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Evers S, Kenkre J, Kloppe T, Kurpas D, Mendive JM, Petrazzuoli F, Vidal-Alaball J. Survey of general practitioners' awareness, practice and perception of social prescribing across Europe. Eur J Gen Pract 2024; 30:2351806. [PMID: 38757217 PMCID: PMC11104702 DOI: 10.1080/13814788.2024.2351806] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2023] [Accepted: 04/22/2024] [Indexed: 05/18/2024] Open
Abstract
BACKGROUND Social prescribing (SP) is a patient pathway by which healthcare professionals connect patients with other sources of support, groups, or activities within their community. The awareness, practice, and perception of SP among GPs across Europe remains unclear. OBJECTIVES To explore the awareness, practice, and perception of GPs on SP in the WONCA Europe region. METHODS An anonymous, cross-sectional online survey was distributed through a snowballing system, mailing lists, and at three international conferences in 2022/2023 to explore GPs' awareness, practice, and perception of SP. The questionnaire in English contained 21 open and closed questions. RESULTS Of the 208 participating GPs from 33 countries, 116 (56%) previously heard of 'social prescribing' and 66 (32%) regularly referred patients to community activities through a formal system. These 66 GPs reported different funding sources and varied activities, with an average of four activities and physical exercise being the most prevalent. Among them, 25 (38%) knew about national or local SP awareness campaigns. Of these 25, 17 (68%) agreed that SP increases their job satisfaction and 21 (84%) agreed that it has a positive impact on their patients. Variations in SP awareness and referral practice were evident across and within countries. CONCLUSION Despite disparities in awareness and referral practice as well as a diversity of activities and funding sources, most GPs who actively referred patients and were informed about SP campaigns agreed that SP positively impacts them and their patients.
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Affiliation(s)
- Sinah Evers
- Department of Health Services Research, Institute of Public Health and Nursing Research, University of Bremen, Bremen, Germany
- Health Sciences Bremen, University of Bremen, Bremen, Germany
- WONCA Europe Social Prescribing and Community Orientation Special Interest Group, Brussels, Belgium
| | - Joyce Kenkre
- WONCA Europe Social Prescribing and Community Orientation Special Interest Group, Brussels, Belgium
- Life Sciences and Education, University of South Wales, Pontypridd, UK
| | - Thomas Kloppe
- WONCA Europe Social Prescribing and Community Orientation Special Interest Group, Brussels, Belgium
- Department of General Practice and Primary Care, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany
| | - Donata Kurpas
- WONCA Europe Social Prescribing and Community Orientation Special Interest Group, Brussels, Belgium
- Health Sciences Faculty, Wroclaw Medical University, Wroclaw, Poland
- European Rural and Isolated Practitioner Association (EURIPA), Paris, France
| | - Juan M. Mendive
- WONCA Europe Social Prescribing and Community Orientation Special Interest Group, Brussels, Belgium
- La Mina Primary Health Care Academic Centre, Catalan Health Institute (ICS), University of Barcelona, Barcelona, Spain
- Institute for Primary Health Care Research IDIAP Jordi Gol, Barcelona, Spain
| | - Ferdinando Petrazzuoli
- WONCA Europe Social Prescribing and Community Orientation Special Interest Group, Brussels, Belgium
- European Rural and Isolated Practitioner Association (EURIPA), Paris, France
- Department of Clinical Sciences in Malmö, Centre for Primary Health Care Research, Lund University, Malmö, Sweden
| | - Josep Vidal-Alaball
- WONCA Europe Social Prescribing and Community Orientation Special Interest Group, Brussels, Belgium
- Health Promotion in Rural Areas Research Group, Institut Català de la Salut, Barcelona, Spain
- Central Catalonia Research Support Unit, Jordi Gol i Gurina University Institute for Research in Primary Health Care Foundation, Sant Fruitós de Bages, Barcelona, Spain
- Faculty of Medicine, Vic-Central University of Catalonia, Vic, Spain
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Ghogomu ET, Welch V, Yaqubi M, Dewidar O, Barbeau VI, Biswas S, Card K, Hsiung S, Muhl C, Nelson M, Salzwedel DM, Saragosa M, Yu C, Mulligan K, Hébert P. PROTOCOL: Effects of social prescribing for older adults: An evidence and gap map. CAMPBELL SYSTEMATIC REVIEWS 2024; 20:e1382. [PMID: 38434537 PMCID: PMC10903187 DOI: 10.1002/cl2.1382] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Revised: 11/29/2023] [Accepted: 01/08/2024] [Indexed: 03/05/2024]
Abstract
Objectives This is the protocol for an evidence and gap map. The objectives are as follows: The aim of this evidence and gap map is to map the available evidence on the effectiveness of social prescribing interventions addressing a non-medical, health-related social need for older adults in any setting. Specific objectives are as follows: 1.To identify existing evidence from primary studies and systematic reviews on the effects of community-based interventions that address non-medical, health-related social needs of older adults to improve their health and wellbeing.2.To identify research evidence gaps for new high-quality primary studies and systematic reviews.3.To highlight evidence of health equity considerations from included primary studies and systematic reviews.
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Affiliation(s)
| | | | | | | | | | - Srija Biswas
- Canadian Institute of Social PrescribingCanadian Red CrossTorontoCanada
| | - Kiffer Card
- Faculty of Health SciencesSimon Fraser UniversityVancouverCanada
| | - Sonia Hsiung
- Canadian Institute of Social PrescribingCanadian Red CrossTorontoCanada
| | - Caitlin Muhl
- School of Nursing, Faculty of Health SciencesQueens UniversityKingstonCanada
| | - Michelle Nelson
- Dalla Lana School of Public HealthUniversity of TorontoTorontoCanada
| | - Douglas M. Salzwedel
- Department of Anesthesiology, Pharmacology and TherapeuticsUniversity of British ColumbiaVancouverCanada
| | | | | | - Kate Mulligan
- Dalla Lana School of Public HealthUniversity of TorontoTorontoCanada
| | - Paul Hébert
- Bruyère Research InstituteUniversity of OttawaOttawaCanada
- Centre Hospitalier de l'Université de MontréalMontrealCanada
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Oster C, Powell A, Hutchinson C, Anderson D, Gransbury B, Walton M, O'Brien J, Raven S, Bogomolova S. The process of co-designing a model of social prescribing: An Australian case study. Health Expect 2024; 27:e14087. [PMID: 38783775 PMCID: PMC11116944 DOI: 10.1111/hex.14087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2024] [Revised: 03/26/2024] [Accepted: 05/09/2024] [Indexed: 05/25/2024] Open
Abstract
INTRODUCTION Social needs such as housing, employment, food, income and social isolation are having a significant impact on individuals, families and communities. Individuals are increasingly presenting to health settings with social needs, which are ill-equipped to address nonmedical needs. Social prescribing is a systematic approach connecting the health, social and community sectors to better address social needs and improve health and wellbeing. Social prescribing interventions are being implemented world-wide. With variability in health and social care systems internationally, it is important that social prescribing interventions are co-designed with key stakeholders to ensure they can be implemented and sustained within local systems. METHODS This Australian case study provides a detailed description of the process undertaken to co-design a social prescribing service model in a regional area. Four co-design workshops were undertaken, two with health and social care professionals and two with community members. The project followed an iterative process of resourcing, planning, recruiting, sensitising, facilitation, reflection and building for change across the workshops. RESULTS Through this process, key stakeholders were able to successfully co-design a social prescribing model of care for the region. CONCLUSION By demonstrating the process and materials used in our project, we aim to open the 'black box' of co-design for social prescribing and provide ideas and resources for others to adapt and utilise. PATIENT OR PUBLIC CONTRIBUTION The project was designed and undertaken by a steering committee comprising university-based researchers (authors C. O. and S. B.), local government (author D. A.) and health, social and community services (authors B. G., M. W., J. O. and S. R.). Members of the steering committee participated in project design, participant recruitment, workshop facilitation, data analysis and interpretation.
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Affiliation(s)
- Candice Oster
- Caring Futures Institute, College of Nursing and Health SciencesFlinders UniversityAdelaideSouth AustraliaAustralia
| | - Ashleigh Powell
- Centre for Social Impact, College of Business, Government and LawFlinders UniversityAdelaideSouth AustraliaAustralia
| | - Claire Hutchinson
- Caring Futures Institute, College of Nursing and Health SciencesFlinders UniversityAdelaideSouth AustraliaAustralia
- Centre for Social Impact, College of Business, Government and LawFlinders UniversityAdelaideSouth AustraliaAustralia
| | - Debra Anderson
- Caring Futures Institute, College of Nursing and Health SciencesFlinders UniversityAdelaideSouth AustraliaAustralia
| | - Bill Gransbury
- Caring Futures Institute, College of Nursing and Health SciencesFlinders UniversityAdelaideSouth AustraliaAustralia
| | - Martin Walton
- Caring Futures Institute, College of Nursing and Health SciencesFlinders UniversityAdelaideSouth AustraliaAustralia
| | - Jenny O'Brien
- Caring Futures Institute, College of Nursing and Health SciencesFlinders UniversityAdelaideSouth AustraliaAustralia
| | - Susan Raven
- Caring Futures Institute, College of Nursing and Health SciencesFlinders UniversityAdelaideSouth AustraliaAustralia
| | - Svetlana Bogomolova
- Centre for Social Impact, College of Business, Government and LawFlinders UniversityAdelaideSouth AustraliaAustralia
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Nam HK, Chang SJ, Kim CB, Jeong KS, Kim SK, Kang DR, Jeong YW, Lee H, Zhao B, Koh SB. The Association between Social Support, Metabolic Syndrome, and Incidence of Cardio-Cerebrovascular Diseases in Older Adults: The ARIRANG Study. Yonsei Med J 2024; 65:363-370. [PMID: 38804031 PMCID: PMC11130590 DOI: 10.3349/ymj.2023.0455] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/08/2023] [Revised: 12/12/2023] [Accepted: 12/20/2023] [Indexed: 05/29/2024] Open
Abstract
PURPOSE We investigated the association between social support, metabolic syndrome, and incident cardio-cerebrovascular disease (CCVD) in rural Koreans aged ≥50 years. MATERIALS AND METHODS We conducted a prospective study using the Korean Genome and Epidemiology Study on Atherosclerosis Risk of Rural Areas in the Korean General Population (KoGES-ARIRANG) dataset. From the baseline of 5169 adults, 1682 participants were finally included according to the exclusion criteria. For outcomes, myocardial infarction, angina, and stroke were included. For independent variables, the social support score and metabolic syndrome were used. Descriptive statistics and multivariate logistic regression were performed to investigate the association among the variables. Paired t-test was conducted to analyze the longitudinal variation of social support scores. RESULTS During the 6.37 years of median follow-up, 137 participants developed CCVD. The adjusted odds ratio (aOR) of metabolic syndrome with persistently high social support was 2.175 [95% confidence interval (CI): 1.479-3.119]. The aOR of metabolic syndrome with persistently low social support was 2.494 (95% CI: 1.141-5.452). The longitudinal variation of the social support score of persistently high social support group was increased significantly by 4.26±26.32. The score of the persistently low social support group was decreased by 1.34±16.87 with no statistical significance. CONCLUSION The presence of metabolic syndrome increases the likelihood of developing onset CCVD. Within the metabolic syndrome positive group, when social support was persistently low, the cohort developed more cardio-cerebrovascular disease compared to the persistently higher social support group. The social support score of the persistently low social support group could be improved through proper intervention. To prevent CCVD, metabolic syndrome components and low social support should be improved in the study participants.
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Affiliation(s)
- Hae-Kweun Nam
- Department of Preventive Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
| | - Sei-Jin Chang
- Department of Preventive Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea
- Institute of Occupational and Environmental Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea
| | - Chun-Bae Kim
- Department of Preventive Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea
- Hongcheon County Hypertension and Diabetes Registration and Education Center, Hongcheon, Korea
| | - Kyoung Sook Jeong
- Department of Occupational and Environmental Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea
| | - Sung-Kyung Kim
- Department of Occupational and Environmental Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea
| | - Dae Ryong Kang
- Department of Precision Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea
| | - Yong Whi Jeong
- Department of Medical Informatics and Biostatistics, Graduate School, Yonsei University, Wonju, Korea
| | - Hocheol Lee
- Department of Health Administration, College of Software and Digital Healthcare Convergence, Yonsei University, Wonju, Korea
| | - Bo Zhao
- Department of Health Administration, Graduate School, Yonsei University, Wonju, Korea
| | - Sang-Baek Koh
- Department of Preventive Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea
- Institute of Occupational and Environmental Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
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Costa A, Henriques J, Alarcão V, Madeira T, Virgolino A, Polley MJ, Henriques A, Feteira-Santos R, Arriaga M, Nogueira P. "You get out of the house, you talk to each other, you laugh…And that's fantastic" - a qualitative study about older people's perceptions of social prescribing in mainland Portugal. BMC Health Serv Res 2024; 24:645. [PMID: 38769571 PMCID: PMC11106980 DOI: 10.1186/s12913-024-11086-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2023] [Accepted: 05/07/2024] [Indexed: 05/22/2024] Open
Abstract
BACKGROUND Social prescribing (SP) is a non-clinical approach, most commonly based in healthcare units, that aims to address non-medical health-related social needs by connecting individuals with community-based services. This qualitative study explores the perception of Portuguese older adults regarding the benefits of SP and their willingness to participate in SP initiatives. METHODS Three face-to-face focus group sessions were conducted with 23 participants in different cities in Portugal. Open and semi-open questions were used to guide the discussions and thematic analysis was used to analyze the data. RESULTS The participants recognized the potential benefits of SP for older adults, including diversifying leisure activities, improving mental health, and complementing existing support systems. They highlighted the need for external support, usually in the form of link workers, to facilitate personalized referrals and consider individual characteristics and preferences. While some participants expressed reluctance to engage in SP due to their existing busy schedules and a perceived sense of imposition, others showed openness to having new experiences and recognized the potential value of SP in promoting activity. Barriers to participation, including resistance to change, mobility issues, and family responsibilities, were identified. CONCLUSIONS The study emphasizes the importance of a person-centered and co-designed approach to SP, involving older adults in the planning and implementation of interventions. The findings provide valuable insights for the development of SP programs tailored to the unique needs and aspirations of older adults in Portugal, ultimately promoting active and healthy aging. Future research should consider the perspectives of family doctors and include a broader representation of older adults from diverse geographic areas.
