Free Narrative Research Articles

An emotional learning process? The role of socially induced and regulated emotions for the development of an entrepreneurial mindset

PurposeAlthough emotional dynamics (EDs) during the entrepreneurial learning (EL) process are acknowledged to promote the growth of an entrepreneurial mindset (EM), while having social causes, empirical research on learning mainly looks at emotions as socially isolated concepts. This study aims to investigate how socially induced and regulated emotions during the EL process affect EM development.Design/methodology/approachWe applied a qualitative, inductive approach related to interpretative phenomenological analysis to get deeply involved into individuals’ experienced emotions. We conducted semi-structured interviews with participants of two EL programs. Open-ended questions stimulated free narratives and detailed descriptions of experiences that were analyzed following a five-stage process.FindingsThere is a correlation between socially induced and regulated emotions and the development of EM elements. We suggest a framework for the EL process based on EDs, which triggers four main mechanisms that help individuals develop an EM: “re-assessment of individual emotions through EDs”, “EDs affected by facilitator intervention,” “sharing and co-creation of emotions,” and “sensemaking of experiences and emotions.”Originality/valueThis study adds to the knowledge on EDs during the EL process and contributes to the literature on EL and emotions in learning. Therewith, it helps to sensitize practitioners toward the complexity of emotions in the entrepreneurial process, allows to moderate individual emotional reactions and social Eds, and improves existing EE programs. Future research could investigate the interplay of specific personality traits, learning environments, and socioemotional team dynamics in EL.

Research on the Constructive Narrative Mode of Film based on the Embodied Imagination Theory

Psychoanalytic theory can be used to analyze the narrative mode of the film to explain psychological problems from the perspective of dreams. Based on the theory of embodied imagination, this study uses the text analysis method to analyze the film constructive narrative mode embodied in the film Deep Sea through the case study. The film constructs the sand play narrative space and uses nonlinear narrative techniques to reflect the three major characteristics of the film’s constructive narrative mode based on the theory of embodied imagination: the integration of authenticity and illusion in image construction, the penetration of emotional emergence and the process of image experience, and the realization of healing effects both on and off-screen. In the research process, the advantages and disadvantages of film works are analyzed. The advantages of free narrative logic and immersive movie-watching experience are accompanied by the disadvantages of increasing the threshold of movie-watching and large investment risks. This study provides a reference for the construction of the theoretical system of film constructive narrative mode.

Voluntary turnover of high achievers: A systems psychodynamics analysis with CIBART

Orientation: Voluntary turnover is a costly and frequently disruptive organisational phenomenon, particularly when it involves high achievers.Research purpose: The study aimed to develop a psychodynamic exposé of voluntary turnover by applying the conflict, identity, boundaries, authority, roles and task (CIBART) model to the lived experiences of high achievers.Motivation for the study: The research primarily focusses on voluntary turnover as an individual, rational decision-making process. It recognises the contribution of unconscious systems psychodynamics to voluntary turnover. Research conducted from this perspective is necessary to gain a more comprehensive and in-depth understanding of the topic.Research approach/design and method: Seven case studies of individual voluntary turnover were conducted in a large private retail company. Data were collected using free association narrative (FANI) interviews. The analysis of the data was guided by hermeneutic phenomenology, and the interpretive frame used was the CIBART model.Main findings: Six themes were constructed to describe the conflict dynamics along each of the six CIBART dimensions. Within each theme, the conflict dynamic is exposed, revealing the subsequent anxiety and defences that accumulate leading to the decision to leave. Ultimately, the six themes synthesise to propose that voluntary turnover is a conscious manifestation, yet an unconscious defence against system-wide conflict.Practical/managerial implications: Facilitating leaders’ understanding and processing of the conflict dynamics that occur across the CIBART dimensions, and which contribute to voluntary turnover, create opportunities for both transformation and prevention.Contribution/value-add: The research offers insights into the psychodynamics of voluntary turnover, which consulting psychologists and organisational leaders can utilise to address this phenomenon within their work groups.

Development, Pilot, and Evaluation of a Qualitative Documentation Tool for Pharmacists to Share High Impact Patient Intervention Stories.

