Development of a Social Determinants of Health Screening Tool (SDoHST): qualitative validation with stakeholders and patients in South Australia.

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dc.contributor.authorPoirier, B.F.
dc.contributor.authorRibeiro Santiago, P.H.
dc.contributor.authorKapellas, K.
dc.contributor.authorJamieson, L.
dc.contributor.authorNeadley, K.E.
dc.contributor.authorBoyd, M.
dc.date.issued2023
dc.description.abstractBackground: It is well-established that social determinants of health contribute to health and wellbeing. Among the social determinants of health, health-related social needs (HRSNs) are unmet needs that can be identified by the health care system and addressed through referral to community services. Despite the importance of identifying patients with HRSNs, none of the few screening tools for HRSNs available internationally have received a comprehensive psychometric validation. This study aims to conduct a qualitative validation of the Social Determinants of Health Screening Tool (SDoHST). Methods: This study took place at Lyell McEwin Hospital, a major tertiary hospital located in Adelaide, South Australia. Patient (n¼5) and stakeholder (n¼9) focus groups were conducted face to face, audio recorded, and transcribed verbatim. Inductive content analysis of focus group transcripts was performed to inform tool modifications (e.g. item rewording). Results: The patient focus group recommended the addition of an explanatory paragraph to improve face validity, and highlighted the importance of reliable transport and internet access. The stakeholder focus group recommended using language that carries less stigma to this particular community and incorporating questions surrounding cultural, linguistic, and spiritual needs. The final version of the SDoHST included 12 items (four original items were removed and seven new items were added during the validation process). Conclusion: The SDoHST is the first validated tool to measure social determinants of health (and specifically HRSNs) in Australia, receiving a comprehensive qualitative validation. The instrument is readily available and future studies will further investigate its psychometric properties with quantitative methods.
dc.description.statementofresponsibilityBrianna Faye Poirier, Pedro Henrique Ribeiro Santiago, Kostas Kapellas, Lisa Jamieson, Kate Emily Neadley, Mark Boyd
dc.identifier.citationCurrent Medical Research and Opinion, 2023; 39(1):131-140
dc.identifier.doi10.1080/03007995.2022.2144053
dc.identifier.issn0300-7995
dc.identifier.issn1473-4877
dc.identifier.orcidPoirier, B.F. [0000-0002-8257-6104]
dc.identifier.orcidRibeiro Santiago, P.H. [0000-0002-1267-8340]
dc.identifier.orcidKapellas, K. [0000-0002-3761-9953]
dc.identifier.orcidJamieson, L. [0000-0001-9839-9280]
dc.identifier.orcidNeadley, K.E. [0000-0001-8582-3804]
dc.identifier.orcidBoyd, M. [0000-0002-6848-3307]
dc.identifier.urihttps://hdl.handle.net/2440/146636
dc.language.isoen
dc.publisherTaylor and Francis Group
dc.rights© 2022 Informa UK Limited, trading as Taylor & Francis Group
dc.source.urihttps://doi.org/10.1080/03007995.2022.2144053
dc.subjectQualitative validation; social determinants of health; psychometrics; health equity
dc.subject.meshHumans
dc.subject.meshDelivery of Health Care
dc.subject.meshAustralia
dc.subject.meshSouth Australia
dc.subject.meshTertiary Care Centers
dc.subject.meshSocial Determinants of Health
dc.titleDevelopment of a Social Determinants of Health Screening Tool (SDoHST): qualitative validation with stakeholders and patients in South Australia.
dc.typeJournal article
pubs.publication-statusPublished

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