{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T06:45:04Z","timestamp":1790232304550,"version":"4.1.0"},"reference-count":45,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,4,10]],"date-time":"2025-04-10T00:00:00Z","timestamp":1744243200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,4,10]],"date-time":"2025-04-10T00:00:00Z","timestamp":1744243200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Learning Health Systems"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To prioritize social risks (individual\u2010level social and economic conditions) that may influence a person's health for inclusion in a national survey of Veterans Affairs (VA) healthcare system patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources and Study Setting<\/jats:title>\n                    <jats:p>Quantitative ratings of candidate survey measures were obtained from a national Advisory Group of researchers, clinicians, Veterans, and VA operations leaders; qualitative input was collected from the Advisory Group and Veterans.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>\n                      We solicited input on social risk prioritization across four phases: (1) candidate social risks were identified through a literature review and existing screening tools, (2) Advisory Group members (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200915) individually and anonymously rated social risks on four criteria (impact on health outcomes, impact on patient experience, actionability, and overall prioritization), (3) the Advisory Group discussed collective ratings and provided qualitative feedback about candidate social risks, and 4) Veterans (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200929) provided qualitative feedback about the draft survey during four Veteran Engagement Group meetings and in survey pretesting with individuals (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20095).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Collection\/Extraction Methods<\/jats:title>\n                    <jats:p>Selection of social risks for survey inclusion was based on an a priori definition of a social risk and relevance to Veterans (phase 1), quantitative and qualitative input from the Advisory Group (phases 2 and 3), and qualitative Veteran input (phase 4).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Principal Findings<\/jats:title>\n                    <jats:p>An initial list of 37 social risks was pared down to 18 for inclusion in a national survey: financial strain, health care\/medicine access and affordability, food insecurity, homelessness\/housing insecurity, transportation barriers, digital access\/literacy, utilities insecurity, social support, caregiver responsibilities, discrimination experiences, interpersonal violence, education, employment, health literacy, legal problems or exposure to the justice system, race\/ethnicity, gender identity, and sexual orientation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our partner\u2010informed approach combining quantitative and qualitative input offers a road map for other learning health systems seeking to prioritize social risks for evidence generation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lrh2.70011","type":"journal-article","created":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T00:41:46Z","timestamp":1744332106000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A partner\u2010informed approach to prioritizing social risks for research in a learning health system"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0874-8238","authenticated-orcid":false,"given":"Mayuree","family":"Rao","sequence":"first","affiliation":[{"name":"Seattle\u2010Denver Center of Innovation for Veteran\u2010Centered and Value Driven Care VA Puget Sound Health Care System  Seattle Washington USA"},{"name":"Department of Medicine University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cindie","family":"Slightam","sequence":"additional","affiliation":[{"name":"Center for Innovation to Implementation Veterans Affairs Palo Alto Health Care System  Menlo Park California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alicia J.","family":"Cohen","sequence":"additional","affiliation":[{"name":"Center of Innovation in Transformative Health Systems Research to Improve Veteran Equity and Independence VA Providence Healthcare System  Providence Rhode Island USA"},{"name":"Department of Family Medicine Warren Alpert Medical School of Brown University  Providence Rhode Island USA"},{"name":"Department of Health Services, Policy, and Practice Brown University School of Public Health  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamie S.","family":"Marsal","sequence":"additional","affiliation":[{"name":"Center for Innovation to Implementation Veterans Affairs Palo Alto Health Care System  Menlo Park California USA"},{"name":"School of Humanities and Sciences Stanford University  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camila","family":"Chaudhary","sequence":"additional","affiliation":[{"name":"Center for Innovation to Implementation Veterans Affairs Palo Alto Health Care System  Menlo Park California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin","family":"Nelson","sequence":"additional","affiliation":[{"name":"Seattle\u2010Denver Center of Innovation for Veteran\u2010Centered and Value Driven Care VA Puget Sound Health Care System  Seattle Washington USA"},{"name":"Department of Medicine University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew L.","family":"Maciejewski","sequence":"additional","affiliation":[{"name":"Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT) Durham Veterans Affairs Health Care System  Durham North Carolina USA"},{"name":"Department of Population Health Sciences Duke University  Durham North Carolina USA"},{"name":"Duke\u2010Margolis Center for Health Policy Duke University  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0366-2985","authenticated-orcid":false,"given":"Josephine C.","family":"Jacobs","sequence":"additional","affiliation":[{"name":"Health Economics Resource Center VA Palo Alto Health Care System  Menlo Park California USA"},{"name":"Department of Health Policy Stanford University School of Medicine  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liberty","family":"Greene","sequence":"additional","affiliation":[{"name":"Center for Innovation to Implementation Veterans Affairs Palo Alto Health Care System  Menlo Park California USA"},{"name":"Division of Primary Care and Population Health Stanford University School of Medicine  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan V.","family":"Blalock","sequence":"additional","affiliation":[{"name":"Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT) Durham Veterans Affairs Health Care System  Durham North Carolina USA"},{"name":"Department of Psychiatry and Behavioral Sciences Duke University School of Medicine  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8904-2810","authenticated-orcid":false,"given":"Donna M.","family":"Zulman","sequence":"additional","affiliation":[{"name":"Center for Innovation to Implementation Veterans Affairs Palo Alto Health Care System  Menlo Park California USA"},{"name":"Division of Primary Care and 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