Evidence map›Paper›PMID 40357673›Full record

Observational studyJournal of the American Heart Association2025

Patient-Reported Social Determinants of Health in Patients With Heart Failure.

Kenneth E Freedland, Brian C Steinmeyer, Judith A Skala, Robert M Carney, Michael W Rich

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04637776 (Psychosocial Syndemics and Multimorbidity in Patients With Heart Failure - R01 HL151431), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04637776 active not recruitingnot on this map

Psychosocial Syndemics and Multimorbidity in Patients With Heart Failure - R01 HL151431

TypeobservationalSponsorWashington University School of MedicineRan2021 to 2024Enrolled367ConditionsHeart FailureArmsHospitalization
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Kenneth E FreedlandWashington University School of Medicine St. Louis MO USA.ORCID 0000-0002-3118-9913
Brian C SteinmeyerWashington University School of Medicine St. Louis MO USA.
Judith A SkalaWashington University School of Medicine St. Louis MO USA.ORCID 0000-0001-7779-5030
Robert M CarneyWashington University School of Medicine St. Louis MO USA.
Michael W RichWashington University School of Medicine St. Louis MO USA.ORCID 0000-0002-4243-9391

Funding

Psychosocial Syndemics and Multimorbidity in Hospitalized Patients with Heart FailureR01HL151431 · NHLBI · WASHINGTON UNIVERSITY · PI FREEDLAND, KENNETH E · 2020 to 2023
$3.0M
NHLBI NIH HHS R01 HL151431
6 · The paper itself

Abstract

backgroundSocial determinants of health (SDOH) complicate medical care and affect clinical outcomes, but the lack of a reliable structured interview for medical patients has impeded clinical assessment and research on SDOH. We assessed the reliability and validity of a newly developed SDOH Patient Interview Form and investigated SDOH in patients with heart failure.

methodsThe SDOH Patient Interview Form was administered to recently hospitalized patients with heart failure between January 2021 and April 2024. The interviews were recorded, and 50 were randomly selected for the interrater reliability analysis.

resultsThe sample included 367 participants (mean age, 61.2±12.1 years; 42.5% women; 57.7% minorities). The interrater reliability of SDOH Patient Interview Form categories (eg, Legal and Social Problems) was 100%. The κ reliability coefficients for individual items were ≥0.94. Higher lifetime SDOH counts were associated with lower age and income and higher New York Heart Association class and body mass index. Two distinct sets of problems were found to contribute to relatively high burdens of SDOH. The first originates with abuse in childhood and presents as severe socioeconomic deprivation in adulthood. The second includes losses of family members and occupational, financial, and caregiver stress along with difficulty affording medical care.

conclusionsThe SDOH Patient Interview Form is a reliable instrument for assessing patient-reported SDOH in patients with heart failure. It is suitable for use in research and clinical contexts but requires further testing in other medical patient populations. This study revealed 2 distinct patterns of stressful problems that can contribute to a high overall burden of SDOH. REGISTRATION: URL: https://clinicaltrials.gov; Unique identifier: NCT04637776.

Indexed as

Heart FailureSocial Determinants of HealthAgedFemaleHumansMaleMiddle AgedPatient Reported Outcome MeasuresReproducibility of ResultsSocioeconomic Factorsheart failurereproducibility of resultsself‐reportsocial determinants of health

Identifiers

PMID40357673
PMCPMC12184543

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.