Journal of Clinical and Translational Science · 7 authors, 4 centres
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This mixed-methods study used focus groups, interviews, and workflow assessments with providers and staff at four pediatric clinics to explore perspectives on implementing EHR-based social needs interventions. The study found that while interventions were seen as acceptable and appropriate, feasibility was rated lower, and participants identified key barriers and strategies for implementation.
The study used a mixed-methods design to gather perspectives from 30 providers and staff and conduct 48 workflow assessments at four pediatric clinics regarding the implementation of EHR-based social needs interventions. Quantitative surveys showed high median scores for acceptability (4.9) and appropriateness (5.0), but lower for feasibility (3.9). Qualitative analysis identified barriers including duplicative processes, concerns about parent disclosure for sensitive topics, and staffing limitations. Facilitators included the perceived advantage of the EHR module, the importance of addressing social needs, and compatibility with clinic culture. Participants proposed strategies such as providing resource lists, integrating assessments with existing questionnaires, and reducing duplicate documentation. The study's limitations include a small sample size, which warrants caution in generalizing findings, and the perspective being limited to providers and staff, not families. Implications suggest a need for designing feasible interventions and integrating multiple stakeholder perspectives.
