Methods: Approximately 20% of a large urban pediatric hospital’s 200-person SW department was recruited to participate in the study. Using purposive sampling, participants were recruited across 5 unique setting types: inpatient, primary care, ambulatory/outpatient, primary care, emergency, and population-based specialty program settings providing care across inpatient and outpatient settings. Participants (n=42) were required to attend one of four 1.5 hour trainings in PAS scale administration and scoring. Each participant received a PAS manual and assigned a SuperUser who provided technical assistance for the duration of data collection. Participants recorded PAS ratings for each patient presenting to their care over 80 hours of consecutive shifts; upon completion, participants completed a posttest evaluation examining PAS implementation outcomes defined by Proctor et al (2013) of feasibility, acceptability and appropriateness using pragmatic, psychometrically sound instruments (Feasibility of Intervention Measure, [FIM], Acceptability of Intervention Measure [AIM], Intervention Appropriateness Measure [IAM], Weiner et al., 2017). Data collection occurred over a 4 month period (October 2019-January 2020) to minimize burden on 5 SUs.
Results: Of the 45 SWs recruited; N=2 attended the PAS training but did not participate in data collection; N=1 did not administer PAS appropriately and scores were excluded from the analysis. Overall the study yielded a 93.3% recruitment and retention rate. On average, results showed high levels of acceptability, feasibility, appropriateness, with 89.5%, 68.4%, and 57.9% of participating SWs agreeing or strongly agreeing on the FIM, IAM, and AIM, respectively.
Conclusions and Implications: SWs found the PAS to be feasible, acceptable and appropriate for use with pediatric populations. Integrating the PAS into standard documentation may be a viable way to articulate the value added of SW to the health care system.