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Development and validation of a social vulnerabilities survey for medical inpatients

BMJ open, 2022-06, Vol.12 (6), p.e059788-e059788 [Peer Reviewed Journal]

Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. ;2022 Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ . Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. 2022 ;ISSN: 2044-6055 ;EISSN: 2044-6055 ;DOI: 10.1136/bmjopen-2021-059788 ;PMID: 36691233

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  • Title:
    Development and validation of a social vulnerabilities survey for medical inpatients
  • Author: Tang, Karen L ; Sajobi, Tolulope ; Santana, Maria-Jose ; Lawal, Oluwaseyi ; Tesorero, Leonie ; Ghali, William A
  • Subjects: Cross-Sectional Studies ; Female ; general medicine (see internal medicine) ; Health Services Research ; Hospitals ; Humans ; Inpatients ; internal medicine ; Laboratories ; Male ; Middle Aged ; Patients ; Psychometrics ; Questionnaires ; Reproducibility of Results ; Social Support ; Social Vulnerability ; Socioeconomic factors ; statistics & research methods ; Surveys and Questionnaires ; Validity
  • Is Part Of: BMJ open, 2022-06, Vol.12 (6), p.e059788-e059788
  • Description: ObjectivesOur objective was to validate a Social Vulnerabilities Survey that was developed to identify patient barriers in the following domains: (1) salience or priority of health; (2) social support; (3) transportation; and (4) finances.DesignCross-sectional psychometric study.Questions for one domain (health salience) were developed de novo while questions for the other domains were derived from national surveys and/or previously validated questionnaires. We tested construct (ie, convergent and discriminative) validity for these new questions through hypothesis testing of correlations between question responses and patient characteristics. Exploratory factor analysis was conducted to determine structural validity of the survey as a whole.SettingPatients admitted to the inpatient internal medicine service at a tertiary care hospital in Calgary, Canada.ParticipantsA total of 406 patients were included in the study.ResultsThe mean age of respondents was 55.5 (SD 18.6) years, with the majority being men (55.4%). In feasibility testing of the first 107 patients, the Social Vulnerabilities Survey was felt to be acceptable, comprehensive and met face validity. Hypothesis testing of the health salience questions revealed that the majority of observed correlations were exactly as predicted. Exploratory factor analysis of the global survey revealed the presence of five factors (eigenvalue >1): social support, health salience, drug insurance, transportation barriers and drug costs. All but four questions loaded to these five factors.ConclusionsThe Social Vulnerabilities Survey has face, construct and structural validity. It can be used to measure modifiable social vulnerabilities, such that their effects on health outcomes can be explored and understood.
  • Publisher: England: British Medical Journal Publishing Group
  • Language: English
  • Identifier: ISSN: 2044-6055
    EISSN: 2044-6055
    DOI: 10.1136/bmjopen-2021-059788
    PMID: 36691233
  • Source: ProQuest One Psychology
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