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Affiliation(s)
- Andreia Costa
- Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), Nursing School of Lisbon, Avenida Prof Egas Moniz, Lisbon, Lisboa, 1600 - 190, Portugal.
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa, Av. Prof. Egas Moniz, Ed. Egas Moniz, Piso 0, Ala C, Lisboa, 1649-028, Portugal.
- Laboratório para a Sustentabilidade do Uso da Terra e dos Serviços dos Ecossistemas - TERRA, Av. Prof. Egas Moniz, Ed. Egas Moniz, Piso 0, Ala C, Lisboa, 1649-028, Portugal.
- Católica Research Centre for Psychological-Family and Social Wellbeing (CRC-W), Faculdade de Ciências Humanas, Universidade Católica Portuguesa, Lisboa, 1649-023, Portugal.
| | - Joana Henriques
- Escola Nacional de Saúde Pública, ENSP, Centro de Investigação em Saúde Pública, CISP, Comprehensive Health Research Center, CHRC, Universidade NOVA de Lisboa, Avenida Padre Cruz, Lisboa, 1600-560, Portugal
| | - Violeta Alarcão
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa, Av. Prof. Egas Moniz, Ed. Egas Moniz, Piso 0, Ala C, Lisboa, 1649-028, Portugal
- Laboratório para a Sustentabilidade do Uso da Terra e dos Serviços dos Ecossistemas - TERRA, Av. Prof. Egas Moniz, Ed. Egas Moniz, Piso 0, Ala C, Lisboa, 1649-028, Portugal
- Centro de Investigação e Estudos de Sociologia (CIES-Iscte), Instituto Universitário de Lisboa (Iscte), Lisboa, 1649-026, Portugal
| | - Teresa Madeira
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa, Av. Prof. Egas Moniz, Ed. Egas Moniz, Piso 0, Ala C, Lisboa, 1649-028, Portugal
- Laboratório para a Sustentabilidade do Uso da Terra e dos Serviços dos Ecossistemas - TERRA, Av. Prof. Egas Moniz, Ed. Egas Moniz, Piso 0, Ala C, Lisboa, 1649-028, Portugal
- Laboratório de Nutrição, Faculdade de Medicina, Universidade de Lisboa, Avenida Professor Egas Moniz, Lisboa, 1649-028, Portugal
| | - Ana Virgolino
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa, Av. Prof. Egas Moniz, Ed. Egas Moniz, Piso 0, Ala C, Lisboa, 1649-028, Portugal
- Laboratório para a Sustentabilidade do Uso da Terra e dos Serviços dos Ecossistemas - TERRA, Av. Prof. Egas Moniz, Ed. Egas Moniz, Piso 0, Ala C, Lisboa, 1649-028, Portugal
| | - Marie J Polley
- Research and Development, Meaningful Measures Ltd, Bristol, UK
| | - Adriana Henriques
- Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), Nursing School of Lisbon, Avenida Prof Egas Moniz, Lisbon, Lisboa, 1600 - 190, Portugal
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa, Av. Prof. Egas Moniz, Ed. Egas Moniz, Piso 0, Ala C, Lisboa, 1649-028, Portugal
- Laboratório para a Sustentabilidade do Uso da Terra e dos Serviços dos Ecossistemas - TERRA, Av. Prof. Egas Moniz, Ed. Egas Moniz, Piso 0, Ala C, Lisboa, 1649-028, Portugal
| | - Rodrigo Feteira-Santos
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa, Av. Prof. Egas Moniz, Ed. Egas Moniz, Piso 0, Ala C, Lisboa, 1649-028, Portugal
- Laboratório para a Sustentabilidade do Uso da Terra e dos Serviços dos Ecossistemas - TERRA, Av. Prof. Egas Moniz, Ed. Egas Moniz, Piso 0, Ala C, Lisboa, 1649-028, Portugal
| | - Miguel Arriaga
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa, Av. Prof. Egas Moniz, Ed. Egas Moniz, Piso 0, Ala C, Lisboa, 1649-028, Portugal
- Laboratório para a Sustentabilidade do Uso da Terra e dos Serviços dos Ecossistemas - TERRA, Av. Prof. Egas Moniz, Ed. Egas Moniz, Piso 0, Ala C, Lisboa, 1649-028, Portugal
- Católica Research Centre for Psychological-Family and Social Wellbeing (CRC-W), Faculdade de Ciências Humanas, Universidade Católica Portuguesa, Lisboa, 1649-023, Portugal
| | - Paulo Nogueira
- Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), Nursing School of Lisbon, Avenida Prof Egas Moniz, Lisbon, Lisboa, 1600 - 190, Portugal
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa, Av. Prof. Egas Moniz, Ed. Egas Moniz, Piso 0, Ala C, Lisboa, 1649-028, Portugal
- Laboratório para a Sustentabilidade do Uso da Terra e dos Serviços dos Ecossistemas - TERRA, Av. Prof. Egas Moniz, Ed. Egas Moniz, Piso 0, Ala C, Lisboa, 1649-028, Portugal
- Escola Nacional de Saúde Pública, ENSP, Centro de Investigação em Saúde Pública, CISP, Comprehensive Health Research Center, CHRC, Universidade NOVA de Lisboa, Avenida Padre Cruz, Lisboa, 1600-560, Portugal
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Balqis-Ali NZ, Fun WH. Social support in maintaining mental health and quality of life among community-dwelling older people with functional limitations in Malaysia: a population-based cross-sectional study. BMJ Open 2024; 14:e077046. [PMID: 38754882 PMCID: PMC11097855 DOI: 10.1136/bmjopen-2023-077046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Accepted: 05/03/2024] [Indexed: 05/18/2024] Open
Abstract
OBJECTIVE This study aimed to examine the mediation role of perceived social support in the relationship between functional limitations, depressive symptoms and quality of life among older people in Malaysia. SETTING The Malaysian National Health Morbidity Survey 2018: Elderly Health was a cross-sectional health community survey among adults aged 50 and above. PARTICIPANTS 3977 community-dwelling older Malaysians aged 60 and above. OUTCOME MEASURES Functional limitations were defined as personal activities of daily living (PADL) and instrumental activities of daily living (IADL), tested in separate paths in all analyses. PADL was measured using the Barthel Index, while IADL was measured using the Lawton and Brody scale. Perceived social support, depressive symptoms and quality of life were measured using the Duke Social Support Index, Geriatric Depression Scale-14 and Control, Autonomy, Self-Realisation and Pleasure-19 tools. We used mediation analysis through structural equation modelling to explore the role of perceived social support. RESULTS Perceived social support mediated the relationship between PADL and IADL with depressive symptoms, with the indirect effects at -0.079 and -0.103, respectively (p<0.001). Similarly, perceived social support mediated the relationship between PADL and IADL with quality of life, with the indirect effects at 0.238 and 0.301, respectively (p<0.001). We performed serial multiple mediation analysis and found that perceived social support and depressive symptoms mediated the path between PADL and IADL with quality of life, with the indirect effects at 0.598 and 0.747, respectively (p<0.001). The relationship between functional limitations and all outcomes remained significant in all mediation analyses. CONCLUSION The present study provides evidence that perceived social support relieves the influence of functional limitations on depressive symptoms and declining quality of life among older people. Therefore, it is imperative to establish a social support system to improve the overall well-being of older people.
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Affiliation(s)
- Nur Zahirah Balqis-Ali
- Institute for Health Systems Research, Ministry of Health, Shah Alam, Selangor, Malaysia
| | - Weng Hong Fun
- Institute for Health Systems Research, Ministry of Health, Shah Alam, Selangor, Malaysia
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Wang AG, Lahoz T, Hvid M, Grufstedt HK, Jørgensen LM. The Amager Project IV: suicidal behavior and aftercare: real world data (RWD) from a prospective observational project. Nord J Psychiatry 2024; 78:267-271. [PMID: 38339969 DOI: 10.1080/08039488.2024.2315163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/28/2023] [Accepted: 01/29/2024] [Indexed: 02/12/2024]
Abstract
BACKGROUND In an RCT study, OPAC (outreach, problem solving, adherence, continuity) approach to aftercare after suicide attempts had an effect. The present study used the OPAC method in a clinical setting on Amager Copenhagen to patients after suicide attempt (Group 1) and patients with suicide ideation (Group 2) in a real-world data (RWD) study. AIM To study whether the OPAC method could provide real world evidence (RWE) for results from the RCT study and long-time prospects. METHOD This RWD study included 506 patients and followed them for 5 years. Kaplan-Meyer showed 5 years results. Risk factors for 5 years were calculated. RESULTS 206 males (mean age 37.9) and 300 females (mean age 35.2) participated. A decline in survival accelerated after 3 years. After a 2-year follow-up, Group 1 had an attempted suicide rate of 12,2% and Group 2 5,4%. After 5 years the numbers were 18% and 10%. There were 3 completed suicides. Risk factors were: earlier suicide attempts, one or both parents or they themselves were alcohol/drug abusers, and a poor social network. Group 1 showed the same result as the intervention group in our earlier RCT study. Group 2 did better. Both groups did better than the control group from our RCT study. CONCLUSION The OPAC effect was translated into the daily clinic. Risk factors were previous suicide attempts, alcohol and drug abuse and poor social networks. More specific therapy is needed for some patients to prevent relapse. Focus on enhancing a sense of belongingness and/or treating substance abuse.
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Affiliation(s)
- August G Wang
- Centre of Psychiatry Amager, Copenhagen University Hospital, Copenhagen, Denmark
- Faculty of Health Science, University of Faroe Islands, Torshavn, Faroe Islands
| | - Titia Lahoz
- Centre of Psychiatry Amager, Copenhagen University Hospital, Copenhagen, Denmark
| | - Marianne Hvid
- Centre of Psychiatry Amager, Copenhagen University Hospital, Copenhagen, Denmark
| | - Heidi K Grufstedt
- Centre of Psychiatry Amager, Copenhagen University Hospital, Copenhagen, Denmark
| | - Lene M Jørgensen
- Centre of Psychiatry Amager, Copenhagen University Hospital, Copenhagen, Denmark
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Scarpetti G, Shadowen H, Williams GA, Winkelmann J, Kroneman M, Groenewegen PP, De Jong JD, Fronteira I, Augusto GF, Hsiung S, Slade S, Rojatz D, Kallayova D, Katreniakova Z, Nagyova I, Kylänen M, Vracko P, Jesurasa A, Wallace Z, Wallace C, Costongs C, Barnes AJ, van Ginneken E. A comparison of social prescribing approaches across twelve high-income countries. Health Policy 2024; 142:104992. [PMID: 38368661 DOI: 10.1016/j.healthpol.2024.104992] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2023] [Revised: 12/06/2023] [Accepted: 01/08/2024] [Indexed: 02/20/2024]
Abstract
BACKGROUND Social prescribing connects patients with community resources to improve their health and well-being. It is gaining momentum globally due to its potential for addressing non-medical causes of illness while building on existing resources and enhancing overall health at a relatively low cost. The COVID-19 pandemic further underscored the need for policy interventions to address health-related social issues such as loneliness and isolation. AIM This paper presents evidence of the conceptualisation and implementation of social prescribing schemes in twelve countries: Australia, Austria, Canada, England, Finland, Germany, Portugal, the Slovak Republic, Slovenia, the Netherlands, the United States and Wales. METHODS Twelve countries were identified through the Health Systems and Policy Monitor (HSPM) network and the EuroHealthNet Partnership. Information was collected through a twelve open-ended question survey based on a conceptual model inspired by the WHO's Health System Framework. RESULTS We found that social prescribing can take different forms, and the scale of implementation also varies significantly. Robust evidence on impact is scarce and highly context-specific, with some indications of cost-effectiveness and positive impact on well-being. CONCLUSIONS This paper provides insights into social prescribing in various contexts and may guide countries interested in holistically tackling health-related social factors and strengthening community-based care. Policies can support a more seamless integration of social prescribing into existing care, improve collaboration among sectors and training programs for health and social care professionals.
