Skip to main content

Main menu

  • HOME
  • ARTICLES
    • Current Issue
    • Ahead of Print
    • Archives
    • Abstracts In Press
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • Other Publications
    • abfm

User menu

Search

  • Advanced search
American Board of Family Medicine
  • Other Publications
    • abfm
American Board of Family Medicine

American Board of Family Medicine

Advanced Search

  • HOME
  • ARTICLES
    • Current Issue
    • Ahead of Print
    • Archives
    • Abstracts In Press
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • JABFM on Bluesky
  • JABFM On Facebook
  • JABFM On Twitter
  • JABFM On YouTube
Research ArticleOriginal Research

Patients’ Willingness to Accept Social Needs Navigation After In-Person versus Remote Screening

Anna Louise Steeves-Reece, Melinda Marie Davis, Jean Hiebert Larson, Zoe Major-McDowall, Anne Elizabeth King, Christina Nicolaidis, Bruce Goldberg, Dawn Michele Richardson and Stephan Lindner
The Journal of the American Board of Family Medicine April 2023, 36 (2) 229-239; DOI: https://doi.org/10.3122/jabfm.2022.220259R1
Anna Louise Steeves-Reece
From the Oregon Health & Science University–Portland State University School of Public Health, Portland, OR (ALS, MMD, DMR, SL); Oregon Rural Practice-Based Research Network, School of Medicine, Oregon Health & Science University, Portland, OR (ALS, JHL, ZM, AEK, BG, MMD); Department of Family Medicine, School of Medicine, Oregon Health & Science University, Portland, OR (MMD); School of Social Work, Portland State University, Portland, OR (CN); Division of General Internal Medicine and Geriatrics, School of Medicine, Oregon Health & Science University, Portland, OR (CN); Center for Health Systems Effectiveness, Department of Emergency Medicine, School of Medicine, Oregon Health & Science University, Portland, OR (SL).
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Melinda Marie Davis
From the Oregon Health & Science University–Portland State University School of Public Health, Portland, OR (ALS, MMD, DMR, SL); Oregon Rural Practice-Based Research Network, School of Medicine, Oregon Health & Science University, Portland, OR (ALS, JHL, ZM, AEK, BG, MMD); Department of Family Medicine, School of Medicine, Oregon Health & Science University, Portland, OR (MMD); School of Social Work, Portland State University, Portland, OR (CN); Division of General Internal Medicine and Geriatrics, School of Medicine, Oregon Health & Science University, Portland, OR (CN); Center for Health Systems Effectiveness, Department of Emergency Medicine, School of Medicine, Oregon Health & Science University, Portland, OR (SL).
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jean Hiebert Larson
From the Oregon Health & Science University–Portland State University School of Public Health, Portland, OR (ALS, MMD, DMR, SL); Oregon Rural Practice-Based Research Network, School of Medicine, Oregon Health & Science University, Portland, OR (ALS, JHL, ZM, AEK, BG, MMD); Department of Family Medicine, School of Medicine, Oregon Health & Science University, Portland, OR (MMD); School of Social Work, Portland State University, Portland, OR (CN); Division of General Internal Medicine and Geriatrics, School of Medicine, Oregon Health & Science University, Portland, OR (CN); Center for Health Systems Effectiveness, Department of Emergency Medicine, School of Medicine, Oregon Health & Science University, Portland, OR (SL).
MS
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Zoe Major-McDowall
From the Oregon Health & Science University–Portland State University School of Public Health, Portland, OR (ALS, MMD, DMR, SL); Oregon Rural Practice-Based Research Network, School of Medicine, Oregon Health & Science University, Portland, OR (ALS, JHL, ZM, AEK, BG, MMD); Department of Family Medicine, School of Medicine, Oregon Health & Science University, Portland, OR (MMD); School of Social Work, Portland State University, Portland, OR (CN); Division of General Internal Medicine and Geriatrics, School of Medicine, Oregon Health & Science University, Portland, OR (CN); Center for Health Systems Effectiveness, Department of Emergency Medicine, School of Medicine, Oregon Health & Science University, Portland, OR (SL).
