Social & Contextual Impact on Children Undergoing Liver Transplantation (SOCIAL-TX)

  • STATUS
    Recruiting
  • End date
    Dec 3, 2024
  • participants needed
    500
  • sponsor
    University of California, San Francisco
Updated on 3 July 2022
liver transplant

Summary

The social determinants of health have a large impact on health. For example, neighborhood socioeconomic deprivation is associated with increased risk of medication non-adherence, graft failure, and death in children after liver transplant. In order to address these socioeconomic inequities in outcomes, a more granular understanding of how the social determinants of health impact outcomes is needed. In this observational prospective cohort, caregivers of children undergoing liver transplantation will complete surveys and undergo in-depth, qualitative interviews. The survey will assess comprehensively for the social determinants of health (e.g. material economic hardship, health literacy, social connectedness, primary care quality, etc). The qualitative interviews will identify barriers and facilitators that socioeconomically deprived children/families have to obtaining the ideal outcome and identify health system opportunities to integrate social needs and medical care. Data will be linked to an existing prospective cohort study (The Society for Pediatric Liver Transplant registry) to assess the impact of social risk on outcomes after transplant.

Healthcare providers who take care of children undergoing liver transplant will also be included in the qualitative interviews. The goal of including this group in the study is to determine the health systems barriers and facilitators to social needs screening and intervention.

Details
Condition Liver Transplantation, Liver Diseases
Clinical Study IdentifierNCT04551742
SponsorUniversity of California, San Francisco
Last Modified on3 July 2022

Eligibility

Yes No Not Sure

Inclusion Criteria

Participants who have completed the questionnaire OR
Medical team member involved in the care of children undergoing liver transplant
(e.g., physician, nurse, social worker)

Exclusion Criteria

Caregivers/parents of children undergoing liver transplantation will be excluded it
Child is a ward of the state (e.g., foster care) since present circumstances may not
be reflective of child's past or future circumstances
Caregiver unwilling or unable to complete the survey
Non-English, non-Spanish speakers
Non-US residents
Declined participation in SPLIT
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If you are confirmed eligible after full screening, you will be required to understand and sign the informed consent if you decide to enroll in the study. Once enrolled you may be asked to make scheduled visits over a period of time.

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Complete your scheduled study participation activities and then you are done. You may receive summary of study results if provided by the sponsor.

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