SEDOH-88

Our team worked to develop a comprehensive socioecological determinants of health assessment tool (SEDOH-88) to foster a better understanding of how socioecological factors impact such disparities in surgery. Our survey utilized a modified Delphi process to develop a comprehensive tool that included 31 socioecological determinates of health that includes 88 questions. The survey and scoring instrument can be located within the tabs below.
You can read more about the SEDOH-88 via PubMed.

SEDOH-88 Survey

How to score the SEDOH-88

This survey’s utilization is intended for data collection. Generally, higher scores tend to correlate with a patient’s higher risk, concern, or overall negative outcomes. The survey’s scoring system is to be used as directed or adjusted based on the Delphi’s selection of questions from the Survey instrument. This can be viewed by viewing the PRAPARE adaptation tab. This scoring method is included for convenience and ease of interpretation of survey results, and this composite scoring method has not been validated for research purposes at this time.

simple scoring

Measures

Domains Assessed:

  • Income (%FPL)
  • Sexual orientation
  • Gender identity
  • English proficiency
  • Current employment
  • Education attainment
  • Military status
  • Refugee status
  • Incarceration
  • Health insurance
  • Transportation
  • Food insecurity
  • Delayed medical care for cost
  • Access to health technology
  • Material security
  • Living environment
  • Safety in current residence
  • Housing (type of residence, fear of losing)
  • Health services (last accessed, unusual places, most often)
  • East to schedule an appointment
  • Health literacy
  • Patient activation
  • Trust, social support
  • Spirituality/religion
  • Discrimination (lifetime)
  • Community involvement
  • Stress
  • Access to healthy foods
  • Community cohesion and informal social control
  • Neighborhood recreation infrastructure
  • Neighborhood safety


Additional Assessed Domains:

  • General
  • Environmental health
  • Food literacy
  • Health literacy
  • Health literacy responsiveness
  • Health promotion
  • Mental health
  • Nutrition
  • Occupation
  • Surgery

Psychometrics:

Time to administer: 11-15 minutes
Sample size in validation study: 150 or less
Modes of administration in validation study: Electronic-based
Validation sample population age: 18 to 64 years
Language of validated version: English