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Affiliation(s)
- Giada Scarpetti
- Technische Universität Berlin, European Observatory on Health Systems and Policies.
| | | | - Gemma A Williams
- European Observatory on Health Systems and Policies, World Health Organization
| | - Juliane Winkelmann
- European Observatory on Health Systems and Policies, World Health Organization
| | - Madelon Kroneman
- Nivel (Netherlands Institute for Health Services Research, Utrecht, the Netherlands
| | - Peter P Groenewegen
- Nivel (Netherlands Institute for Health Services Research, Utrecht, the Netherlands
| | - Judith D De Jong
- Nivel (Netherlands Institute for Health Services Research, Utrecht, Netherlands and Maastricht University
| | - Inês Fronteira
- Global Health and Tropical, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, Lisboa, Portugal
| | - Gonçalo Figueiredo Augusto
- Comprehensive Health Research Center (CHRC), Escola Nacional de Saúde Pública (ENSP), Universidade NOVA de Lisboa (UNL), Lisboa, Portugal
| | - Sonia Hsiung
- Canadian Institute for Social Prescribing, Canadian Red Cross
| | - Siân Slade
- Nossal Institute for Global Health, University of Melbourne, Australia
| | - Daniela Rojatz
- Austrian National Public Health Institute, Vienna, Austria
| | - Daniela Kallayova
- Ministry of Health of the Slovak Republic, Bratislava, Slovak Republic
| | - Zuzana Katreniakova
- Department of Social and Behavioural Medicine, Faculty of Medicine, PJ Safarik University in Kosice and Slovak Public Health Association (SAVEZ), Kosice, Slovak Republic
| | - Iveta Nagyova
- Department of Social and Behavioural Medicine, Faculty of Medicine, PJ Safarik University in Kosice and Slovak Public Health Association (SAVEZ), Kosice, Slovak Republic
| | - Marika Kylänen
- Finnish Best Practice Portal for Health and Wellbeing Promotion, Finnish Institute for Health and Welfare (THL), Helsinki, Finland
| | - Pia Vracko
- National Institute of Public Health, Ljubljana, Slovenia
| | | | | | - Carolyn Wallace
- University of South Wales, Wales School for Social Prescribing Research (WSSPR), UK
| | | | | | - Ewout van Ginneken
- Technische Universität Berlin, European Observatory on Health Systems and Policies
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9
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Ayorinde A, Grove A, Ghosh I, Harlock J, Meehan E, Tyldesley-Marshall N, Briggs A, Clarke A, Al-Khudairy L. What is the best way to evaluate social prescribing? A qualitative feasibility assessment for a national impact evaluation study in England. J Health Serv Res Policy 2024; 29:111-121. [PMID: 38101334 PMCID: PMC10910745 DOI: 10.1177/13558196231212854] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2023]
Abstract
OBJECTIVES Despite significant investment in social prescribing in England over the last decade, we still do not know if it works, or how models of social prescribing fit within wider health and care policy and practice. This study explores current service delivery structures and assesses the feasibility of a national evaluation of the link worker model. METHODS Semi-structured interviews were conducted between May and September 2020, with 25 key informants from across social prescribing services in England. Participants included link workers, voluntary, community and social enterprise staff, and those involved in policy and decision-making for social prescribing services. Interview and workshop transcripts were analysed thematically, adopting a framework approach. RESULTS We found differences in how services are provided, including by individual link workers, and between organisations and regions. Standards, referral pathways, reporting, and monitoring structures differ or are lacking in voluntary services as compared to clinical services. People can self-refer to a link worker or be referred by a third party, but the lack of standardised processes generated confusion in both public and professional perceptions of the link worker model. We identified challenges in determining the appropriate outcomes and outcome measures needed to assess the impact of the link worker model. CONCLUSIONS The current varied service delivery structures in England poses major challenges for a national impact evaluation. Any future rigorous evaluation needs to be underpinned with national standardised outcomes and process measures which promote uniform data collection.
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Affiliation(s)
| | - Amy Grove
- Division of Health Sciences, University of Warwick, Coventry, UK
| | - Iman Ghosh
- Division of Health Sciences, University of Warwick, Coventry, UK
| | - Jenny Harlock
- Division of Health Sciences, University of Warwick, Coventry, UK
| | | | | | - Adam Briggs
- Division of Health Sciences, University of Warwick, Coventry, UK
| | - Aileen Clarke
- Division of Health Sciences, University of Warwick, Coventry, UK
| | - Lena Al-Khudairy
- Division of Health Sciences, University of Warwick, Coventry, UK
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10
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Muhl C, Mulligan K, Bayoumi I, Ashcroft R, Ross-White A, Godfrey C. Social prescribing for children and youth: A scoping review protocol. PLoS One 2024; 19:e0297535. [PMID: 38457470 PMCID: PMC10923428 DOI: 10.1371/journal.pone.0297535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2023] [Accepted: 01/03/2024] [Indexed: 03/10/2024] Open
Abstract
Social prescribing is suited to all age groups, but it is especially important for children and youth, as it is well understood that this population is particularly vulnerable to the effects of the social determinants of health and health inequities, and that intervening at this stage of life has the greatest impact on health and wellbeing over the life course. While this population has largely been neglected in social prescribing research, policy, and practice, several evaluations of social prescribing for children and youth have emerged in recent years, which calls for a review of the evidence on this topic. Thus, the objective of this scoping review is to map the evidence on the use of social prescribing for children and youth. This review will be conducted in accordance with the JBI methodology for scoping reviews and will be reported in line with the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). The search strategy will aim to locate both published and unpublished literature. No language or date restrictions will be placed on the search. The databases to be searched include MEDLINE (Ovid), CINAHL (EBSCO), Embase (Ovid), PsycINFO (Ovid), AMED (Ovid), ASSIA (ProQuest), Sociological Abstracts (ProQuest), Global Health (Ovid), Web of Science (Clarivate), Epistemonikos, JBI EBP Database (Ovid), and Cochrane Library. Sources of gray literature to be searched include Google, Google Scholar, Social Care Online (Social Care Institute for Excellence), SIREN Evidence and Resource Library (Social Interventions Research and Evaluation Network), and websites of social prescribing organizations and networks. Additionally, a request for evidence sources will be sent out to members of the Global Social Prescribing Alliance. Two independent reviewers will perform title and abstract screening, retrieval and assessment of full-text evidence sources, and data extraction. Data analysis will consist of basic descriptive analysis. Results will be presented in tabular and/or diagrammatic format alongside a narrative summary.
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Affiliation(s)
- Caitlin Muhl
- School of Nursing, Faculty of Health Sciences, Queen’s University, Kingston, Ontario, Canada
| | - Kate Mulligan
- Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
| | - Imaan Bayoumi
- School of Medicine, Faculty of Health Sciences, Queen’s University, Kingston, Ontario, Canada
| | - Rachelle Ashcroft
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada
| | - Amanda Ross-White
- Bracken Health Sciences Library, Queen’s University, Kingston, Ontario, Canada
- Queen’s Collaboration for Health Care Quality: A JBI Centre of Excellence, Queen’s University, Kingston, Ontario, Canada
| | - Christina Godfrey
- School of Nursing, Faculty of Health Sciences, Queen’s University, Kingston, Ontario, Canada
- Queen’s Collaboration for Health Care Quality: A JBI Centre of Excellence, Queen’s University, Kingston, Ontario, Canada
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11
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Mathias K, Bunkley N, Pillai P, Ae-Ngibise KA, Kpobi L, Taylor D, Joag K, Rawat M, Hammoudeh W, Mitwalli S, Kagee A, van Rensburg A, Bemme D, Burgess RA, Jain S, Kienzler H, Read UM. Inverting the deficit model in global mental health: An examination of strengths and assets of community mental health care in Ghana, India, Occupied Palestinian territories, and South Africa. PLOS GLOBAL PUBLIC HEALTH 2024; 4:e0002575. [PMID: 38437223 PMCID: PMC10911620 DOI: 10.1371/journal.pgph.0002575] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/31/2023] [Accepted: 01/08/2024] [Indexed: 03/06/2024]
Abstract
Global mental health [GMH] scholarship and practice has typically focused on the unmet needs and barriers to mental health in communities, developing biomedical and psychosocial interventions for integration into formal health care platforms in response. In this article, we analyse four diverse settings to disrupt the emphasises on health system weaknesses, treatment gaps and barriers which can perpetuate harmful hierarchies and colonial and medical assumptions, or a 'deficit model'. We draw on the experiential knowledge of community mental health practitioners and researchers working in Ghana, India, the Occupied Palestinian Territory and South Africa to describe key assets existing in 'informal' community mental health care systems and how these are shaped by socio-political contexts. These qualitative case studies emerged from an online mutual learning process convened between 39 academic and community-based collaborators working in 24 countries who interrogated key tenets to inform a social paradigm for global mental health. Bringing together diverse expertise gained from professional practice and research, our sub-group explored the role of Community Mental Health Systems in GMH through comparative country case studies describing the features of community care beyond the health and social care system. We found that the socio-political health determinants of global economic structures in all four countries exert significant influence on local community health systems. We identified that key assets across sites included: family and community care, and support from non-profit organisations and religious and faith-based organisations. Strengthening community assets may promote reciprocal relationships between the formal and informal sectors, providing resources for support and training for communities while communities collaborate in the design and delivery of interventions rooted in localised expertise. This paper highlights the value of informal care, the unique social structures of each local context, and resources within local communities as key existing assets for mental health.
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Affiliation(s)
- Kaaren Mathias
- Faculty of Health, University of Canterbury New Zealand, Christchurch New Zealand and Burans, Herbertpur Christian Hospital, Emmanuel Hospital Association, New Delhi, India
| | - Noah Bunkley
- Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand
| | - Pooja Pillai
- Burans, Herbertpur Christian Hospital, Emmanuel Hospital Association, New Delhi, India
| | | | - Lily Kpobi
- Regional Institute for Population Studies, University of Ghana, Accra, Ghana
| | - Dan Taylor
- Executive Secretary, Mind Freedom, Accra, Ghana
| | - Kaustubh Joag
- Centre for Mental Health Law and Policy, Indian Law Society, Pune, India
| | - Meenal Rawat
- Burans, Herbertpur Christian Hospital, Emmanuel Hospital Association, New Delhi, India
- School of Political and Social Science, University of Edinburgh, Edinburgh, Scotland
| | - Weeam Hammoudeh
- Institute of Community and Public Health, Birzeit University, West Bank, Occupied Palestinian Territories
| | - Suzan Mitwalli
- Institute of Community and Public Health, Birzeit University, West Bank, Occupied Palestinian Territories
| | - Ashraf Kagee
- Stellenbosch University, Stellenbosch, South Africa
| | - Andre van Rensburg
- Centre for Rural Health, University of Kwazulu-Natal, Durban, South Africa
| | - Dörte Bemme
- Centre of Society and Mental health, King’s College London, London, United Kingdom
| | - Rochelle A. Burgess
- Institute for Global Health, University College London, London, United Kingdom
| | - Sumeet Jain
- School of Political and Social Science, University of Edinburgh, Edinburgh, Scotland
| | - Hanna Kienzler
- Department of Global Health and Social Medicine and Centre for Society and Mental Health, King’s College London, London, United Kingdom
| | - Ursula M. Read
- Warwick Medical School, University of Warwick, Warwick, United Kingdom
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12
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Lazarus JV, Newsome PN, Francque SM, Kanwal F, Terrault NA, Rinella ME. Reply: A multi-society Delphi consensus statement on new fatty liver disease nomenclature. Hepatology 2024; 79:E93-E94. [PMID: 37983810 DOI: 10.1097/hep.0000000000000696] [Citation(s) in RCA: 28] [Impact Index Per Article: 28.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/31/2023] [Accepted: 11/01/2023] [Indexed: 11/22/2023]
Affiliation(s)
- Jeffrey V Lazarus
- CUNY Graduate School of Public Health and Health Policy (CUNY SPH), New York, New York, USA
- Barcelona Institute for Global Health (ISGlobal), Hospital Clínic, University of Barcelona, Barcelona, Spain
| | - Philip N Newsome
- National Institute for Health Research Birmingham Biomedical Research Centre at University Hospitals Birmingham NHS Foundation Trust and the University of Birmingham, Birmingham, UK
| | - Sven M Francque
- Department of Gastroenterology and Hepatology, Antwerp University Hospital, Edegem, Belgium
- Laboratory for Experimental Medicine and Paediatrics, InflaMed Centre of Excellence, Translational Sciences in Inflammation and Immunology, Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium
| | - Fasiha Kanwal
- Sections of Gastroenterology and Hepatology and Health Services Research, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA
- VA HSR&D Center for Innovations in Quality, Effectiveness, and Safety (IQuESt), Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA
| | - Norah A Terrault
- Gastrointestinal and Liver Disease Division, University of Southern California, Los Angeles, California, USA
| | - Mary E Rinella
- Department of Medicine, University of Chicago, Chicago, Illinois, USA
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13
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Zhao B, Nam EW. Response to the commentary "The role of gender in the relationship between social engagement and health outcomes". SSM Popul Health 2024; 25:101590. [PMID: 38283544 PMCID: PMC10820256 DOI: 10.1016/j.ssmph.2023.101590] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2023] [Accepted: 12/20/2023] [Indexed: 01/30/2024] Open
Affiliation(s)
- Bo Zhao
- Department of Health Administration, Graduate School, Yonsei University, South Korea, 1 Yonseidae-gil, Wonju, Gangwon-do, South Korea
- Yonsei Global Health Center, Yonsei University, 1 Yonseidae-gil, Wonju, Gangwon-do, South Korea
| | - Eun Woo Nam
- Department of Health Administration, Graduate School, Yonsei University, South Korea, 1 Yonseidae-gil, Wonju, Gangwon-do, South Korea
- Yonsei Global Health Center, Yonsei University, 1 Yonseidae-gil, Wonju, Gangwon-do, South Korea
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14
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Costa A, Henriques J, Alarcão V, Madeira T, Virgolino A, Henriques A, Feteira-Santos R, Polley M, Arriaga M, Nogueira P. Social prescribing for older adults in mainland Portugal: Perceptions and future prospects. Prev Med Rep 2024; 39:102652. [PMID: 38384966 PMCID: PMC10879768 DOI: 10.1016/j.pmedr.2024.102652] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2023] [Revised: 02/03/2024] [Accepted: 02/07/2024] [Indexed: 02/23/2024] Open
Abstract
Background In order to address health inequalities, which have been exacerbated by the COVID-19 pandemic, and promote older adults' quality of life, it is necessary to explore non-medical approaches such as social prescribing. Social prescribing is a person-centered approach that allows health professionals to refer patients to services provided by the social and community sectors. This study aimed to explore older adults' perceptions of social prescribing in mainland Portugal and to identify factors associated with these perceptions, providing insights for future implementation strategies. Methods A cross-sectional study was conducted with 613 older adults aged 65 to 93. Participants' sociodemographic, economic, and health characteristics were assessed, along with their perceptions of social prescribing's benefits and activity interest. Results Over 75% of respondents agreed that social prescribing would benefit the health system and their community. Most participants (87.7% and 89.7%, respectively) thought that activities like personal protection and development activities and cultural enrichment would be particularly relevant to them. Factors such as marital status, education, health status, and pain/discomfort levels influenced the perceived relevance of these activities. Conclusion This study reveals that older adults in mainland Portugal are open to social prescribing and suggests that tailored interventions considering individual preferences and characteristics can lead to more effective implementation and equal access to social prescribing. Further research and policy efforts should focus on integrating social prescribing into the healthcare system to support healthy aging in Portugal.
