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. 2025 Sep 9;15(9):e091318. doi: 10.1136/bmjopen-2024-091318

Table 2. SPARK compared with Post Survey Questionnaire (PSQ) correlation coefficient.

SPARK vs PSQ Correlation coefficient
Needs identified
 Social need (per 1 need increase) r=0.568 (<0.0001)
 Social needs identified (≥1 SPARK vs ≥1 PSQ) κ=0.428
 Social and access need (per 1 need increase) r=0.576 (<0.0001)
 Social and access needs identified (≥1 SPARK vs ≥1 PSQ) κ=0.298
Demographic variables
 Race (SPARK vs reference) φc=0.882 (<0.0001)
 Sex at birth (SPARK vs reference) φc=0.994 (<0.0001)
 Gender identity (SPARK vs reference) φc=0.967 (<0.0001)
 Sexual orientation (SPARK vs Reference) φc=0.986 (<0.0001)
Access variables
 Translation vs language other than English spoken most often at home κ=0.16
 Immigration status: Arrived ≤5 years ago (SPARK vs reference) κ=0.634
 Disability-related access need (≥1) vs Disability (≥1) κ=0.359
 Disability-related access need (≥1) vs Disability score ≥3 κ=0.477
Social needs: education
 Less than high school (SPARK vs reference) κ=0.604
Social needs: income
 Financial insecurity vs income <US$30 000 κ=0.368
 Financial insecurity vs below low-income cut-off κ=0.332
 Difficulty making ends meet vs income <US$30 000 κ=0.379
 Avoided filling a prescription or did something to make a prescription last longer vs income <US$30 000 κ=0.356
 Difficulty getting to appointment because of the cost vs income <US$30 000 κ=0.236
 Miss a utilities payment vs income <US$30 000 κ=0.351
 Difficulty paying mortgage or rent vs income <US$30 000 κ=0.236
Social needs: unstable housing
 Unstable housing (SPARK vs reference) κ=0.319
 Unstable housing vs unstable housing and worried or concerned about stable housing κ=0.323
Social needs: social support
 Social isolation (SPARK (≥1) vs high social isolation score >60) κ=0.11
 Social isolation (SPARK (≥2) vs high social isolation score >60) κ=0.179
 Social isolation (SPARK (≥2) vs moderate or high social isolation score >41) κ=0.07
Precarious employment
 Precarious employment (SPARK (≥1) vs PEPSO≥38) κ=0.436
 Precarious employment (SPARK (≥2) vs PEPSO≥38) κ=0.405

PEPSO, Poverty and Employment Precarity in Southern Ontario; r, Pearson correlation coefficient; SPARK, Screening for Poverty And Related social determinants to improve Knowledge of and access to resources; κ, kappa statistic; φc, Cramer’s V.