular disease. A limited but growing body of evidence suggests that screening for and addressing these needs - also referred as social determinants of health -- in clinic settings helps to connect patients to resources to address unmet needs and has the potential to improve health outcomes. Veterans carry a high burden of unmet needs. At present, VA systematically screens for only two unmet needs; homelessness and food insecurity. The investigators propose to assess the efficacy of systematically screening Veterans for nine unmet needs (i.e., housing, food insecurity, utility insecurity, transportation, legal problems, employment, safety, stress, and social isolation), and compare the effect of referral mechanisms of varying intensity on Veterans' connection to resources, reduction of unmet needs, treatment adherence, reduced preventable hospitalizations, and clinical outcomes.
- Status (registry)
- Completed
- Study type
- Interventional
- Enrollment
- 479 (actual)
- First submitted
- 16 Jul 2021
- Start date
- 29 Apr 2022
- Primary completion date
- 9 Jun 2023
- Lead sponsor
- VA Office of Research and Development
- Diseases
- High blood pressure
- NCT number
- NCT04977583
What you commit to
- Study type: Interventional
- Participants enrolled: 479
- From 29 Apr 2022 to the primary completion date, 9 Jun 2023
- 3 sites in 1 country
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Other
- Impaired decision-making
- Illiterate or have limited or no English proficiency
Who the study is looking for
- Veterans enrolled in one of three VA medical centers:
- 1\) VA Boston Healthcare System
- 2\) Corporal Michael J. Crescenz VA Medical Center (Philadelphia)
- 2\) Ralph H. Johnson VA Medical Center (Charleston)
- Veterans with, or at risk for, cardiovascular disease (CVD) who had at least 1 PC visit in the prior year
- CVD patients are defined as those with International Classification of Disease 10 (ICD10) diagnoses indicating:
- coronary artery disease
- cerebrovascular disease
- peripheral artery disease
- Patients at-risk for CVD are defined as having diagnoses of hypertension, diabetes mellitus (DM), or hyperlipidemia
Sex: All · Does not accept healthy volunteers
Sites (3)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA Coordinator of this site? Confirm its status | Boston | United States | Unknown status |
| Ralph H. Johnson VA Medical Center, Charleston, SC Coordinator of this site? Confirm its status | Charleston | United States | Unknown status |
| Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA Coordinator of this site? Confirm its status | Philadelphia | United States | Unknown status |
This page is information, not medical advice. Discuss any trial with your doctor.