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Affiliation(s)
- Andreia Costa
- Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), Nursing School of Lisbon, Avenida Prof Egas Moniz, Lisboa, Lisbon 1600-190, Portugal
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa, Av. Prof. Egas Moniz, Ed. Egas Moniz, Piso 0, Ala C, Lisboa 1649-028, Portugal
- Laboratório para a Sustentabilidade do Uso da Terra e dos Serviços dos Ecossistemas – TERRA, Lisboa, Portugal
- Católica Research Centre for Psychological-Family and Social Wellbeing (CRC-W), Faculdade de Ciências Humanas, Universidade Católica Portuguesa, Lisbon 1649-023, Portugal
| | - Joana Henriques
- Escola Nacional de Saúde Pública, ENSP, Centro de Investigação em Saúde Pública, CISP, Comprehensive Health Research Center, CHRC, Universidade NOVA de Lisboa, Avenida Padre Cruz, Lisboa 1600-560, Portugal
| | - Violeta Alarcão
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa, Av. Prof. Egas Moniz, Ed. Egas Moniz, Piso 0, Ala C, Lisboa 1649-028, Portugal
- Laboratório para a Sustentabilidade do Uso da Terra e dos Serviços dos Ecossistemas – TERRA, Lisboa, Portugal
- Centro de Investigação e Estudos de Sociologia (CIES-Iscte), Instituto Universitário de Lisboa (Iscte), Lisboa 1649-026, Portugal
| | - Teresa Madeira
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa, Av. Prof. Egas Moniz, Ed. Egas Moniz, Piso 0, Ala C, Lisboa 1649-028, Portugal
- Laboratório para a Sustentabilidade do Uso da Terra e dos Serviços dos Ecossistemas – TERRA, Lisboa, Portugal
| | - Ana Virgolino
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa, Av. Prof. Egas Moniz, Ed. Egas Moniz, Piso 0, Ala C, Lisboa 1649-028, Portugal
- Laboratório para a Sustentabilidade do Uso da Terra e dos Serviços dos Ecossistemas – TERRA, Lisboa, Portugal
| | - Adriana Henriques
- Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), Nursing School of Lisbon, Avenida Prof Egas Moniz, Lisboa, Lisbon 1600-190, Portugal
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa, Av. Prof. Egas Moniz, Ed. Egas Moniz, Piso 0, Ala C, Lisboa 1649-028, Portugal
- Laboratório para a Sustentabilidade do Uso da Terra e dos Serviços dos Ecossistemas – TERRA, Lisboa, Portugal
| | - Rodrigo Feteira-Santos
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa, Av. Prof. Egas Moniz, Ed. Egas Moniz, Piso 0, Ala C, Lisboa 1649-028, Portugal
- Laboratório para a Sustentabilidade do Uso da Terra e dos Serviços dos Ecossistemas – TERRA, Lisboa, Portugal
| | - Marie Polley
- University of Westminster, School of Social Sciences (Psychology), 115 New Cavendish Street, London W1W 6UW, United Kingdom
- Consultancy Ltd., Hitchin SG4 0AP, United Kingdom
| | - Miguel Arriaga
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa, Av. Prof. Egas Moniz, Ed. Egas Moniz, Piso 0, Ala C, Lisboa 1649-028, Portugal
- Laboratório para a Sustentabilidade do Uso da Terra e dos Serviços dos Ecossistemas – TERRA, Lisboa, Portugal
- Católica Research Centre for Psychological-Family and Social Wellbeing (CRC-W), Faculdade de Ciências Humanas, Universidade Católica Portuguesa, Lisbon 1649-023, Portugal
| | - Paulo Nogueira
- Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), Nursing School of Lisbon, Avenida Prof Egas Moniz, Lisboa, Lisbon 1600-190, Portugal
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa, Av. Prof. Egas Moniz, Ed. Egas Moniz, Piso 0, Ala C, Lisboa 1649-028, Portugal
- Laboratório para a Sustentabilidade do Uso da Terra e dos Serviços dos Ecossistemas – TERRA, Lisboa, Portugal
- Escola Nacional de Saúde Pública, ENSP, Centro de Investigação em Saúde Pública, CISP, Comprehensive Health Research Center, CHRC, Universidade NOVA de Lisboa, Avenida Padre Cruz, Lisboa 1600-560, Portugal
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15
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Gabeyre RM, Hussein M, Salih S, Amir S, Gazerani P. Social Prescribing Competence among Community Pharmacists and Pharmacy Students in Norway. PHARMACY 2024; 12:43. [PMID: 38525723 PMCID: PMC10961744 DOI: 10.3390/pharmacy12020043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2024] [Revised: 02/26/2024] [Accepted: 02/28/2024] [Indexed: 03/26/2024] Open
Abstract
Background and aim: Social prescribing, which links patients to non-clinical services and involves general physicians, has been gaining traction. Community pharmacists, who are integral to primary healthcare, have untapped potential in social prescribing. This study explores social prescribing competence among Norwegian community pharmacists and pharmacy students. Method: A cross-sectional study utilizing an anonymous online questionnaire to collect quantitative data was conducted. Inspired by the limited relevant literature, the questionnaire was constructed, pilot-tested, and distributed in a one-week window within a Facebook group for Norwegian pharmacists. The questionnaire comprised 23 questions categorized into demographic details and competence assessment, covering general knowledge, attitude, and barriers/facilitators related to social prescribing. Statistical analyses were employed to determine the competence of the participants. Results: The online questionnaire collected data from 96 participants, primarily females (79.2%), aged 25-34 (40.6%), who were identified as community pharmacists (49.0%). Most (91.7%) worked in community pharmacies, with 31.3% having over 10 years of experience. Despite positive client relationships (93.8%), statistical analysis revealed no significant associations between competence and variables such as work experience, education, or gender. The custom scoring system yielded an average competence score of 1.98 on a 5-point scale, with attitudes and perceptions of participants scoring 3.82. Overall competence was calculated at 3.4, indicating a moderate level. Conclusions: The findings of this study reveal that the participants had limited knowledge regarding social prescribing, emphasizing the need for education. However, the participants showed strong enthusiasm for competence development. This groundwork paves the way for future investigations centered on pilot-testing strategies to boost social prescribing knowledge and engagement among Norwegian community pharmacists and pharmacy students.
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Affiliation(s)
- Riyaan Mahamud Gabeyre
- Department of Life Sciences and Health, Faculty of Health Sciences, Oslo Metropolitan University, 0130 Oslo, Norway
| | - Misbah Hussein
- Department of Life Sciences and Health, Faculty of Health Sciences, Oslo Metropolitan University, 0130 Oslo, Norway
| | - Siedra Salih
- Department of Life Sciences and Health, Faculty of Health Sciences, Oslo Metropolitan University, 0130 Oslo, Norway
| | - Salia Amir
- Department of Life Sciences and Health, Faculty of Health Sciences, Oslo Metropolitan University, 0130 Oslo, Norway
| | - Parisa Gazerani
- Department of Life Sciences and Health, Faculty of Health Sciences, Oslo Metropolitan University, 0130 Oslo, Norway
- Department of Health Science and Technology, Faculty of Medicine, Aalborg University, 9260 Gistrup, Denmark
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Yadav UN, Paudel G, Ghimire S, Khatiwada B, Gurung A, Parsekar SS, Mistry SK. A rapid review of opportunities and challenges in the implementation of social prescription interventions for addressing the unmet needs of individuals living with long-term chronic conditions. BMC Public Health 2024; 24:306. [PMID: 38279079 PMCID: PMC10821289 DOI: 10.1186/s12889-024-17736-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Accepted: 01/10/2024] [Indexed: 01/28/2024] Open
Abstract
BACKGROUND People with long-term chronic conditions often struggle to access and navigate complex health and social services. Social prescription (SP) interventions, a patient-centred approach, help individuals identify their holistic needs and increase access to non-clinical resources, thus leading to improved health and well-being. This review explores existing SP interventions for people with long-term chronic conditions and identifies the opportunities and challenges of implementing them in primary healthcare settings. METHODS This rapid review followed the Preferred Reporting Items for Systematic Review and Meta-analysis guidelines and searched relevant articles in three databases (PubMed/MEDLINE, EMBASE, and Web of Science) by using subject headings and keywords combined with Boolean operators. The search encompassed articles published between January 2010 and June 2023. Two authors independently conducted study screening and data abstraction using predefined criteria. A descriptive synthesis process using content analysis was performed to summarise the literature. RESULTS Fifteen studies were included, with all but one conducted in the United Kingdom, and revealed that social prescribers help guide patients with long-term chronic conditions to various local initiatives related to health and social needs. Effective implementation of SP interventions relies on building strong relationships between social prescribers and patients, characterised by trust, empathy, and effective communication. A holistic approach to addressing the unmet needs of people with long-term chronic conditions, digital technology utilisation, competent social prescribers, collaborative healthcare partnerships, clinical leadership, and access to local resources are all vital components of successful SP intervention. However, the implementation of SP interventions faces numerous challenges, including accessibility and utilisation barriers, communication gaps, staffing issues, an unsupportive work environment, inadequate training, lack of awareness, time management struggles, coordination and collaboration difficulties, and resource constraints. CONCLUSION The present review emphasises the importance of addressing the holistic needs of people with long-term chronic conditions through collaboration and coordination, training of social prescribers, community connections, availability of local resources, and primary care leadership to ensure successful interventions, ultimately leading to improved patient health and well-being outcomes. This study calls for the need to develop or utilise appropriate tools that can capture people's holistic needs, as well as an implementation framework to guide future contextual SP interventions.
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Affiliation(s)
- Uday Narayan Yadav
- National Centre for Aboriginal and Torres Strait Islander Well-Being Research, The Australian National University, Canberra, ACT, Australia.