Background: Community pharmacists are often the most accessible member of the healthcare team to many patients and can play a key role in managing their chronic conditions, such as diabetes or heart disease, through enhanced pharmacy services. Despite their accessibility, pharmacy services are often underutilized due, in part, to a lack of adequate reimbursement models that comprehensively encapsulate all elements of those pharmacy services. While routine documentation of services does collect certain qualitative data, they do not always indicate the nuance of the full scope of services with resulting robust impact and value of those services for the patient and healthcare system. Objective: To develop and pilot an online reporting tool for pharmacist documentation of high impact patient intervention "stories" that includes the nuances of care provision processes in outpatient pharmacy settings that promote positive outcomes. Methods: An online Patient Stories Reporting Tool (PRST) was developed to allow outpatient pharmacists to document details on distinct direct patient care encounters, or "stories", that they felt showcased their value. Documentation through PSRT included limited quantitative data and qualitative data with a focus on a free response narrative for the "story". In a pilot, the PSRT was distributed to 18 pharmacists across 16 practice sites from one partnering pharmacy organization. Qualitative data, the focus of the included analysis, was collected, assessed by project team members, and organized by intervention types. Results: Forty-seven stories involving 17 pharmacists across 13 practice sites from August 2021 to March 2023 were reported. Three types of key intervention stories were identified including General Patient Education (7 stories), Medication Optimization (20 stories), and Cost Reduction (20 stories). Given the nature and scope of this initial pilot, one story for each of the three most prevalent intervention types was identified as exemplifying the types of stories the tool can collect and are subsequently discussed in detail. Conclusions: The three selected stories help to characterize the services pharmacists provide, the critical components of pharmacist-patient interactions, and the value of sharing these stories utilizing tools such as the PSRT. Through these stories, the PSRT also begins to record the nuances of pharmacist interventions and the impact they can make in a patient's healthcare journey. Potential applications of the tool are multivarious including supporting improvements in the perception of pharmacists' roles on the healthcare team and justifying expansion of reimbursement models.

La prononciation du français au Burundi: influence du français de Belgique et du kirundi

Abstract French in Burundi offers an interesting case of language contact: speakers have Kirundi as their first language and French imported during the colonial era was the variety spoken in Belgium, which does not share all the features of reference French. In this study, we analyze a corpus of 12 speakers (including 4 women; mean age 38.5) producing different speaking styles collected according to the methodology of the Phonologie du Français Contemporain project: word reading, text reading, and free narration. The results of the pronunciation analysis concern vowels, consonants and schwa. We identify eight pronunciation features that differ from reference French. In addition, we analyze for each one the possible interferences with Kirundi or with Belgian French. In conclusion, we discuss which of these features can be considered pan-African.

A European Society of Oncologic Imaging (ESOI) survey on the radiological assessment of response to oncologic treatments in clinical practice

ObjectivesTo present the results of a survey on the assessment of treatment response with imaging in oncologic patient, in routine clinical practice. The survey was promoted by the European Society of Oncologic Imaging to gather information for the development of reporting models and recommendations.MethodsThe survey was launched on the European Society of Oncologic Imaging website and was available for 3 weeks. It consisted of 5 sections, including 24 questions related to the following topics: demographic and professional information, methods for lesion measurement, how to deal with diminutive lesions, how to report baseline and follow-up examinations, which previous studies should be used for comparison, and role of RECIST 1.1 criteria in the daily clinical practice.ResultsA total of 286 responses were received. Most responders followed the RECIST 1.1 recommendations for the measurement of target lesions and lymph nodes and for the assessment of tumor response. To assess response, 48.6% used previous and/or best response study in addition to baseline, 25.2% included the evaluation of all main time points, and 35% used as the reference only the previous study. A considerable number of responders used RECIST 1.1 criteria in daily clinical practice (41.6%) or thought that they should be always applied (60.8%).ConclusionSince standardized criteria are mainly a prerogative of clinical trials, in daily routine, reporting strategies are left to radiologists and oncologists, which may issue local and diversified recommendations. The survey emphasizes the need for more generally applicable rules for response assessment in clinical practice.Critical relevance statementCompared to clinical trials which use specific criteria to evaluate response to oncological treatments, the free narrative report usually adopted in daily clinical practice may lack clarity and useful information, and therefore, more structured approaches are needed.Key points· Most radiologists consider standardized reporting strategies essential for an objective assessment of tumor response in clinical practice.· Radiologists increasingly rely on RECIST 1.1 in their daily clinical practice.· Treatment response evaluation should require a complete analysis of all imaging time points and not only of the last.Graphical

“I knew it was a scam”: Understanding the triggers for recognizing romance fraud

AbstractResearch SummaryThis article investigates the contributing factors (or triggers) to a realization of romance fraud victimization, based on 1015 reports lodged with Scamwatch (Australian online reporting portal for fraud) between July 2018 and July 2019 (inclusive). The article examines the free text narrative of each report to propose five discernible trigger categories: further requests for money; characteristics of communications; verification checks; an offender's action(s); and being told by a third party.Policy ImplicationsBased on a comprehensive understanding of these five categories, the article advocates for broader messaging approaches to encompass financial literacy and well‐being, cyberliteracy and critical thinking skills, cybersecurity practices, and respectful and healthy relationships. Leveraging the use of these wider education and awareness campaigns could improve recognition of romance fraud. Importantly, it is suggested that banks and other financial institutions are in a strong position to focus their efforts on some of these broader messages to effect positive change.