BASc
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Anne Elizabeth King
From the Oregon Health & Science University–Portland State University School of Public Health, Portland, OR (ALS, MMD, DMR, SL); Oregon Rural Practice-Based Research Network, School of Medicine, Oregon Health & Science University, Portland, OR (ALS, JHL, ZM, AEK, BG, MMD); Department of Family Medicine, School of Medicine, Oregon Health & Science University, Portland, OR (MMD); School of Social Work, Portland State University, Portland, OR (CN); Division of General Internal Medicine and Geriatrics, School of Medicine, Oregon Health & Science University, Portland, OR (CN); Center for Health Systems Effectiveness, Department of Emergency Medicine, School of Medicine, Oregon Health & Science University, Portland, OR (SL).
MBA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Christina Nicolaidis
From the Oregon Health & Science University–Portland State University School of Public Health, Portland, OR (ALS, MMD, DMR, SL); Oregon Rural Practice-Based Research Network, School of Medicine, Oregon Health & Science University, Portland, OR (ALS, JHL, ZM, AEK, BG, MMD); Department of Family Medicine, School of Medicine, Oregon Health & Science University, Portland, OR (MMD); School of Social Work, Portland State University, Portland, OR (CN); Division of General Internal Medicine and Geriatrics, School of Medicine, Oregon Health & Science University, Portland, OR (CN); Center for Health Systems Effectiveness, Department of Emergency Medicine, School of Medicine, Oregon Health & Science University, Portland, OR (SL).
MD, MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Bruce Goldberg
From the Oregon Health & Science University–Portland State University School of Public Health, Portland, OR (ALS, MMD, DMR, SL); Oregon Rural Practice-Based Research Network, School of Medicine, Oregon Health & Science University, Portland, OR (ALS, JHL, ZM, AEK, BG, MMD); Department of Family Medicine, School of Medicine, Oregon Health & Science University, Portland, OR (MMD); School of Social Work, Portland State University, Portland, OR (CN); Division of General Internal Medicine and Geriatrics, School of Medicine, Oregon Health & Science University, Portland, OR (CN); Center for Health Systems Effectiveness, Department of Emergency Medicine, School of Medicine, Oregon Health & Science University, Portland, OR (SL).
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Dawn Michele Richardson
From the Oregon Health & Science University–Portland State University School of Public Health, Portland, OR (ALS, MMD, DMR, SL); Oregon Rural Practice-Based Research Network, School of Medicine, Oregon Health & Science University, Portland, OR (ALS, JHL, ZM, AEK, BG, MMD); Department of Family Medicine, School of Medicine, Oregon Health & Science University, Portland, OR (MMD); School of Social Work, Portland State University, Portland, OR (CN); Division of General Internal Medicine and Geriatrics, School of Medicine, Oregon Health & Science University, Portland, OR (CN); Center for Health Systems Effectiveness, Department of Emergency Medicine, School of Medicine, Oregon Health & Science University, Portland, OR (SL).
DrPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Stephan Lindner
From the Oregon Health & Science University–Portland State University School of Public Health, Portland, OR (ALS, MMD, DMR, SL); Oregon Rural Practice-Based Research Network, School of Medicine, Oregon Health & Science University, Portland, OR (ALS, JHL, ZM, AEK, BG, MMD); Department of Family Medicine, School of Medicine, Oregon Health & Science University, Portland, OR (MMD); School of Social Work, Portland State University, Portland, OR (CN); Division of General Internal Medicine and Geriatrics, School of Medicine, Oregon Health & Science University, Portland, OR (CN); Center for Health Systems Effectiveness, Department of Emergency Medicine, School of Medicine, Oregon Health & Science University, Portland, OR (SL).
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • References
  • Info & Metrics
  • PDF
Loading