- Centre for Primary Health Care and Equity, University of New South Wales, Sydney, Australia.
| | - Grish Paudel
- School of Health Medical and Applied Sciences, Central Queensland University, Sydney, Australia
| | - Saruna Ghimire
- Department of Sociology & Gerontology and Scripps Gerontology Center, Miami University, Oxford, OH, USA
| | | | - Ashmita Gurung
- Department of Public Health, Torres University, Sydney, Australia
| | - Shradha S Parsekar
- Independent Freelance Consultant, Goa, India
- Public Health Evidence South Asia, Prasanna School of Public Health, Manipal, Karnataka, India
| | - Sabuj Kanti Mistry
- Centre for Primary Health Care and Equity, University of New South Wales, Sydney, Australia
- School of Population Health, University of New South Wales, Sydney, Australia
- Department of Public Health, Daffodil International University, Dhaka, Bangladesh
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17
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Evers S, Husk K, Napierala H, Wendt L, Gerhardus A. Theories used to develop or evaluate social prescribing in studies: a scoping review. BMC Health Serv Res 2024; 24:140. [PMID: 38279096 PMCID: PMC10821232 DOI: 10.1186/s12913-024-10563-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2023] [Accepted: 01/05/2024] [Indexed: 01/28/2024] Open
Abstract
OBJECTIVE This scoping review aims to provide an overview of how theories were used in the development or evaluation of social prescribing (SP) intervention studies. BACKGROUND SP describes a patient pathway where general practitioners (GPs) connect patients with community activities through referrals to link workers. This review seeks to understand the explanations provided for the outcomes and implementation process of SP. INCLUSION CRITERIA Studies using a defined theory to develop or evaluate a specific SP intervention in primary care and the community sector. METHODS This scoping review was conducted in accordance with JBI methodology. The following databases were searched on 8th of July 2022: PubMed, ASSIA, Cochrane, Cinahl, PsycINFO, Social Care Online, Sociological Abstracts, Scopus, and Web of Science. The search only considered English language texts. Additional literature was identified by searching relevant web pages and by contacting experts. The selection of sources and the data extraction was done by two reviewers independently. RESULTS The search resulted in 4240 reports, of which 18 were included in the scoping review. Of these, 16 were conducted in the UK, one in Canada and one in Australia. The majority of reports employed a qualitative approach (11/18). Three were study protocols. 11 distinct theories were applied to explain outcomes (4 theories), differences in outcomes (3 theories), and the implementation of the intervention (4 theories). In terms of practical application, the identified theories were predominantly used to explain and understand qualitative findings. Only one theory was used to define variables for hypothesis testing. All theories were used for the evaluation and none for the development of SP. CONCLUSION The theories influenced which outcomes the evaluation assessed, which causal pathway was expected to generate these outcomes, and which methodological approaches were used. All three groups of theories that were identified focus on relevant aspects of SP: fostering positive patient/community outcomes, addressing inequalities by considering the context of someone's individual circumstances, and successfully implementing SP by collaboratively working across professions and institutional boundaries. Additional insight is required regarding the optimal use of theories in practical applications.
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Affiliation(s)
- Sinah Evers
- Department of Health Services Research, Institute of Public Health and Nursing Research, University of Bremen, Grazer Straße 4, Bremen, 28359, Germany.
- Health Sciences Bremen, University of Bremen, Bremen, Germany.
| | - Kerryn Husk
- NIHR ARC South West Peninsula (PenARC), Faculty of Health, University of Plymouth, Plymouth, UK
| | - Hendrik Napierala
- Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität Zu Berlin, Institute of General Practice and Family Medicine, Berlin, Germany
| | - Lydia Wendt
- Department of Health Services Research, Institute of Public Health and Nursing Research, University of Bremen, Grazer Straße 4, Bremen, 28359, Germany
- Health Sciences Bremen, University of Bremen, Bremen, Germany
- School of Social Sciences, City University of Applied Sciences, Bremen, Germany
- Research Cluster 'Healthy City Bremen', Bremen, Germany
| | - Ansgar Gerhardus
- Department of Health Services Research, Institute of Public Health and Nursing Research, University of Bremen, Grazer Straße 4, Bremen, 28359, Germany
- Health Sciences Bremen, University of Bremen, Bremen, Germany
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Connolly H, Delimata N, Galway K, Kiely B, Lawler M, Mulholland J, O’Grady M, Connolly D. Exploration of Evaluation Practices in Social Prescribing Services in Ireland: A Cross-Sectional Observational Study. Healthcare (Basel) 2024; 12:219. [PMID: 38255106 PMCID: PMC10815325 DOI: 10.3390/healthcare12020219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2023] [Revised: 01/10/2024] [Accepted: 01/12/2024] [Indexed: 01/24/2024] Open
Abstract
National health services in Ireland and the UK fund the majority of social prescribing services and have issued recommendations for evaluation. However, it is not known what outcomes are prioritised for evaluation within individual services and what evaluation methods are used to capture recommended outcomes. A survey was carried out to examine evaluation practices of social prescribing services on the island of Ireland. This study used a cross-sectional observational design. The sample was all the staff involved in delivering and/or managing SP services on the island of Ireland. Questionnaires were distributed at a national SP conference and online. Closed-response questions were analysed using descriptive statistics. Content analysis was used for open-ended questions. Eighty-four usable surveys were returned (50% from the Republic of Ireland and 50% from Northern Ireland). All respondents (100%) agreed on the importance of measuring SP outcomes. The most frequently measured outcomes were health and well-being (89.2%) and loneliness (84%). The least frequently measured outcome was the satisfaction of healthcare professionals referring to SP: 78.4% of respondents never measured this outcome. The most frequently used measurement tool was the Short Warwick Edinburgh Mental Well-Being Scale, with 38/76 (50%) respondents using this measure. There was a lack of standardised measures identified for some outcomes. For example, 70% of respondents reported always measuring physical activity (PA), but only four respondents identified a specific PA measure. In open-ended questions, respondents recommended flexibility in evaluation methods to reflect the complexity and individualised focus of SP. They also identified the need for protected time to complete evaluations and recommended a national strategy to inform priorities in evaluations. This study demonstrates a wide variation on the island of Ireland on how SP services are measuring outcomes, with many outcomes rarely or never measured using standardised measures. Agreement is needed on a core outcome set for social prescribing in order to guide service delivery and evaluations.
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Affiliation(s)
- Hayley Connolly
- Discipline of Occupational Therapy, School of Medicine, Trinity College Dublin, F91 YW50 Sligo, Ireland; (H.C.); (M.L.)
| | - Natalie Delimata
- Department of Social Sciences, Atlantic Technological University, F91 YW50 Sligo, Ireland;
| | - Karen Galway
- School of Nursing and Midwifery, Queen’s University Belfast, Belfast BT9 7BL, UK; (K.G.); (J.M.)
| | - Bridget Kiely
- Department of General Practice, RCSI University of Medicine and Health Sciences, D02 YN77 Dublin, Ireland;
| | - Margaret Lawler
- Discipline of Occupational Therapy, School of Medicine, Trinity College Dublin, F91 YW50 Sligo, Ireland; (H.C.); (M.L.)
| | - Jill Mulholland
- School of Nursing and Midwifery, Queen’s University Belfast, Belfast BT9 7BL, UK; (K.G.); (J.M.)
| | - Megan O’Grady
- Discipline of Physiotherapy, Trinity Centre for Health Sciences, St. James’ Hospital, D08 W9RT Dublin, Ireland;
| | - Deirdre Connolly
- Discipline of Occupational Therapy, School of Medicine, Trinity College Dublin, F91 YW50 Sligo, Ireland; (H.C.); (M.L.)
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19
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Ong JCL, Seng BJJ, Law JZF, Low LL, Kwa ALH, Giacomini KM, Ting DSW. Artificial intelligence, ChatGPT, and other large language models for social determinants of health: Current state and future directions. Cell Rep Med 2024; 5:101356. [PMID: 38232690 PMCID: PMC10829781 DOI: 10.1016/j.xcrm.2023.101356] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2023] [Revised: 10/12/2023] [Accepted: 12/10/2023] [Indexed: 01/19/2024]
Abstract
This perspective highlights the importance of addressing social determinants of health (SDOH) in patient health outcomes and health inequity, a global problem exacerbated by the COVID-19 pandemic. We provide a broad discussion on current developments in digital health and artificial intelligence (AI), including large language models (LLMs), as transformative tools in addressing SDOH factors, offering new capabilities for disease surveillance and patient care. Simultaneously, we bring attention to challenges, such as data standardization, infrastructure limitations, digital literacy, and algorithmic bias, that could hinder equitable access to AI benefits. For LLMs, we highlight potential unique challenges and risks including environmental impact, unfair labor practices, inadvertent disinformation or "hallucinations," proliferation of bias, and infringement of copyrights. We propose the need for a multitiered approach to digital inclusion as an SDOH and the development of ethical and responsible AI practice frameworks globally and provide suggestions on bridging the gap from development to implementation of equitable AI technologies.
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Affiliation(s)
- Jasmine Chiat Ling Ong
- Division of Pharmacy, Singapore General Hospital, Singapore, Singapore; SingHealth Duke-NUS Medicine Academic Clinical Programme, Singapore, Singapore
| | - Benjamin Jun Jie Seng
- MOHH Holdings (Singapore) Pte., Ltd., Singapore, Singapore; SingHealth Duke-NUS Family Medicine Academic Clinical Programme, Singapore, Singapore
| | | | - Lian Leng Low
- SingHealth Duke-NUS Family Medicine Academic Clinical Programme, Singapore, Singapore; Population Health and Integrated Care Office, Singapore General Hospital, Singapore, Singapore; Centre for Population Health Research and Implementation, SingHealth Regional Health System, Singapore, Singapore; Outram Community Hospital, SingHealth Community Hospitals, Singapore, Singapore
| | - Andrea Lay Hoon Kwa
- Division of Pharmacy, Singapore General Hospital, Singapore, Singapore; SingHealth Duke-NUS Medicine Academic Clinical Programme, Singapore, Singapore; Emerging Infectious Diseases, Duke-NUS Medical School, Singapore, Singapore
| | - Kathleen M Giacomini
- Department of Bioengineering and Therapeutic Sciences, Schools of Pharmacy and Medicine, University of California, San Francisco, San Francisco, CA, USA
| | - Daniel Shu Wei Ting
- Artificial Intelligence and Digital Innovation Research Group, Singapore Eye Research, Singapore, Singapore; Duke-NUS Medical School, National University of Singapore, Singapore, Singapore; Byers Eye Institute, Stanford University, Stanford, CA, USA.
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20
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Agarwal MA, Ziaeian B. Cardiovascular Disease's Lonely Hearts Club. Am J Cardiol 2024; 211:360-362. [PMID: 37951331 DOI: 10.1016/j.amjcard.2023.11.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/04/2023] [Accepted: 11/06/2023] [Indexed: 11/13/2023]
Affiliation(s)
- Manyoo A Agarwal
- Heart, Vascular and Thoracic Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
| | - Boback Ziaeian
- Division of Cardiovascular Medicine, University of California Los Angeles, Los Angeles, California
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21
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O'Sullivan DJ, Bearne LM, Harrington JM, McVeigh JG. Experience and perceptions of Social Prescribing interventions; a qualitative study with people with long-term conditions, link workers and health care providers. HRB Open Res 2024; 6:42. [PMID: 38283947 PMCID: PMC10822040 DOI: 10.12688/hrbopenres.13762.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/16/2023] [Indexed: 01/30/2024] Open
Abstract
Background Long-term conditions (LTC) are a leading cause of reduced quality of life and early mortality. People with LTC are living longer with increasing economic and social needs. Novel patient centred care pathways are required to support traditional medical management of these patients. Social Prescribing (SP) has gained popularity as a non-medical approach to support patients with LTC and their unmet health needs. The current focus group study aims to explore the experiences and perceptions to SP interventions from the perspective of people with long-term conditions, link workers, healthcare providers and community-based services. Methods Six toeight participants will be recruited into three specific 60 to 90 minute focus groups relative to their role as a patient, link worker and community-based service. 8 to12 participants with a Health care provider and GP background will be interviewed individually online. The participants within these focus groups and semi-structured interviews will be invited to provide opinions on what factors they think are important to the successful implementation of a SP service from their respective stakeholder positions. The data will be recorded and exported to NVivo software for further analysis using Thematic Reflexive analysis methods. Coded categorical data will inform emerging themes from which a narrative summary will be consolidated and presented for dissemination. Conclusion The conclusions made from this study will help inform the next study, which will aim to develop a pilot SP service for patients with long-term musculoskeletal conditions as part of an overall larger project.