Bodywork and Singing Voice: An Educational Tool for Voice Optimization

ABSTRACT Bodywork applied to vocal technique is an increasingly used tool in teaching practice. However, there is little research that can provide evidence of its effectiveness. This research is an exploratory and descriptive case study that investigates the self-perception of 14 voice major students after receiving a bodywork program. The main objective is to analyze if a bodywork program designed for singers affects the emission and vocal quality and, therefore, may be a good pedagogical tool in voice education. The body-mind method applied is the Méthode de Libération de Cuirasse © (MLC). To conduct the intervention, the participants performed different vocal tasks and answered a questionnaire to reveal their perceptions in relation to vocal emission, body balance, frame of mind, and degree of well-being before and after each of the sessions of bodywork. Two months after the last session, a second questionnaire was administered and a free narrative of the lived experience of participants was collected for subsequent analysis and interpretation. Results showed more comfort when singing, greater harmonic richness, greater facility in the high register, and better breath control as well as an improvement in general well-being and state of the body.

Qualitative research interviewing: application and use of free association.

Free association is a core concept of the free association narrative interview method, an approach that is well-known among researchers in the UK who are interested in using psychoanalytic ideas in qualitative psycho-social research. To examine the relationship between the framing of the psychoanalytic concept of free association in the contexts of qualitative research interviewing, clinical psychoanalysis and psychoanalytically oriented psychotherapy. This article considers the definition of free association in psychology and psychoanalysis. It then explores free association's role in the free association narrative method, in terms of interview technique and the analysis of interview material. Researchers should carefully consider differences in the contexts of research, clinical psychoanalysis and psychotherapy to avoid makeshift integrations of clinical concepts. The free association narrative interview method is an attractive approach for researchers interested in applying psychoanalytic ideas in their studies. However, researchers should carefully reflect on the meanings of the clinical ideas and terminology they use.

Using artificial intelligence to identify patients with migraine and associated symptoms and conditions within electronic health records

BackgroundReal-world evidence (RWE)—based on information obtained from sources such as electronic health records (EHRs), claims and billing databases, product and disease registries, and personal devices and health applications—is increasingly used to support healthcare decision making. There is variability in the collection of EHR data, which includes “structured data” in predefined fields (e.g., problem list, open claims, medication list, etc.) and “unstructured data” as free text or narrative. Healthcare providers are likely to provide more complete information as free text, but extracting meaning from these fields requires newer technologies and a rigorous methodology to generate higher-quality evidence. Herein, an approach to identify concepts associated with the presence and progression of migraine was developed and validated using the complete patient record in EHR data, including both the structured and unstructured portions.Methods“Traditional RWE” approaches (i.e., capture from structured EHR fields and extraction using structured queries) and “Advanced RWE” approaches (i.e., capture from unstructured EHR data and processing by artificial intelligence [AI] technology, including natural language processing and AI-based inference) were evaluated against a manual chart abstraction reference standard for data collected from a tertiary care setting. The primary endpoint was recall; differences were compared using chi square.ResultsCompared with manual chart abstraction, recall for migraine and headache were 66.6% and 29.6%, respectively, for Traditional RWE, and 96.8% and 92.9% for Advanced RWE; differences were statistically significant (absolute differences, 30.2% and 63.3%; P < 0.001). Recall of 6 migraine-associated symptoms favored Advanced RWE over Traditional RWE to a greater extent (absolute differences, 71.5–88.8%; P < 0.001). The difference between traditional and advanced techniques for recall of migraine medications was less pronounced, approximately 80% for Traditional RWE and ≥ 98% for Advanced RWE (P < 0.001).ConclusionUnstructured EHR data, processed using AI technologies, provides a more credible approach to enable RWE in migraine than using structured EHR and claims data alone. An algorithm was developed that could be used to further study and validate the use of RWE to support diagnosis and management of patients with migraine.