Article Figures & Data

Figures

  • Tables
  • Figure 1.
    • Download figure
    • Open in new tab
    Figure 1.

    Study sample flow diagram. Abbreviation: ED, emergency department.

Tables

  • Figures
    • View popup
    Table 1.

    Participant Demographics, Including Those Screened in Person and Those Screened Remotely (n = 1504)*

     Full Model
    (n = 1504) 
    In Person
    (n = 653) 
    Remote
    (n = 851) 
    P value† 
    Total # of social needs disclosed    
    1 475 (32)253 (39)222 (26)<0.001
    2 443 (29)183 (28)260 (31)
    3 340 (23)132 (20)208 (24)
    4 193 (13)68 (10)125 (15)
    5 53 (4)17 (3)36 (4)
    Types of social needs disclosed    
    Food 1160 (77)501 (77)659 (77)0.74
    Housing 903 (60)351 (54)552 (65)<0.001
    Transportation 673 (45)258 (40)415 (49)<0.001
    Utilities 497 (33)197 (30)300 (35)0.04
    Safety 185 (12)65 (10)120 (14)0.02
    “Are you Hispanic, Latino/a, or Spanish Origin?”
    Yes 205 (14)76 (12)129 (15)0.05
    “Which one or more of the following would you say is your race?”‡
    American Indian or Alaska Native121 (8)56 (9)65 (8)<0.001
    Asian 19 (1)6 (1)13 (2)
    Black or African American 155 (10)52 (8)103 (12)
    Native Hawaiian or Pacific Islander17 (1)4 (1)13 (2)
    Other 89 (6)25 (4)64 (8)
    White 1054 (70)496 (76)558 (66)
    Multiple 49 (3)14 (2)35 (4)
    Sex    
    Male 533 (35)211 (32)322 (38)0.03
    Rurality    
    Rural or frontier 490 (33)353 (54)137 (16)<0.001
    Age    
    ≤17 180 (12)65 (10)115 (14)<0.001
    18 to 64 1164 (77)490 (75)674 (79)
    ≥65 160 (11)98 (15)62 (7)
    Mean age 414340<0.01
    “I am answering this survey about…”    
    Myself 1293 (86)577 (88)716 (84)<0.01
    My child 163 (11)55 (8)108 (13)
    Another adult 34 (2)11 (2)23 (3)
    Other 14 (1)10 (2)4 (0)
    “What is your annual household income from all sources?”
    <$10,000 596 (40)264 (40)332 (39)<0.001
    $10,000 to <$15,000 216 (14)90 (14)126 (15)
    $15,000 to <$20,000 176 (12)101 (15)75 (9)
    $20,000 to <$25,000 112 (7)36 (6)76 (9)
    $25,000 to <$35,000 182 (12)87 (13)95 (11)
    $35,000 to <$50,000 137 (9)47 (7)90 (11)
    $50,000 to <$75,000 56 (4)20 (3)36 (4)
    ≥$75,000 29 (2)8 (1)21 (2)
    Oregon’s “Stay Home, Save Lives” COVID-19 executive order (3/23/2020)
    Screened after executive order 879 (58)54 (8)825 (97)<0.001
    Willing to accept navigation assistance
    Yes1069 (71)413 (63)656 (77)<0.001
    • ↵* The data for this analysis were collected from October 17, 2018 through December 31, 2020.

    • ↵† P values based on χ2 tests of independence for those screened in person versus remotely.

    • ↵‡ Participants who selected White and an additional race category were grouped with the non-White category they selected. We made this decision due to the variable “race” serving as a proxy for racism.43

    • View popup
    Table 2.

    Multivariable Logistic Regression Results (n = 1504)

    Variable aOR (95% CI) P value 
    Total # of social needs disclosed  
    1 1 [Reference]NA
    2 1.4 (0.7–2.7)0.30
    3 2.9 (1.6–5.0)<0.001
    4 3.2 (1.4–7.0)<0.01
    5 5.2 (2.8–10.0)<0.001
    Screening method
    In person1 [Reference]NA
    Remote1.3 (0.6–2.9)0.50
    Interaction term (total # of social needs + screening method)
    1 need + remote1 [Reference]NA
    2 needs + remote0.9 (0.5–1.7)0.78
    3 needs + remote0.5 (0.3–1.0)0.06
    4 needs + remote1.3 (0.5–3.4)0.60
    5 needs + remote0.4 (0.16–1.2)0.10
    “Are you Hispanic, Latino/a, or Spanish Origin?”
    No 1 [Reference]NA
    Yes 1.3 (0.9–1.8)0.24
    “Which one or more of the following would you say is your race?”*
    White 1 [Reference]NA
    American Indian or Alaska Native0.6 (0.5–0.8)<0.01
    Asian 1.4 (0.6–3.5)0.41
    Black or African American 1.4 (0.8–2.3)0.26
    Native Hawaiian or Pacific Islander1.6 (0.3–9.6)0.60
    Other 1.4 (0.9–2.2)0.12
    Multiple 1.4 (0.7–2.7)0.33
    Sex  
    Female 1 [Reference]NA
    Male 0.9 (0.8–1.8)0.37
    Rurality  
    Urban 1 [Reference]NA
    Rural or frontier 0.9 (0.6–1.2)0.46
    Age  
    ≤171.7 (0.7–4.0)0.20
    18 to 641 [Reference]NA
    ≥651.1 (0.7–1.7)0.52
    “I am answering this survey about…”
    Myself 1 [Reference]NA
    My child 0.6 (0.3–1.3)0.21
    Another adult 0.7 (0.3–1.7)0.47
    Other 0.8 (0.3–2.2)0.70
    “What is your annual household income from all sources?”
    <$10,000 1 [Reference]NA
    $10,000 to <$15,000 1.2 (1.0–1.5)0.11
    $15,000 to <$20,000 1.3 (0.7–2.4)0.32
    $20,000 to <$25,000 0.9 (0.6–1.4)0.80
    $25,000 to <$35,000 0.9 (0.7–1.3)0.70
    $35,000 to <$50,000 0.6 (0.4–0.9)0.02
    $50,000 to <$75,000 0.6 (0.3–1.3)0.19
    ≥$75,000 1.0 (0.3–3.3)0.97
    • ↵* We used the category “White” as the comparator because it was the largest group in our sample.