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Affiliation(s)
- Declan J. O'Sullivan
- Discipline of Physiotherapy, School of Clinical Therapies, College of Medicine and Health, University College Cork, Cork, T12X7OA, Ireland
| | - Lindsay M. Bearne
- Population Health Sciences Research Institute, University of London, Cranmer Terrace London, England, SW17 0RE, UK
| | - Janas M. Harrington
- School of Public Health, College of Medicine and Health, University College Cork, Cork, T12 XF62, Ireland
| | - Joseph G. McVeigh
- Discipline of Physiotherapy, School of Clinical Therapies, College of Medicine and Health, University College Cork, Cork, T12X7OA, Ireland
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22
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Hussein T, Cartright N, Kirschner J, Nadarasa A, Rathbone AP, Lindsey L. Social prescribing in pharmacies: What is it, does it work and what does it mean for Canadian pharmacies? Can Pharm J (Ott) 2024; 157:21-24. [PMID: 38125632 PMCID: PMC10729721 DOI: 10.1177/17151635231216119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2023] [Accepted: 09/12/2023] [Indexed: 12/23/2023]
Affiliation(s)
| | - Nia Cartright
- Newcastle University, Faculty of Medical Sciences, School of Pharmacy, Newcastle, United Kingdom
| | - Jenny Kirschner
- PALS (Pharmacy Addressing Loneliness and Social isolation), Melbourne, Australia
| | - Arun Nadarasa
- International Social Prescribing Pharmacy Association, Kingsbury, United Kingdom
| | - Adam Pattison Rathbone
- Newcastle University, Faculty of Medical Sciences, School of Pharmacy, Newcastle, United Kingdom
| | - Laura Lindsey
- Newcastle University, Faculty of Medical Sciences, School of Pharmacy, Newcastle, United Kingdom
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23
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Laidlaw RJ, McGrath R, Adams C, Kumar S, Murray CM. Improved Mental Health, Social Connections and Sense of Self: A Mixed Methods Systematic Review Exploring the Impact and Experience of Community Reminiscence Programs. J Multidiscip Healthc 2023; 16:4111-4132. [PMID: 38116304 PMCID: PMC10729907 DOI: 10.2147/jmdh.s438730] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2023] [Accepted: 11/15/2023] [Indexed: 12/21/2023] Open
Abstract
Older people can experience health and social challenges such as loneliness, depression, and lack of social connectedness. One initiative that has been trialed to address these challenges is reminiscence programs. These programs can include music, art, photographs, sports, and general discussion to stimulate memories. This review aimed to systematically search for literature that explored the impact and experience of reminiscence programs for older people living in the community for the purposes of informing community programming. The PICOS framework was used to develop the review parameters and search strategy. Qualitative and quantitative research focused on community-based reminiscence programs were included. Commercially produced databases and grey literature were searched. The Critical Appraisal Skills Program qualitative critical appraisal tool and McMaster quantitative critical appraisal tool were used to assess the methodological quality of the included studies. Quantitative data were descriptively synthesized, and qualitative data were thematically analyzed, with each reported separately. Twenty-seven studies were included in the review. All quantitative studies (n = 17) provided clear information regarding the purpose, sample size, and justification. The measures adopted were reliable and valid. All studies reported clear data collection/analysis information and statistically significant findings. All qualitative studies (n = 10) clearly articulated a purpose with nine clearly describing recruitment, data collection, and researcher relationship. Synthesis of quantitative data demonstrated positive findings through a reduction in depression, anxiety, and loneliness and improvements in quality of life and mastery. These findings were supported and broadened by qualitative findings with three key themes identified: program processes, program ingredients, and program benefits. Providing opportunities for older adults to come together to tell stories about their past experiences may positively contribute to social outcomes. As reminiscence programs gain popularity, their implementation in practice should be underpinned by clear and reproducible practices.
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Affiliation(s)
- Robert John Laidlaw
- Allied Health and Human Performance, IIMPACT in Health, University of South Australia, Adelaide, South Australia, 5001, Australia
| | - Richard McGrath
- Allied Health and Human Performance, IIMPACT in Health, University of South Australia, Adelaide, South Australia, 5001, Australia
| | - Caroline Adams
- Allied Health and Human Performance, IIMPACT in Health, University of South Australia, Adelaide, South Australia, 5001, Australia
| | - Saravana Kumar
- Allied Health and Human Performance, IIMPACT in Health, University of South Australia, Adelaide, South Australia, 5001, Australia
| | - Carolyn M Murray
- Allied Health and Human Performance, IIMPACT in Health, University of South Australia, Adelaide, South Australia, 5001, Australia
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24
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Garside R, Lovell R, Husk K, Sowman G, Chapman E. Nature prescribing. BMJ 2023; 383:2745. [PMID: 38164636 DOI: 10.1136/bmj.p2745] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/03/2024]
Affiliation(s)
- Ruth Garside
- European Centre for Environment and Human Health, University of Exeter, Penryn, UK
| | - Rebecca Lovell
- European Centre for Environment and Human Health, University of Exeter, Penryn, UK
| | - Kerryn Husk
- Peninsula Medical School (Faculty of Health), University of Plymouth, Plymouth, UK
| | | | - Edward Chapman
- Public representative, Health and Environment Public Engagement Group, European Centre for Environment and Human Health, Penryn, UK
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25
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Peter L, Stumm J, Wäscher C, Heintze C, Döpfmer S. [General practices and community care points work hand in hand in the care of multimorbid patients: What are the advantages? - A qualitative study with general practitioners and medical practice assistants]. ZEITSCHRIFT FUR EVIDENZ, FORTBILDUNG UND QUALITAT IM GESUNDHEITSWESEN 2023; 182-183:98-105. [PMID: 37957059 DOI: 10.1016/j.zefq.2023.10.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/04/2023] [Revised: 09/15/2023] [Accepted: 10/03/2023] [Indexed: 11/15/2023]
Abstract
BACKGROUND Caring for an increasing number of multimorbid people is a challenge for general practices in Germany. A possible approach to ensure future care could be the cooperation between general practices and community care points, which have so far been a little-known option among general practitioners. The aim of this study was to investigate the benefits or additional burdens that, from the perspective of general practices, a cooperation between general practices and community care points would bring for both the general practitioners themselves and their patients. METHODS In the mixed-methods study COMPASS II, general practices were able to refer multimorbid patients with social counselling needs to a community care point. Semi-structured guideline-based telephone interviews were conducted with nine general practitioners and nine medical practice assistants regarding the feasibility of cooperation with the community care points. The interviews were analysed using framework analysis. RESULTS In the qualitative interviews, the general practitioners and medical practice assistants reported that the community care points helped them save time by relieving them of social counselling tasks. The interviewees felt relieved by knowing that the community care points expertly take care of their patients' social concerns. From the perspective of the interviewees, multimorbid patients experienced changes in their care through the counselling in community care points, such as adjusting the level of care they require. Social counsellors provided patients and their relatives with an overview of the support options available. The majority of the interviewees did not feel that cooperating with the community care point put an additional burden on their patients or on themselves. DISCUSSION AND CONCLUSION Cooperation between general practices and community care points has the potential to improve care for multimorbid patients and reduce the workload burden on general practices. Community care points are legally anchored counselling services which general practitioners could increasingly involve in the care of patients with multimorbidity.
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Affiliation(s)
- Lisa Peter
- Charité - Universitätsmedizin Berlin, Corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of Health, Institut für Allgemeinmedizin, Berlin, Deutschland
| | - Judith Stumm
- Charité - Universitätsmedizin Berlin, Corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of Health, Institut für Allgemeinmedizin, Berlin, Deutschland
| | - Cornelia Wäscher
- Charité - Universitätsmedizin Berlin, Corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of Health, Institut für Allgemeinmedizin, Berlin, Deutschland
| | - Christoph Heintze
- Charité - Universitätsmedizin Berlin, Corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of Health, Institut für Allgemeinmedizin, Berlin, Deutschland
| | - Susanne Döpfmer
- Charité - Universitätsmedizin Berlin, Corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of Health, Institut für Allgemeinmedizin, Berlin, Deutschland.
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26
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Litt JS, Coll-Planas L, Sachs AL, Masó Aguado M, Howarth M. Current Trends and Future Directions in Urban Social Prescribing. Curr Environ Health Rep 2023; 10:383-393. [PMID: 38087048 DOI: 10.1007/s40572-023-00419-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/06/2023] [Indexed: 01/30/2024]
Abstract
PURPOSE OF REVIEW Social prescribing (SP) is defined as a non-medical community referral program to support well-being and health. This review explores the current evidence about the effectiveness of SP. RECENT FINDINGS This review examined existing SP models that have been or are being tested to connect people to these opportunities through direct and indirect referral schemes. The review identified a fifth model that facilitates a group-based approach used to mental well-being and resilience. While the development of SP largely originates from the UK, the global interest in SP has increased, with over 31 nations reporting elements of SP. The main goal of SP is to better integrate care between the traditional medical setting and resources available in the community and voluntary sectors. Although this review found widespread optimism around SP, there remain concerns about its effectiveness and demands for high-quality evaluations to strengthen the evidence base for SP.
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Affiliation(s)
- J S Litt
- Barcelona Institute for Global Health (ISGlobal), Barcelona Biomedical Research Park (PRBB), Doctor Aiguader, 88 08003, Barcelona, Spain.
- Universitat Pompeu Fabra (UPF), Barcelona, Spain.
- CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.
- University of Colorado Boulder, Boulder, CO, USA.
| | - L Coll-Planas
- Research Group On Methodology, Methods, Models and Outcomes of Health and Social Sciences (M3O), Faculty of Health Sciences and Welfare, Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVic-UCC), Carrer de La Sagrada Família, 7 Vic, 08500, Barcelona, Spain
- Institute for Research and Innovation in Life Sciences and Health in Central Catalonia (IRIS-CC), Vic, Spain
| | - A L Sachs
- Barcelona Institute for Global Health (ISGlobal), Barcelona Biomedical Research Park (PRBB), Doctor Aiguader, 88 08003, Barcelona, Spain
- Universitat Pompeu Fabra (UPF), Barcelona, Spain
- CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain
| | - M Masó Aguado
- Research Group On Methodology, Methods, Models and Outcomes of Health and Social Sciences (M3O), Faculty of Health Sciences and Welfare, Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVic-UCC), Carrer de La Sagrada Família, 7 Vic, 08500, Barcelona, Spain
- Institute for Research and Innovation in Life Sciences and Health in Central Catalonia (IRIS-CC), Vic, Spain
| | - M Howarth
- Edgehill University, St Helens Road, Ormskirk, L39 4QP, Lancashire, UK
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27
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Anderson AR, Ostermiller L. The clustering of lifestyle behaviors in U.S. college students: a network approach. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2023:1-11. [PMID: 38039416 DOI: 10.1080/07448481.2023.2283740] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Accepted: 11/03/2023] [Indexed: 12/03/2023]
Abstract
Objective: College student mental health has been decreasing and lifestyle factors may be an important factor in improving mental health. These behaviors may cluster together in complex ways, which could impact the success of lifestyle interventions. Participants: Two samples of U.S. undergraduate college students were drawn from the American College Health Association's National College Health Assessment (NCHA). The data were collected in Fall of 2019 (N = 30,075) and Spring of 2021 (N = 70,059). Methods: Students responded to various health and well-being related questions. Network models were used to examine how lifestyle behaviors cluster together and additional models contained both lifestyle behaviors and health and well-being outcomes. Results: Lifestyle clustering was found, and some similar patterns were seen across time periods and across levels of psychological distress. Conclusions: Individual lifestyle behaviors exist within a complex lifestyle network, which may need to be accounted for in lifestyle interventions.
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Affiliation(s)
- Austen R Anderson
- School of Psychology, University of Southern Mississippi, Hattiesburg, Mississippi, USA
| | - Lindsey Ostermiller
- School of Psychology, University of Southern Mississippi, Hattiesburg, Mississippi, USA
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28
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Newstead S, Elliott M, Cavanagh D, Tetlow S, Wallace C. Speaking the same language - a scoping review to identify the terminology associated with social prescribing. Prim Health Care Res Dev 2023; 24:e67. [PMID: 38014624 PMCID: PMC10689092 DOI: 10.1017/s1463423623000567] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2022] [Revised: 07/11/2023] [Accepted: 08/30/2023] [Indexed: 11/29/2023] Open
Abstract
AIM To identify the social prescribing-related terminology within the peer-reviewed literature of the UK and the grey literature from Wales. BACKGROUND Social prescribing has seen a period of development that has been accompanied by a proliferation of related terminology and a lack of standardisation in the manner in which it is employed. This creates barriers to engagement and impairs communication, both between professionals and members of the public. The Wales School for Social Prescribing Research and Public Health Wales committed to the development of a glossary of terms for social prescribing, to facilitate the clarification and standardisation of the associated terminology. Here, we describe the first step in that process. METHOD A scoping review of the peer-reviewed UK literature and Welsh grey literature was conducted. The titles and abstracts of 46,242 documents and the full text of 738 documents were screened. Data were charted from 205 documents. Data capture included terminology, the location within the UK of the research or intervention described in the article, and the perspective from which the article was authored. A general inductive approach was used to categorise the terms by theme. FINDINGS This research serves to highlight the breadth and diversity of the terminology associated with social prescribing. Results demonstrate aspects of shared commonality and clear distinction between the terminology from the two literature sources. The greatest contributions of terms were from articles that examined research and/or interventions in England and that were authored from the perspective of health or health and social care. The research indicates that nation- and sector-specific terms may not be adequately represented in the literature at large. Looking forward, it will be important to ensure that social prescribing terminology within the UK literature is culturally relevant and accurately reflects the terminology used by the workforce who encounter and deliver social prescribing.
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Affiliation(s)
- Simon Newstead
- Life Sciences and Education, University of South Wales, Treforest, UK
- Wales School for Social Prescribing Research (WSSPR), UK
| | - Megan Elliott
- Local Public Health Team, Cwm Taf Morgannwg University Health Board, Cardiff, UK
| | - Dawn Cavanagh
- Life Sciences and Education, University of South Wales, Treforest, UK
| | - Sion Tetlow
- Welsh Institute for Health and Social Care University of South Wales, Treforest, UK
| | - Carolyn Wallace
- Life Sciences and Education, University of South Wales, Treforest, UK
- Wales School for Social Prescribing Research (WSSPR), UK
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29
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Ivancovsky-Wajcman D, Brennan PN, Kopka CJ, Zelber-Sagi S, Younossi ZM, Allen AM, Flórez KR, Lazarus JV. Integrating social nutrition principles into the treatment of steatotic liver disease. COMMUNICATIONS MEDICINE 2023; 3:165. [PMID: 37950056 PMCID: PMC10638407 DOI: 10.1038/s43856-023-00398-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2023] [Accepted: 10/26/2023] [Indexed: 11/12/2023] Open
Abstract
Ivancovsky-Wajcman et al. outline the need for a holistic preventive hepatology approach, involving social nutrition and social prescribing, to address the public health threat of metabolic dysfunction-associated steatotic liver disease (MASLD). They argue that this will facilitate individuals’ engagement in behavioural modifications to treat MASLD.