Cause of Death estimation from Verbal Autopsies: Is the Open Response redundant or synergistic?

Civil registration and vital statistics systems capture birth and death events to compile vital statistics and to provide legal rights to citizens. Vital statistics are a key factor in promoting public health policies and the health of the population. Medical certification of cause of death is the preferred source of cause of death information. However, two thirds of all deaths worldwide are not captured in routine mortality information systems and their cause of death is unknown. Verbal autopsy is an interim solution for estimating the cause of death distribution at the population level in the absence of medical certification. A Verbal Autopsy (VA) consists of an interview with the relative or the caregiver of the deceased. The VA includes both Closed Questions (CQs) with structured answer options, and an Open Response (OR) consisting of a free narrative of the events expressed in natural language and without any pre-determined structure. There are a number of automated systems to analyze the CQs to obtain cause specific mortality fractions with limited performance. We hypothesize that the incorporation of the text provided by the OR might convey relevant information to discern the CoD.The experimental layout compares existing Computer Coding Verbal Autopsy methods such as Tariff 2.0 with other approaches well suited to the processing of structured inputs as is the case of the CQs. Next, alternative approaches based on language models are employed to analyze the OR. Finally, we propose a new method with a bi-modal input that combines the CQs and the OR. Empirical results corroborated that the CoD prediction capability of the Tariff 2.0 algorithm is outperformed by our method taking into account the valuable information conveyed by the OR. As an added value, with this work we made available the software to enable the reproducibility of the results attained with a version implemented in R to make the comparison with Tariff 2.0 evident.

The apparent burden of unexplained sudden infant deaths in Lusaka, Zambia: Findings from analysis of verbal autopsies

Background: The contribution of sudden unexpected infant death (SUID) has received little attention in global health. The objective of this study was to estimate the burden of SUID in Lusaka, Zambia. Methods: Verbal autopsies were conducted on infants who died in Lusaka, between 2017 and 2020. From these, we performed a qualitative analysis of the free text narratives of the final series of events leading to each infant’s death and classified these as symptomatic deaths or SUID. Any narrative that described an infant who was otherwise healthy with no antecedent illness prior to death and found dead in bed after a sleep episode was classified as SUID. We used logistic regression to test for statistical differences between asymptomatic deaths and SUIDs on key infant, maternal and other risk factors of SUIDs. Results: Eight hundred and nine verbal autopsies were conducted with families of decedent infants younger than six months of age. A total of 92.6% (749/809) had presented with symptoms prior to death, whereas 7.4% (60/809) died without preceding symptoms or obvious cause of death. Of these, 16/60 were compatible with accidental suffocation deaths, and 54/60 appeared to be sudden infant death syndrome. SUID deaths were concentrated in infants younger than two months of age with peak age of one to two months. Age at death was the only significant factor in multivariate analysis. Infants aged between one and two months had 2.84 increased odds of suspected SUIDs compared to infants in the first month of life (aOR = 2.84, 95% CI: 1.31, 6.16). Conclusions: Our findings suggest SUID could be accounting for a significant proportion of infant deaths in Zambia, but this cause of infant mortality is going unrecognized. Public health interventions in Zambia, and Africa more broadly, are likely overlooking SUIDs as an important cause of infant mortality.

Transforming clinical trials: the emerging roles of large language models.

Clinical trials are essential for medical research, but they often face challenges in matching patients to trials and planning. Large language models (LLMs) offer a promising solution, signaling a transformative shift in the field of clinical trials. This review explores the multifaceted applications of LLMs within clinical trials, focusing on five main areas expected to be implemented in the near future: enhancing patient-trial matching, streamlining clinical trial planning, analyzing free text narratives for coding and classification, assisting in technical writing tasks, and providing cognizant consent via LLM-powered chatbots. While the application of LLMs is promising, it poses challenges such as accuracy validation and legal concerns. The convergence of LLMs with clinical trials has the potential to revolutionize the efficiency of clinical trials, paving the way for innovative methodologies and enhancing patient engagement. However, this development requires careful consideration and investment to overcome potential hurdles.

Audio Visual Presentation and Effect Analysis of Animation Film and Live Action Film of Mulan

Based on the application of visual effects and auditory design in the film creation process of the Disney animated film and the live-action film Mulan, this paper analyzes the different plastic art styles shown in the two films due to the different visual elements of the shots, and compares the different application of montage language in the two films in the combination of shots and images. As well as the different characteristics of subjective music in the guidance of shots and the comprehensive use of original sound and dubbing, this paper expounds the audio-visual language characteristics of animated films that are different from live-action films. Starting from the audio-visual language strategy of animated films, this paper discusses the distinctive characteristics and rules of audio-visual language of animated films in exaggerated modeling, montage free narration and auditory design of "first sound and then painting", reveals its essential characteristics of "exaggeration" and "freedom", and explores the unique artistic charm of animated films.

