{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T08:59:47Z","timestamp":1761296387715,"version":"build-2065373602"},"reference-count":31,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,7,19]],"date-time":"2025-07-19T00:00:00Z","timestamp":1752883200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100004330","name":"GSK","doi-asserted-by":"publisher","award":["219011"],"award-info":[{"award-number":["219011"]}],"id":[{"id":"10.13039\/100004330","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthritis Care &amp; Research"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Social determinants of health (SDoH) can impact outcomes but are not routinely screened for in US outpatient rheumatology clinics. This study determined the feasibility of routine point\u2010of\u2010care SDoH screening among patients with systemic lupus erythematosus (SLE) and associated barriers and facilitators at the physician, care team, and patient levels.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This observational, prospective, mixed\u2010methods pilot study (GSK Study 219011) conducted in two large academic tertiary lupus clinics in the United States screened adults with SLE for SDoH over two weeks (institution 1, July to August 2023) and seven weeks (institution 2, August to October 2023). Patient demographics and patient\u2010reported responses to questions covering up to eight SDoH domains chosen by participating institutions were collected, and an optional patient experience survey was conducted afterward. Participating physicians and care teams were asked questions on screening implementation, tool usability and comprehension, clinician acceptance, and facilitators of use. Transcripts were analyzed using thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The study included 69 patients with SLE across both institutions; 65 completed the patient experience survey. SDoH screening was successfully implemented with minimal disruption to clinical workflow and was viewed as valuable by physicians, care teams, and patients. Reported facilitators to successful SDoH screening included institutional leadership buy\u2010in to address health equity and a brief screening tool format (five minutes or less). Barriers included limited resources and insufficient time or training.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>With an appropriately resourced and trained care team, successful routine SDoH screening in lupus clinics is feasible, valuable to clinicians and care teams, and effective for connecting patients to needed social resources.<\/jats:p>\n                    <jats:p>\n                      <jats:boxed-text content-type=\"graphic\" position=\"anchor\">\n                        <jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" mimetype=\"image\/png\" position=\"anchor\" specific-use=\"enlarged-web-image\" xlink:href=\"graphic\/acr25572-toc-0001-m.png\">\n                          <jats:alt-text>image<\/jats:alt-text>\n                        <\/jats:graphic>\n                      <\/jats:boxed-text>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/acr.25572","type":"journal-article","created":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T06:32:39Z","timestamp":1747636359000},"page":"1313-1322","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Screening for Social Determinants of Health in Patients With Systemic Lupus Erythematosus: A Point\u2010of\u2010Care Feasibility Study"],"prefix":"10.1002","volume":"77","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2361-0787","authenticated-orcid":false,"given":"S. Sam","family":"Lim","sequence":"first","affiliation":[{"name":"Emory University School of Medicine and Grady Health System  Atlanta Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0314-729X","authenticated-orcid":false,"given":"Vijay R.","family":"Nadipelli","sequence":"additional","affiliation":[{"name":"GSK  Philadelphia Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Bruno","sequence":"additional","affiliation":[{"name":"Atlas Clarity LLC  San Francisco California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5433-2367","authenticated-orcid":false,"given":"Daphne","family":"Lew","sequence":"additional","affiliation":[{"name":"Washington University School of Medicine  St Louis Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernard","family":"Rubin","sequence":"additional","affiliation":[{"name":"GSK, Durham, North Carolina GSK  Durham North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charmayne M.","family":"Dunlop\u2010Thomas","sequence":"additional","affiliation":[{"name":"Emory University School of Medicine  Atlanta Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelsey","family":"Hulcher","sequence":"additional","affiliation":[{"name":"Washington University School of Medicine  St Louis Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristi R.","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Atlas Clarity LLC  San Francisco California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lydia","family":"Demetriou","sequence":"additional","affiliation":[{"name":"GSK  London United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8712-5516","authenticated-orcid":false,"given":"Jeff","family":"Berko","sequence":"additional","affiliation":[{"name":"Atlas Clarity LLC  San Francisco California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason","family":"Bao","sequence":"additional","affiliation":[{"name":"Emory University School of Medicine, Atlanta, Georgia, and Duke University  Durham North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4074-0516","authenticated-orcid":false,"given":"Alfred H. 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