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Affiliation(s)
- Dana Ivancovsky-Wajcman
- Barcelona Institute for Global Health (ISGlobal), Hospital Clínic, University of Barcelona, Barcelona, Spain
| | - Paul N Brennan
- Medical Research Institute, Ninewells Hospital, University of Dundee, Dundee, UK
- The Global NASH Council, Washington, DC, USA
| | | | - Shira Zelber-Sagi
- The Global NASH Council, Washington, DC, USA
- School of Public Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
| | - Zobair M Younossi
- The Global NASH Council, Washington, DC, USA
- Obesity Research Program, Inova Health System, Falls Church, VA, USA
| | - Alina M Allen
- Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA
| | - Karen R Flórez
- CUNY Graduate School of Public Health and Health Policy (CUNY SPH), New York, NY, USA
| | - Jeffrey V Lazarus
- Barcelona Institute for Global Health (ISGlobal), Hospital Clínic, University of Barcelona, Barcelona, Spain.
- The Global NASH Council, Washington, DC, USA.
- CUNY Graduate School of Public Health and Health Policy (CUNY SPH), New York, NY, USA.
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30
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Sonke J, Manhas N, Belden C, Morgan-Daniel J, Akram S, Marjani S, Oduntan O, Hammond G, Martinez G, Davidson Carroll G, Rodriguez AK, Burch S, Colverson AJ, Pesata V, Fancourt D. Social prescribing outcomes: a mapping review of the evidence from 13 countries to identify key common outcomes. Front Med (Lausanne) 2023; 10:1266429. [PMID: 38020134 PMCID: PMC10660286 DOI: 10.3389/fmed.2023.1266429] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2023] [Accepted: 10/03/2023] [Indexed: 12/01/2023] Open
Abstract
Introduction As a means for supporting a range of health and wellbeing goals, social prescribing programs have been implemented around the world. Reflecting a range of contexts, needs, innovation, and programing, a broad array of outcomes has been studied in relation to these programs. As interest in social prescribing grows, more targeted study of key outcomes and in turn evidence synthesis that can inform evidence-based practice, policy, and investment is needed. Methods and Results This mapping review identified, described, and synthesized the broad array of social prescribing outcomes that have been studied in 13 countries and maps the outcomes that have been most commonly studied. From 87 articles included in this review, a total of 347 unique outcomes were identified, including 278 unique patient outcomes and 69 unique system outcomes. The most commonly studied categories of patient outcomes were found to be mental health, lifestyle and behavior, and patient/service user experience. The most commonly studied system outcomes were healthcare/service utilization and financial/economic outcomes. Discussion This review highlights the value of heterogeneity and mixed methods approaches in outcomes studies for capturing nuanced experiences and outcomes in this nascent area of practice, while contributing to the advancement of evidence synthesis for social prescribing globally by quantifying and offering insight into the outcomes that have been studied to date. It also lays a foundation for the development of key common outcomes and a Core Outcomes Set for social prescribing. Additionally, it identified key outcomes that, given their relationship to critical health and social issues, warrant both broader and deeper study.
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Affiliation(s)
- Jill Sonke
- Center for Arts in Medicine, College of the Arts, University of Florida, Gainesville, FL, United States
| | - Nico Manhas
- Center for Arts in Medicine, College of the Arts, University of Florida, Gainesville, FL, United States
| | - Cassandra Belden
- Center for Arts in Medicine, College of the Arts, University of Florida, Gainesville, FL, United States
| | - Jane Morgan-Daniel
- Health Science Center Libraries, University of Florida, Gainesville, FL, United States
| | - Seher Akram
- Center for Arts in Medicine, College of the Arts, University of Florida, Gainesville, FL, United States
| | - Stefany Marjani
- Center for Arts in Medicine, College of the Arts, University of Florida, Gainesville, FL, United States
| | - Oluwasanmi Oduntan
- Center for Arts in Medicine, College of the Arts, University of Florida, Gainesville, FL, United States
- College of Medicine, University of Lagos, Lagos, Nigeria
| | - Gabrielle Hammond
- Center for Arts in Medicine, College of the Arts, University of Florida, Gainesville, FL, United States
| | - Gabriella Martinez
- Center for Arts in Medicine, College of the Arts, University of Florida, Gainesville, FL, United States
| | - Gray Davidson Carroll
- Center for Arts in Medicine, College of the Arts, University of Florida, Gainesville, FL, United States
| | - Alexandra K. Rodriguez
- Center for Arts in Medicine, College of the Arts, University of Florida, Gainesville, FL, United States
- College of Public Health and Health Professions, University of Florida, Gainesville, FL, United States
| | - Shanaé Burch
- Center for Arts in Medicine, College of the Arts, University of Florida, Gainesville, FL, United States
| | - Aaron J. Colverson
- Center for Arts in Medicine, College of the Arts, University of Florida, Gainesville, FL, United States
- School of Music, College of the Arts, University of Florida, Gainesville, FL, United States
| | - Virginia Pesata
- Center for Arts in Medicine, College of the Arts, University of Florida, Gainesville, FL, United States
| | - Daisy Fancourt
- Department of Behavioural Science and Health, University College London, London, United Kingdom
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Stumm J, Peter L, Kuempel L, Erdmann LR, Dierks MT, Heintze C, Döpfmer S. [Do General Practitioners have Experience with Social Care Points? A Berlin-Wide Survey]. DAS GESUNDHEITSWESEN 2023; 85:1010-1015. [PMID: 37028418 PMCID: PMC10653982 DOI: 10.1055/a-2035-9289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/09/2023]
Abstract
Primary care for multimorbid patients involves social counseling in addition to medical care. Community care points are established institutions for social counseling at district level in Berlin. A Berlin-wide questionnaire survey examined primary care physicians' knowledge of and experience with community care points. 700 questionnaires were analysed exploratively and descriptively. General practitioners were only partially familiar with the services of community care points (60% barely or not at all). 57% of the general practitioners stated that they already had contact with community care points. General practitioners who had not yet had contact with a community care point recommended other advice centers for social (76%) and care-related advice (79%) to their patients. A majority of general practitioners expressed a wish to get more information about community care points.
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Affiliation(s)
- Judith Stumm
- Institut für Allgemeinmedizin, Charité –
Universitätsmedizin Berlin, corporate member of Freie
Universität Berlin, Humboldt- Universität zu Berlin, and
Institute of Health, Berlin, Germany
| | - Lisa Peter
- Institut für Allgemeinmedizin, Charité –
Universitätsmedizin Berlin, corporate member of Freie
Universität Berlin, Humboldt- Universität zu Berlin, and
Institute of Health, Berlin, Germany
| | - Lisa Kuempel
- Institut für Allgemeinmedizin, Charité –
Universitätsmedizin Berlin, corporate member of Freie
Universität Berlin, Humboldt- Universität zu Berlin, and
Institute of Health, Berlin, Germany
| | - Lara Regina Erdmann
- Institut für Allgemeinmedizin, Charité –
Universitätsmedizin Berlin, corporate member of Freie
Universität Berlin, Humboldt- Universität zu Berlin, and
Institute of Health, Berlin, Germany
| | - Marius Tibor Dierks
- Institut für Allgemeinmedizin, Charité –
Universitätsmedizin Berlin, corporate member of Freie
Universität Berlin, Humboldt- Universität zu Berlin, and
Institute of Health, Berlin, Germany
| | - Christoph Heintze
- Institut für Allgemeinmedizin, Charité –
Universitätsmedizin Berlin, corporate member of Freie
Universität Berlin, Humboldt- Universität zu Berlin, and
Institute of Health, Berlin, Germany
| | - Susanne Döpfmer
- Institut für Allgemeinmedizin, Charité –
Universitätsmedizin Berlin, corporate member of Freie
Universität Berlin, Humboldt- Universität zu Berlin, and
Institute of Health, Berlin, Germany
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32
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Pola-Garcia M, Carrera Noguero AM, Astier-Peña MP, Mira JJ, Guilabert-Mora M, Cassetti V, Melús-Palazón E, Gasch-Gallén A, Benedé Azagra CB. Social Prescribing Schemes in Primary Care in Spain (EvalRA Project): a mixed-method study protocol to build an evaluation model. BMC PRIMARY CARE 2023; 24:220. [PMID: 37880601 PMCID: PMC10598937 DOI: 10.1186/s12875-023-02164-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/25/2023] [Accepted: 09/28/2023] [Indexed: 10/27/2023]
Abstract
BACKGROUND Social Prescribing is a Primary Health Care service that provides people with non-clinical care alternatives that may have an impact on their health. Social Prescribing can be more or less formal and structured. Social Prescribing Schemes are formal Social Prescribing of health assets by Primary Health Care teams in coordination and follow-up of patients with providers. The emerging evidence suggests that this service can improve people's health and well-being, create value and provide sustainability for the healthcare system. However, some evaluations note that the current evidence regarding social prescribing is insufficient and needs further investigation. The EvaLRA project aims to elaborate an evaluation model of Social Prescribing Schemes in Primary Health Care based on a set of structure, process, and outcomes indicators. METHODS In the region of Aragon, the Community Health Care Strategy aims to promote the development of social prescription schemes in Primary Health Care teams. This study is divided into two stages. Stage 1: identification of primary health care teams that implement social prescribing schemes and establish a first set of indicators to evaluate social prescribing using qualitative consensus techniques with experts. Stage 2 evaluation of the relevance, feasibility and sensitivity of selected indicators after 6 and 12 months in primary health care teams. The results will provide a set of indicators considering structure, process and outcomes for social prescribing schemes. DISCUSSION Current evaluations of the application of social prescribing schemes use different criteria and indicators. A set of agreed indicators and its piloting in primary health care teams will provide a tool to evaluate the implementation of social prescription schemes. In addition, the scorecard created could be of interest to other health systems in order to assess the service and improve its information system, deployment and safety.
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Affiliation(s)
- M Pola-Garcia
- Servicio Aragonés de Salud, Zaragoza, Spain.
- Grupo GIIS011, Instituto de Investigación Sanitaria de Aragón, Zaragoza, Spain.
| | - A M Carrera Noguero
- Servicio Aragonés de Salud, Zaragoza, Spain
- Grupo GIIS011, Instituto de Investigación Sanitaria de Aragón, Zaragoza, Spain
- Programa Actividades Comunitarias en Atención Primaria (PACAP), Sociedad Española de Medicina Familiar y Comunitaria (SEMFYC), Barcelona, Spain
| | - M P Astier-Peña
- Servicio Aragonés de Salud, Zaragoza, Spain
- Grupo GIIS011, Instituto de Investigación Sanitaria de Aragón, Zaragoza, Spain
- Unidad Territorial de Calidad, Dirección Territorial del Camp de Tarragona, Institut Català De La Salut, Tarragona, Spain
- FEPS, Instituto de Investigación Sanitaria de Aragón, Zaragoza, Spain
- Wonca World Executive Board, Brussels, Belgium
- Grupo de trabajo de Seguridad del Paciente, Sociedad Española de Medicina Familiar y Comunitaria (SEMFYC), Barcelona, Spain
| | - J J Mira
- Departmento Psicología de la Salud, Universidad Miguel Hernandez, Alicante, Spain
- Grupo de Investigación Atenea, Fundación para la Investigación Biomédica de la Comunidad Valenciana (FISABIO), Alicante, Spain
- Calité Investigación, Universidad Miguel Hernandez, Alicante, Spain
- Departamento de Salud Alicante-San Juan de Alicante, Alicante, Spain
| | - M Guilabert-Mora
- Departmento Psicología de la Salud, Universidad Miguel Hernandez, Alicante, Spain
- Calité Investigación, Universidad Miguel Hernandez, Alicante, Spain
| | - V Cassetti
- Universidad Internacional de Valencia (VIU), Valencia, Spain
- Instituto de Investigación Sanitaria de Aragón, Zaragoza, Spain
- Indepent research, Affiliated researcher to the Unesco Chair in Global Health and Education, London, UK
| | - E Melús-Palazón
- Servicio Aragonés de Salud, Zaragoza, Spain
- Grupo GIIS011, Instituto de Investigación Sanitaria de Aragón, Zaragoza, Spain
- Grupo Aragonés de Investigación en Atención Primaria B21_23R, Gobierno de Aragón, Zaragoza, Spain
- Departamento de Medicina, Psiquiatría y Dermatología, Universidad de Zaragoza, Zaragoza, Spain
| | - A Gasch-Gallén
- Grupo Aragonés de Investigación en Atención Primaria B21_23R, Gobierno de Aragón, Zaragoza, Spain
- Departamento de Fisiatria y Enfermería, Universidad de Zaragoza, Zaragoza, Spain
- Grupo GIIS094, Instituto de Investigación Sanitaria de Aragón, Zaragoza, Spain
| | - C B Benedé Azagra
- Servicio Aragonés de Salud, Zaragoza, Spain
- Grupo GIIS011, Instituto de Investigación Sanitaria de Aragón, Zaragoza, Spain
- Programa Actividades Comunitarias en Atención Primaria (PACAP), Sociedad Española de Medicina Familiar y Comunitaria (SEMFYC), Barcelona, Spain
- Grupo Aragonés de Investigación en Atención Primaria B21_23R, Gobierno de Aragón, Zaragoza, Spain
- Estrategia de Atencion Comunitaria en el Sistema de Salud de Aragon Atencion Primaria. Servicio Aragones de Salud, Departamento de Sanidad, Gobierno de Aragon, Zaragoza, Spain
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Finn S, Wright LHV, Mak HW, Åström E, Nicholls L, Dingle GA, Warran K. Expanding the social cure: a mixed-methods approach exploring the role of online group dance as support for young people (aged 16-24) living with anxiety. Front Psychol 2023; 14:1258967. [PMID: 37915522 PMCID: PMC10616254 DOI: 10.3389/fpsyg.2023.1258967] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2023] [Accepted: 09/11/2023] [Indexed: 11/03/2023] Open
Abstract
There is an increased interest in whether online arts interventions support mental health and social connections. This study explored eight weeks of online group dance as support for young people (aged 16-24) living with anxiety. The applicability of the 'social cure' theoretical framework to the novel context of an online dance class was sought. The study utilised an embedded QUAL+quan design, incorporating participatory focus group discussions (n = 3 groups; n = 11 participants) and one-on-one interviews (n = 2 participants), creative reflections (n = 16 participants) and ethnographic fieldnotes, and a repeated measures design with surveys at three timepoints (week 1, n = 27; week 4, n = 18; week 8, n = 14). Thematic analysis identified two overarching themes demonstrating how the dance classes (i) provided the opportunity to co-construct a meaningful shared identity and (ii) supported holistic wellbeing. The quantitative findings supported this, suggesting lower anxiety, depression, and loneliness and higher wellbeing, self-esteem, self-efficacy, and group closeness. This study expands the social cure to its application to an online dance context for the first time.