An exploration of the self-perceived nutrition competencies of pharmacists

BackgroundPharmacists are integral members of healthcare teams, providing accessible nutrition care to patients, carers and health professionals. However, little is known about nutrition competence among pharmacists. ObjectiveThe aim of the study is to determine the self-perceived competence in providing nutrition care among pharmacists in Ireland. MethodsThis cross-sectional study used a mixed methods design consisting of an online survey delivered to pharmacists in Ireland. The pharmacists' self-perceived competencies according to confidence in knowledge, skills, communication and counselling, and attitudes in nutrition care were assessed using the validated NUTCOMP questionnaire. Qualitative responses in relation to nutrition knowledge were also gathered. Questionnaire responses were analysed using descriptive statistics and free text narratives were coded into themes and subthemes. ResultsA total of n = 557 (74% (n = 413) female; 24.1% (n = 134) male) respondents completed the questionnaire providing a 14.9% response rate. Confidence in nutrition knowledge (mean score (SD) 21.6 (±4.31) out of a maximum of 35 points), nutrition skills (mean score (SD) 31.8 (±7.74) out of a maximum count of 55) and nutrition related counselling and communication (mean score (SD) 29.8 (±6.35) out of a maximum of 45 points) were limited. Most respondents had completed a programme with some nutrition content (60.8%) either formally or informally. Previous nutrition education was positively associated with greater scores in knowledge, skills, communication/counselling and attitudes towards nutrition care (p = ≤0.001). Over three-quarters of respondents (78.1%) agreed that they would like further nutrition education to support themselves in their roles as pharmacists. Thematic analysis highlights the role of interprofessional nutrition care, barriers to providing nutritional care in practice and opportunities for improving nutrition training. ConclusionsMost pharmacists reported being somewhat confident in their nutrition knowledge, skills and attitudes and are willing to participate in further nutrition education to support their patients. The findings suggest that there are other barriers to providing nutrition care in the pharmacy setting such as time, renumeration and lack of community dietitians.

Spelling errors by Spanish children when writing in English as a foreign language

English orthography differs from that of other European languages in terms of complexity and regularity. This difference may impact the development of accurate spelling in English, especially when it is learned as a foreign language in school. In this study we wanted to explore spelling development patterns of Spanish speaking children learning English at school. To do so, we analyzed spelling errors from a free narrative task from 136 children in fourth, fifth and sixth grades. We classified errors following a two-level procedure based on the Triple Word Form theory (Phonology, Orthography and Morphology) and the POMAS (Phonological, Orthographic, and Morphological Assessment of Spelling) system. While results showed almost no change in accuracy across grades, there was evidence of more errors related to orthography as compared to phonology and morphology. This points to an incomplete knowledge of English orthography. This study sheds light on the spelling development of foreign language learners, and illustrates the interference that the native language may have when the two orthographies of the speller are linguistically distant. Considering the findings, educational implications to improve foreign language spelling instruction at school are offered.

Long-term intergenerational transmission of memories of the Vajont disaster.

Previous literature documented the traumatic consequences of exposure to disasters on psychological functioning, but little attention has been paid to the intergenerational transmission of the memory of disasters. We explored long-term effects on the memory of the Vajont dam disaster in Northeast Italy that claimed 1,910 lives in 1963. We collected data from 52 two-generation families in which the first generations were born before the disaster and the second generations after. The families were divided into an experimental group whose first generation survived the disaster and a control group whose first generation had moved there afterward. The interviews included an open-ended narrative on the memory of the disaster. We coded free narratives focusing on the richness of the memories (i.e., length, causes, core, aftermath), analyzing negative emotions and salience of the natural and psychological domains. We applied generalized linear mixed models. The richness of the memories, including references to negative emotions, diminished with lower exposure and with intergenerational transmission. Moreover, the participants built a shared representation of the disaster that did not markedly differ across exposure or generation. The reported causes were attributed more to the natural rather than the human domain; the consequences more to the psychological compared to the material domain. Our findings highlight the processes through which collective memories of historical traumatic events are built over the long term and the way a collective identity develops to bear the burden of highly dramatic events and to transmit intergenerational lessons from the past. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Glottalized lateral in Rikvani Andi: an acoustic study.

