Multiple domain social determinants of health screening in adults

Abstract

This DNP project sought to identify and address two social determinants of health (SDOH) negatively affecting adult patients ages 18 and older at the chosen primary care site in southwestern Montana. It was guided by the Centers for Disease Control's definition of five classifications of SDOH found to influence individuals' long-term health outcomes. The two SMART goals identified in this DNP project were firstly the successful screening rate of 50% of all adults ages 18 and older seen by participating providers at the primary care site. Secondly, two SDOH would be identified reflecting the highest rate of disparities in unmet social needs. These aims were accomplished through the utilization of the PRAPARE screening tool into providers' existing workflows and the creation of a patient resource guide addressing the two identified social determinants of health. The PRAPARE questionnaire was used as a self-administered screening tool to assess unmet social needs of participating individuals. Specific questions from the PRAPARE questionnaire were paired with the overarching SDOH and were scored. When patients reported one unmet need, it was recorded as one point under the corresponding SDOH. Data was then aggregated to determine the two social determinants demonstrating the highest rate of disparities within adult participants at the project site. The patient resource guide (Appendix E) aimed to address the two social determinants of greatest need at the site and provide community services available for the two SDOH.