    • Abbreviations: OR, odds ratio; CI, confidence interval.

    • View popup
    Appendix 1.

    Demographics of Included versus Excluded Participants

    Included (n = 1504)Excluded (n = 1237)
    Total # of social needs disclosed
     1475 (32) 451 (36) 
     2443 (29) 345 (28) 
     3340 (23) 286 (23) 
     4193 (13) 133 (11) 
     553 (4) 22 (2) 
    Types of social needs disclosed
     Food1160 (77) 898 (73) 
     Housing903 (60) 698 (56) 
     Transportation673 (45) 575 (46) 
     Utilities497 (33) 349 (28) 
     Safety185 (12) 121 (10) 
    “Are you Hispanic, Latino/a, or Spanish Origin?”
     Yes205 (14) 195 (16) 
     Missing0 (0) 456 (37) 
    “Which one or more of the following would you say is your race?”*
     American Indian or Alaska Native121 (8) 92 (7) 
     Asian19 (1) 12 (1) 
     Black or African American155 (10) 86 (7) 
     Native Hawaiian or Pacific Islander17 (1) 11 (1) 
     Other89 (6) 67 (5) 
     White1054 (70) 698 (56) 
     Multiple49 (3) 17 (1) 
     Missing0 (0)254 (21) 
    Sex
     Male533 (35) 487 (39) 
     Missing0 (0)50 (4) 
    Rurality
     Rural or frontier490 (33) 282 (23) 
     Missing0 (0)21 (2) 
    Age
     ≤17180 (12) 154 (12) 
     18 to 641164 (77) 942 (76) 
     ≥65160 (11) 141 (11) 
    “I am answering this survey about…”
     Myself1293 (86) 1081 (87) 
     My child163 (11) 126 (10) 
     Another adult34 (2) 17 (1) 
     Other14 (1) 13 (1) 
    “What is your annual household income from all sources?”
     <$10,000596 (40) 269 (22) 
     $10,000 to <$15,000216 (14) 51 (4) 
     $15,000 to <$20,000176 (12) 108 (9) 
     $20,000 to <$25,000112 (7) 51 (4) 
     $25,000 to <$35,000182 (12) 50 (4) 
     $35,000 to <$50,000137 (9) 27 (2) 
     $50,000 to <$75,00056 (4) 10 (1) 
     ≥$75,00029 (2) 5 (0) 
     Missing0 (0)666 (54) 
    Oregon’s “Stay Home, Save Lives” COVID-19 executive order
     Screened after executive order879 (58) 846 (68) 
    • View popup
    Appendix 2.

