Supplemental Digital Content 1. Description of 13-questions SDoH screening survey*
SDoH domains Screening questions Sources, adapted from or
examples of use contexts Food insecurity Within the past 12 months we worried whether our
food would run out before we got money to buy more.
Hunger Vital SignTM1
Within the past 12 months the food we bought just didn't last and we didn't have money to get more.
Hunger Vital SignTM1
Housing
instability/qualit y
Are you worried that in the next 3 months, you may not have a safe or stable place to live? (risk of eviction, being kicked out, homelessness)
Health Leads Screening Toolkit2
Are you worried that the place you are living now is making you sick? (has mold, bugs/rodents, water leaks, not enough heat or air conditioning)
Montefiore’s 10-Question SDOH Survey3
Utilities insecurity
In the past 3 months, has the electric, gas, oil or water company threatened to shut off services to your home?
Accountable Health Communities Health-Related Social Needs Screening Tool4
Montefiore’s 10-Question SDOH Survey3
Lack of transportation
In the past 3 months, has lack of transportation kept you from medical appointments or getting your medications?
Protocol for Responding to and Assessing Patients’ Assets, Risks, and Experiences (PRAPARE)5 Montefiore’s 10-Question SDOH Survey3
Financial instability
Was there a time in the past 3 months when you needed to see a doctor or buy medications but could not because of cost?
Health Leads Screening Toolkit2
Violence/abuse Are you finding it so hard to get along with a partner, spouse, or family members that it is causing you stress?
Montefiore’s 10-Question SDOH Survey3
Does anyone in your life hurt you, threaten you, frighten you or make you feel unsafe?
Montefiore’s 10-Question SDOH Survey3
Language or educational needs
Do you want help with education options, learning English, or job training for yourself?
How often do you need to have someone help you when you read instructions, pamphlets, or other written material from your doctor or pharmacy?
Single Item Literacy Screener6
Social
connectedness
How often do you feel that you lack companionship? UCLA Three-Item Loneliness Scale7 How often do you feel left out? UCLA Three-Item Loneliness Scale7
*This survey was developed as a part of and in collaboration with Prisma Health, Accountable Communities SDoH screening efforts
References
1. Hager ER, Quigg AM, Black MM, et al. Development and validity of a 2-item screen to identify families at risk for food insecurity. Pediatrics. Jul 2010;126(1):e26-32. doi:10.1542/peds.2009-3146 2. Health Leads. The Health Leads Screening Toolkit. https://healthleadsusa.org/resources/the- health-leads-screening-toolkit/
3. Office of Community and Population Health. Montefiore Social Needs Assessment https://www.health.ny.gov/health_care/medicaid/redesign/sdh/docs/montefiore_sna.pdf
4. Cook JT, Frank DA, Casey PH, et al. A brief indicator of household energy security: associations with food security, child health, and child development in US infants and toddlers. Pediatrics. Oct 2008;122(4):e867-75. doi:10.1542/peds.2008-0286
5. National Association of Community Health Centers. PRAPARE Implementation and Action Toolkit.
https://www.nachc.org/wp-content/uploads/2020/07/NACHC_PRAPARE_ALL-Updated-7.13.20- Translations-Included.pdf
6. Morris NS, MacLean CD, Chew LD, Littenberg B. The Single Item Literacy Screener: evaluation of a brief instrument to identify limited reading ability. BMC family practice. Mar 24 2006;7:21.
doi:10.1186/1471-2296-7-21
7. Hughes ME, Waite LJ, Hawkley LC, Cacioppo JT. A Short Scale for Measuring Loneliness in Large Surveys: Results From Two Population-Based Studies. Research on aging. 2004;26(6):655-672.
doi:10.1177/0164027504268574