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November 2025 Research Round-Up

 - SIREN Staff
Fruit next to a piece of paper that says Rx and a stethoscope

Below we share multiple SIREN-relevant articles published since the last newsletter. For a full list, see the SIREN Evidence and Resource Library. As always, if you are aware of resources that you think should be added to the library, please send them our way.

Peer-Reviewed Articles

Awareness / Screening

Using Factor Analysis to Streamline Social Screening for the Emergency Department Meeker MA, Bongiorno DM, Cullen D, Schiavoni KH, Samuels-Kalow M | Academic Emergency Medicine

Social Determinants of Health Screening Tool: Systematic Review and Delphi Study Parry E, Wilkie R, Warren K | BJGP Open

Digital Health Technologies for Screening and Identifying Unmet Social Needs: Scoping Review Sezgin E, Jackson DI, Boch S, et al. | Journal of Medical Internet Research

Assistance

Implementation of Social Needs Screening and Intervention in Primary Care: A Systematic Review of Program-Level Determinants Chang E, Guzman I, Glowacki N, Khatib R | Annals of Internal Medicine Also see related commentary: Mind the Gaps: The Missing Links in Social Needs Screening Shaheen A

Optimizing the Community Resource Specialist to Address Social Needs in Primary Care: Results from a Pragmatic Quality Improvement Evaluation Lewis CC, Pullmann MD, Hsu C, et al. | BMC Primary Care

Providing Transportation Services to Address Health and Social Needs: Kaizen Health and Iowa Medicaid Managed Care Organizations Brykman K | Center for Health Care Strategies

Food Insecurity Interventions

Food Is Medicine is Complementary with SNAP & WIC: A Brief on Comprehensive Nutrition Supports for Medicaid Enrollees Bank A, Jantz K, Xie J, Rees E, Scott K | Medicaid Food Security Network

Healthy Food Voucher Programs: Global Evidence on Structure, Implementation, and Nutrition-Related Outcomes Lara-Arevalo J, Corvalan C, Pemjean I, Montes de Oca D, Ng SW, Taillie LS | Advances in Nutrition

Screening and Addressing Food Insecurity at Free Clinics: A Scoping Review Ramanathan G, Zak W,  Munjwani D, Fisher R, Sarino EM, Scourboutakos MJ | Discover Public Health

Perinatal and Pediatric Interventions

Caregiver, Healthcare, and WIC Staff Needs for Promoting WIC Enrollment in Primary Care Stough CO, Smith JL, Buchanan B, et al. | Academic Pediatrics

Automating WIC Screening and Enrollment in Pediatric Primary Care Suarez L, Avery C, Montez K, Cholera R | The New England Journal of Medicine

Hardship and Hope: The Relationship Between Unconditional Prenatal and Infant Cash Transfers, Economic Stability, and Maternal Mental Health and Well-Being Hanna M, Shaefer HL, Finegood E, Agarwal S, Zamani-Hank Y, LaChance J | American Journal of Public Health

⭐ Relative to comparisons, mothers exposed to Rx Kids saw improvements in hardship, mental health, and well-being—notably, a 4.2-percentage-point reduction in the risk of eviction (P < .05) and a 14.0-percentage-point reduction in screening positive for postpartum depression (P < .05). Program exposure was associated with increased trust in institutions and feeling loved, hopeful, respected, and valued.

Unconditional Cash Transfers for Medicaid Eligible Parents of Preterm Infants: A Qualitative Study within a Pilot Randomized Controlled Trial Salazar EG, Bouchelle ZM, Nelin TD, Radack JK, Duncan AF | Academic Pediatrics

Strengthening Perinatal Services Through Social Care: Outcomes of a Quality Improvement Initiative for a Health Center-Based Perinatal Care Program Emery Tavernier RL, Rogers P, Shenkman M, et al. | Journal of Midwifery & Women's Health

Evaluating the Impact of a Pediatric Clinic-Based Food Pantry: A Qualitative Study Mass J, Anselin E | Clinical Pediatrics

Cultural and/or Linguistic Tailoring of Interventions

Community Health Worker Support for Hispanic and Latino Individuals Receiving Hemodialysis: The Navigate-Kidney Randomized Clinical Trial Cervantes L, Juarez-Colunga E, Powe NR, et al. | JAMA Internal Medicine

⭐  In this randomized clinical trial that included 139 patients at 5 dialysis centers in Denver, Colorado, from 2020 to 2022, a CHW intervention modestly reduced fluid accumulation between dialysis sessions compared to standard care. The intervention also led to fewer shortened dialysis sessions and greater improvement in patient activation.

Participant Experiences in a Kidney Failure Care Intervention in the Navigate-Kidney Study Rizzolo K, Ressalam J, Robledo K, et al. | JAMA Network Open

A Culturally and Linguistically Tailored Intervention to Improve Diabetes-Related Outcomes in Chinese Americans with Type 2 Diabetes: Pilot Randomized Controlled Trial Liu J, Cao J, Shi Y, et al. | JMIR mHealth and uHealth

Evaluation of Language Accessibility of Community Resources to Address Pediatric Social Needs in Two Large U.S. Cities Patel K, Vazquez B, Wingfield E, et al.| Academic Pediatrics

Payment policy

Experiences of Maryland Primary Care Practices in Addressing Social Needs Through a Novel Value-Based Payment Gruber E, Grisham R, Arem H, et al. | Health Services Research 

Commentaries and Blogs

How Should Clinical Teams Integrate Findings from Social Needs Screenings into Children's Care Plans? Menko SG, Luke MJ, Vasan A | AMA Journal of Ethics

Integrated Clinical-Social Care and Boundaries of Health Care Guilamo-Ramos V, Thimm-Kaiser M, Benzekri A, Kinsley KH |JAMA Health Forum

MAHA’s Low-Hanging Fruit: Enabling Health Systems to Deploy Food as Medicine Landauer R, Falcone AJ | Health Affairs Forefront

What Else We're Reading

Manifestations of Structural Racism and Inequities in Cardiovascular Health Across US Neighborhoods Lawrence WR, Hong HG, & Williams F | JAMA Health Forum

Scientists Had to Change More Than 700 Grant Titles to Receive NIH Funding. Health Disparities Researchers Fear What’s Next Oza A | STAT+

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