Glottalized sonorants are a rare sound type that has been under scrutiny for a number of reasons of general relevance to the phonetic theory. It has been claimed that the timing of glottalization of glottalized sonorants may shift in accordance with the position in the syllable onset (pre-glottalization) or coda (post-glottalization), to provide a cue for its place of articulation; other studies argued against this claim. The paper investigates acoustic properties of the glottalized lateral in Rikvani Andi, a one-village dialect of Andi (East Caucasian). Based on the data from elicitations and free narratives, we consider the acoustic correlates that have been argued in the literature to differentiate glottalized sonorants from their modal counterparts, including aperiodicity, intensity, duration and spectral tilt. In Rikvani Andi, all of the correlates prove to be statistically significant in recordings of isolated words, but the differences tend to decrease in free narratives. The timing of glottalization does not support the existing generalizations- while the glottalized lateral only occurs in Rikvani Andi in the syllable onset, it tends to be mid- to post-glottalized. We discuss two possible explanations of why the Rikvani Andi glottalized sonorant fails to comply with typological expectations.

Common Errors in English Aphasic Discourse

The article generalizes the results of research directed onto singling out the common errors in speech of aphasic patients. Aphasia is characterized by partial or complete loss of speech and is caused by damage in the language areas (Broca’s and Wernicke’s areas). A lesion in the middle part of the patient’s left frontal lobe results in Broca’s aphasia and the damage to the left posterior superior temporal gyrus is referred to as Wernicke’s aphasia. The major causes of aphasia are strokes, cortical vein thrombosis, traumas of skull and brain, brain infections, tumors, etc. The research is based on the language-in-use descriptive approach to discourse analysis and presents an investigation of 40 documentary video recordings of aphasic patients’ speech (free narration and dialogues); the overall duration of the recordings is 180 minutes. The inclusion criterion was aphasia of any type in adulthood. All the patients are English-speaking people (English being their native language) recovering from aphasia. The analysis was done according to the following criteria: intelligibility, coherence, cohesion, grammatical structure of utterances, prosody and intonation, thus combining formalist (or structuralist) and functionalist research paradigms. The research has shown that the most common errors that aphasic patients make when speaking are as follows: syntactic errors, articulatory errors, lexical misuse and slow speech rate. Syntactic and articulatory errors prevail (55% and 50% of all the studied cases respectively), whereas 37.5% of the speakers demonstrated slow speech rate. The speech of 75% of people with aphasia is incoherent. The patients’ verbal performance is marked with extensive use of pronouns and repetition of words and phrases.

Using Natural Language Processing to Examine Social Determinants of Health in Prehospital Pediatric Encounters and Associations with EMS Transport Decisions

Background Social determinants of health (SDOH) influence access to health care and are associated with inequities in patient outcomes, yet few studies have explored SDOH among pediatric EMS patients. The objective of this study was to examine the presence of SDOH in EMS clinician free text notes and quantify the association of SDOH with EMS pediatric transport decisions. Methods This was a retrospective analysis of primary 9-1-1 responses for patients ages 0–17 years from the 2019 ESO Data Collaborative research dataset. We excluded cardiac arrests and patients in law enforcement custody. Using natural language processing (NLP) we extracted the following SDOH categories: income insecurity, food insecurity, housing insecurity, insurance insecurity, poor social support, and child protective services. Univariate and multivariable associations between the presence of SDOH in EMS records and EMS transport decisions were assessed using logistic regression. Results We analyzed 325,847 pediatric EMS encounters, of which 35% resulted in non-transport. The median age was 10 years and 52% were male. Slightly over half (53%) were White, 31% were Black, and 11% were Hispanic. Child protective services (n = 2,620) and housing insecurity (n = 1,136) were the most common SDOH categories found in the EMS free text narratives. In the multivariable model, child protective services involvement (odds ratio (OR)=2.04 [95% confidence interval (CI) 1.84–2.05]), housing insecurity (OR = 1.46 [95% CI 1.26–1.70]), insurance security (OR = 2.44 [95% CI 1.93–3.09]), and poor social support (OR = 10.48 [95% CI 1.42–77.29]) were associated with greater odds of EMS transport. Conclusions SDOH documentation in the EMS narrative was rare among pediatric encounters; however, children with documented SDOH were more likely to be transported. Additional exploration of the root causes and outcomes associated with SDOH among children encountered by EMS are warranted.