    Multivariable Logistic Regression Results + Missing Indicators

    VariableaOR (95% CI)P value
    Total # of social needs disclosed
    11 [Reference]NA
    21.7 (1.0–2.8)0.05
    32.9 (1.9–4.5)<0.001
    43.3 (1.7–6.4)<0.001
    53.4 (2.2–5.4)<0.001
    Screening approach
    In person1 [Reference]NA
    Remote1.1 (0.4–3.0)0.78
    Interaction term (total # of social needs + screening approach)
    1 need + remote1 [Reference]NA
    2 needs + remote1.2 (0.7–2.0)0.45
    3 needs + remote0.8 (0.5–1.4)0.49
    4 needs + remote1.5 (0.8–2.6)0.20
    5 needs + remote0.9 (0.4–2.1)0.90
    “Are you Hispanic, Latino/a, or Spanish Origin?”
    No1 [Reference]NA
    Yes1.4 (1.0–1.8)0.04
    Missing1.0 (0.7–1.3)0.82
    “Which one or more of the following would you say is your race?”*
    White1 [Reference]NA
    American Indian or Alaska Native0.8 (0.6–1.2)0.24
    Asian1.4 (0.6–3.3)0.38
    Black or African American1.5 (1.0–2.3)0.04
    Native Hawaiian or Pacific Islander2.1 (0.6–8.1)0.25
    Other1.4 (0.9–2.3)0.15
    Multiple1.3 (0.7–2.2)0.38
    Missing0.9 (0.8–1.1)0.48
    Sex
    Female1 [Reference]NA
    Male0.9 (1.0–1.8)0.18
    Missing0.5 (0.2–0.9)0.03
    Rurality
    Urban1 [Reference]NA
    Rural or frontier0.9 (0.7–1.1)0.25
    Missing1.3 (0.4–3.7)0.65
    Age
    ≤171.3 (0.5–3.1)0.57
    18 to 641 [Reference]NA
    ≥650.9 (0.7–1.2)0.60
    “I am answering this survey about…”
    Myself1 [Reference]NA
    My child0.8 (0.4–1.8)0.63
    Another adult0.7 (0.3–1.5)0.34
    Other0.7 (0.4–1.4)0.32
    “What is your annual household income from all sources?”
    <$10,0001 [Reference]NA
    $10,000 to <$15,0001.0 (0.8–1.2)0.85
    $15,000 to <$20,0001.2 (0.8–2.0)0.37
    $20,000 to <$25,0000.9 (0.7–1.3)0.76
    $25,000 to <$35,0000.9 (0.6–1.2)0.42
    $35,000 to <$50,0000.6 (0.4–0.8)<0.01
    $50,000 to <$75,0000.6 (0.3–1.2)0.15
    ≥$75,0001.1 (0.3–3.7)0.87
    Missing0.9 (0.7–1.3)0.71
    • ↵* We used the category “White” as the comparator because it was the largest group in our sample.

    • Abbreviations: aOR, adjusted odds ratio; CI, confidence interval.

PreviousNext
Back to top

In this issue

The Journal of the American Board of Family     Medicine: 36 (2)
The Journal of the American Board of Family Medicine
Vol. 36, Issue 2
March/April 2023
  • Table of Contents
  • Table of Contents (PDF)
  • Cover (PDF)
  • Index by author
  • Back Matter (PDF)
  • Front Matter (PDF)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Board of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Patients’ Willingness to Accept Social Needs Navigation After In-Person versus Remote Screening
(Your Name) has sent you a message from American Board of Family Medicine
(Your Name) thought you would like to see the American Board of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
3 + 13 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
Patients’ Willingness to Accept Social Needs Navigation After In-Person versus Remote Screening
Anna Louise Steeves-Reece, Melinda Marie Davis, Jean Hiebert Larson, Zoe Major-McDowall, Anne Elizabeth King, Christina Nicolaidis, Bruce Goldberg, Dawn Michele Richardson, Stephan Lindner
The Journal of the American Board of Family Medicine Apr 2023, 36 (2) 229-239; DOI: 10.3122/jabfm.2022.220259R1

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Patients’ Willingness to Accept Social Needs Navigation After In-Person versus Remote Screening
Anna Louise Steeves-Reece, Melinda Marie Davis, Jean Hiebert Larson, Zoe Major-McDowall, Anne Elizabeth King, Christina Nicolaidis, Bruce Goldberg, Dawn Michele Richardson, Stephan Lindner
The Journal of the American Board of Family Medicine Apr 2023, 36 (2) 229-239; DOI: 10.3122/jabfm.2022.220259R1
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Background
    • Methods
    • Results
    • Discussion
    • Conclusions
    • Acknowledgments
    • Appendices.
    • Notes
    • References
  • Figures & Data
  • References
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Health-Related Social Needs Following Onset of the COVID-19 Pandemic in Oregon
  • Google Scholar

More in this TOC Section

  • Evaluating Pragmatism of Lung Cancer Screening Randomized Trials with the PRECIS-2 Tool
  • Perceptions and Preferences for Defining Biosimilar Products in Prescription Drug Promotion
  • Successful Implementation of Integrated Behavioral Health
Show more Original Research

Similar Articles

Keywords

  • COVID-19
  • Cross-Sectional Studies
  • Implementation Science
  • Logistic Regression
  • Mass Screening
  • Oregon
  • Social Determinants of Health
  • Telemedicine

Navigate

  • Home
  • Current Issue
  • Past Issues

Authors & Reviewers

  • Info For Authors
  • Info For Reviewers
  • Submit A Manuscript/Review

Other Services

  • Get Email Alerts
  • Classifieds
  • Reprints and Permissions

Other Resources

  • Forms
  • Contact Us
  • ABFM News

© 2025 American Board of Family Medicine

Powered by HighWire