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Validation of a Script to Facilitate Social Determinant of Health Conversations with Adolescent Patients

Author

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  • Emily M. Giorgi

    (Department of Applied Medicine and Rehabilitation, Indiana State University, Terre Haute, IN 47803, USA)

  • Matthew J. Drescher

    (Department of Applied Medicine and Rehabilitation, Indiana State University, Terre Haute, IN 47803, USA)

  • Zachary K. Winkelmann

    (Department of Exercise Science, University of South Carolina, Columbia, SC 29208, USA)

  • Lindsey E. Eberman

    (Department of Applied Medicine and Rehabilitation, Indiana State University, Terre Haute, IN 47803, USA)

Abstract

Current social determinants of health (SDOH) tools exist to assess patient exposure; however, healthcare providers for the adolescent population are unsure of how to integrate SDOH knowledge into clinical practice. The purpose of this study was to validate a focused history script designed to facilitate SDOH conversations between clinicians and adolescents through the use of the Delphi method. Six individuals (1 clinician, 5 educators/researchers) participated as expert panelists. Panelists provided critical feedback on the script for rounds 1 and 2. For rounds 3–7, panelists received an electronic questionnaire asking them to indicate agreement on a 6-point Likert scale (1 = strongly disagree, 6 = strongly agree). We defined consensus as mean item agreement ≥ 5.0 and percent agreement ≥ 80%. In round 7, panelists rated overall script level of agreement. After seven rounds of feedback, the focused history script achieved content validity with 100% of panelists agreeing on the final 40-item script. A focused history script for the SDOH was content validated to aid conversations between healthcare providers and adolescent patients on factors that affect their life, school, and play. Addressing social determinants of health with adolescent patients will improve cultural proficiency and family-centered care delivered by school healthcare professionals.

Suggested Citation

  • Emily M. Giorgi & Matthew J. Drescher & Zachary K. Winkelmann & Lindsey E. Eberman, 2022. "Validation of a Script to Facilitate Social Determinant of Health Conversations with Adolescent Patients," IJERPH, MDPI, vol. 19(22), pages 1-22, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:22:p:14810-:d:969128
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    References listed on IDEAS

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    1. Guo, J.J. & Wade, T.J. & Pan, W. & Keller, K.N., 2010. "School-based health centers: Cost-benefit analysis and impact on health care disparities," American Journal of Public Health, American Public Health Association, vol. 100(9), pages 1617-1623.
    2. Clayton, S. & Chin, T. & Blackburn, S. & Echeverria, C., 2010. "Different setting, different care: Integrating prevention and clinical care in school-based health centers," American Journal of Public Health, American Public Health Association, vol. 100(9), pages 1592-1596.
    3. von der Gracht, Heiko A., 2012. "Consensus measurement in Delphi studies," Technological Forecasting and Social Change, Elsevier, vol. 79(8), pages 1525-1536.
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    1. Adriana M. Mendoza & Matthew J. Drescher & Lindsey E. Eberman, 2023. "The Integration of Patient-Centered Care and the Biopsychosocial Model by Athletic Trainers in the Secondary School Setting," IJERPH, MDPI, vol. 20(8), pages 1-9, April.

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