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Affiliation(s)
- Saoirse Finn
- WHO Collaborating Centre for Arts & Health, Social Biobehavioural Research Group, Department of Behavioural Science & Health, Institute of Epidemiology and Public Health, University College London, London, United Kingdom
| | - Laura H. V. Wright
- Childhood and Youth Studies Research Group, Institute for Community, Education, and Society, Moray House School of Education and Sport, The University of Edinburgh, Edinburgh, United Kingdom
| | - Hei Wan Mak
- WHO Collaborating Centre for Arts & Health, Social Biobehavioural Research Group, Department of Behavioural Science & Health, Institute of Epidemiology and Public Health, University College London, London, United Kingdom
| | - Emili Åström
- Dance Base, Scotland’s National Centre for Dance, Edinburgh, United Kingdom
| | - Lucy Nicholls
- WHO Collaborating Centre for Arts & Health, Social Biobehavioural Research Group, Department of Behavioural Science & Health, Institute of Epidemiology and Public Health, University College London, London, United Kingdom
| | - Genevieve A. Dingle
- Music, Dance and Health Research Group, School of Psychology, The University of Queensland, Brisbane, QLD, Australia
| | - Katey Warran
- WHO Collaborating Centre for Arts & Health, Social Biobehavioural Research Group, Department of Behavioural Science & Health, Institute of Epidemiology and Public Health, University College London, London, United Kingdom
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34
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Nagi S, Barriault S, Muhl C, Bennett S, Racine N. Green social prescribing to enhance child and adolescent mental health. Eur Child Adolesc Psychiatry 2023:10.1007/s00787-023-02307-4. [PMID: 37815629 DOI: 10.1007/s00787-023-02307-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Accepted: 09/21/2023] [Indexed: 10/11/2023]
Affiliation(s)
- Snimer Nagi
- School of Psychology, Faculty of Social Sciences, University of Ottawa, 136 Jean-Jacques Lussier, Ottawa, ON, K1N 6N5, Canada
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
| | - Sophie Barriault
- School of Psychology, Faculty of Social Sciences, University of Ottawa, 136 Jean-Jacques Lussier, Ottawa, ON, K1N 6N5, Canada
| | - Caitlin Muhl
- Health Quality Programs, Faculty of Health Sciences, Queen's University, Kingston, ON, Canada
- Vanier Social Pediatric Hub, Vanier Community Services Centre, Ottawa, ON, Canada
| | - Susan Bennett
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
- Vanier Social Pediatric Hub, Vanier Community Services Centre, Ottawa, ON, Canada
- Department of Pediatrics, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada
| | - Nicole Racine
- School of Psychology, Faculty of Social Sciences, University of Ottawa, 136 Jean-Jacques Lussier, Ottawa, ON, K1N 6N5, Canada.
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada.
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35
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Fares-Otero NE, Alameda L, Pfaltz MC, Martinez-Aran A, Schäfer I, Vieta E. Examining associations, moderators and mediators between childhood maltreatment, social functioning, and social cognition in psychotic disorders: a systematic review and meta-analysis. Psychol Med 2023; 53:5909-5932. [PMID: 37458216 PMCID: PMC10520610 DOI: 10.1017/s0033291723001678] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Revised: 05/11/2023] [Accepted: 05/23/2023] [Indexed: 07/24/2023]
Abstract
Childhood maltreatment (CM) has been related to social functioning and social cognition impairment in people with psychotic disorders (PD); however, evidence across different CM subtypes and social domains remains less clear. We conducted a systematic review and meta-analysis to quantify associations between CM, overall and its different subtypes (physical/emotional/sexual abuse, physical/emotional neglect), and domains of social functioning and social cognition in adults with PD. We also examined moderators and mediators of these associations. A PRISMA-compliant systematic search was performed on 24 November 2022 (PROSPERO CRD42020175244). Fifty-three studies (N = 13 635 individuals with PD) were included in qualitative synthesis, of which 51 studies (N = 13 260) with 125 effects sizes were pooled in meta-analyses. We found that CM was negatively associated with global social functioning and interpersonal relations, and positively associated with aggressive behaviour, but unrelated to independent living or occupational functioning. There was no meta-analytic evidence of associations between CM and social cognition. Meta-regression analyses did not identify any consistent moderation pattern. Narrative synthesis identified sex and timing of CM as potential moderators, and depressive symptoms and maladaptive personality traits as possible mediators between CM and social outcomes. Associations were of small magnitude and limited number of studies assessing CM subtypes and social cognition are available. Nevertheless, adults with PD are at risk of social functioning problems after CM exposure, an effect observed across multiple CM subtypes, social domains, diagnoses and illness stages. Maltreated adults with PD may thus benefit from trauma-related and psychosocial interventions targeting social relationships and functioning.
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Affiliation(s)
- Natalia E. Fares-Otero
- Bipolar and Depressive Disorders Unit, Department of Psychiatry and Psychology, Hospital Clínic Barcelona, Institute of Neurosciences (UBNeuro), Barcelona, Catalonia, Spain
- Department of Medicine, Faculty of Medicine and Health Sciences University of Barcelona (UB), Barcelona, Catalonia, Spain
- Fundació Clínic per a la Recerca Biomèdica (FCRB), Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Network Centre for Biomedical Research in Mental Health (CIBERSAM), Health Institute Carlos III (ISCIII), Barcelona, Catalonia, Spain
| | - Luis Alameda
- Service of General Psychiatry, Treatment and Early Intervention in Psychosis Program, University Hospital (CHUV), Lausanne, Switzerland
- Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College of London, London, UK
- Department of Psychiatry, CIBERSAM, Institute of Biomedicine of Sevilla (IBIS), University Hospital Virgen del Rocio, University of Seville, Seville, Spain
| | - Monique C. Pfaltz
- Department of Psychology and Social Work, Mid Sweden University, Östersund, Sweden
| | - Anabel Martinez-Aran
- Bipolar and Depressive Disorders Unit, Department of Psychiatry and Psychology, Hospital Clínic Barcelona, Institute of Neurosciences (UBNeuro), Barcelona, Catalonia, Spain
- Department of Medicine, Faculty of Medicine and Health Sciences University of Barcelona (UB), Barcelona, Catalonia, Spain
- Fundació Clínic per a la Recerca Biomèdica (FCRB), Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Network Centre for Biomedical Research in Mental Health (CIBERSAM), Health Institute Carlos III (ISCIII), Barcelona, Catalonia, Spain
| | - Ingo Schäfer
- Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Eduard Vieta
- Bipolar and Depressive Disorders Unit, Department of Psychiatry and Psychology, Hospital Clínic Barcelona, Institute of Neurosciences (UBNeuro), Barcelona, Catalonia, Spain
- Department of Medicine, Faculty of Medicine and Health Sciences University of Barcelona (UB), Barcelona, Catalonia, Spain
- Fundació Clínic per a la Recerca Biomèdica (FCRB), Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Network Centre for Biomedical Research in Mental Health (CIBERSAM), Health Institute Carlos III (ISCIII), Barcelona, Catalonia, Spain
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36
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Davies M, Elliott M, Wallace S, Wallace C. Enhancing Student Wellbeing Through Social Prescribing: A Rapid Realist Review. Public Health Rev 2023; 44:1605189. [PMID: 37614322 PMCID: PMC10442486 DOI: 10.3389/phrs.2023.1605189] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Accepted: 07/17/2023] [Indexed: 08/25/2023] Open
Abstract
Objectives: A Rapid Realist Review of social prescribing in Higher Education (HE) was undertaken to determine what works, for whom, how, why, and within what circumstances. The review resulted in the development of a Realist Programme Theory articulating the way in which social prescribing can be implemented within the HE environment. Methods: Searches of 12 electronic databases were supplemented by citation chaining and grey literature surfaced by the Project Advisory Group. The RAMESES Quality Standards for Realist Review were followed, and the retrieved articles were systematically screened and iteratively analysed to develop Context-Mechanism-Outcome Configurations (CMOCs) and an overarching Realist Programme Theory. Results: A total of 57 documents were included. The overarching programme theory was developed from the analysis of these documents and comprised of a social prescribing pathway with the following components: (1) An Accessible Gateway, (2) A Skilled Peer, (3) Trusted-Safe-Credible Resources, and (4) A Healthy Setting. Conclusion: A Realist Programme Theory was developed-this model and associated principles will provide a theoretical basis for the implementation of social prescribing pathways within higher education. Whilst the direct project outputs are of particular significance to the UK HE audience, the underpinning principles can support practice within the global arena.
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Affiliation(s)
- Mark Davies
- PRIME Centre Wales, University of South Wales, Pontypridd, United Kingdom
| | - Megan Elliott
- PRIME Centre Wales, University of South Wales, Pontypridd, United Kingdom
- Wales School for Social Prescribing Research (WSSPR), University of South Wales, Pontypridd, United Kingdom
| | - Sarah Wallace
- Welsh Institute for Health and Social Care, University of South Wales, Pontypridd, United Kingdom
| | - Carolyn Wallace
- PRIME Centre Wales, University of South Wales, Pontypridd, United Kingdom
- Wales School for Social Prescribing Research (WSSPR), University of South Wales, Pontypridd, United Kingdom
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37
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Zisman-Ilani Y, Hayes D, Fancourt D. Promoting Social Prescribing in Psychiatry-Using Shared Decision-Making and Peer Support. JAMA Psychiatry 2023; 80:759-760. [PMID: 37223893 PMCID: PMC10529310 DOI: 10.1001/jamapsychiatry.2023.0788] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
This Viewpoint discusses shared decision-making and peer support to promote prescription of nonclinical services based on patients’ preferences, goals, and needs as well as locally available services.
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Affiliation(s)
- Yaara Zisman-Ilani
- Department of Social and Behavioral Sciences, Temple University, Philadelphia, Pennsylvania
- Department of Clinical, Educational and Health Psychology, University College London, London, United Kingdom
| | - Daniel Hayes
- Anna Freud National Centre for Children and Families, London, United Kingdom
- Research Department of Behavioral Science, Health Institute of Epidemiology & Health Care, University College London, London, United Kingdom
| | - Daisy Fancourt
- Research Department of Behavioral Science, Health Institute of Epidemiology & Health Care, University College London, London, United Kingdom
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Muhl C, Mulligan K, Bayoumi I, Ashcroft R, Godfrey C. Establishing internationally accepted conceptual and operational definitions of social prescribing through expert consensus: a Delphi study. BMJ Open 2023; 13:e070184. [PMID: 37451718 PMCID: PMC10351285 DOI: 10.1136/bmjopen-2022-070184] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Accepted: 06/08/2023] [Indexed: 07/18/2023] Open
Abstract
OBJECTIVE The aim of this study was to establish internationally accepted conceptual and operational definitions of social prescribing. DESIGN A three-round Delphi study was conducted. SETTING This study was conducted virtually using an online survey platform. PARTICIPANTS This study involved an international, multidisciplinary panel of experts. The expert panel (n=48) represented 26 countries across five continents, numerous expert groups and a variety of years of experience with social prescribing, with the average being 5 years (range=1-20 years). RESULTS After three rounds, internationally accepted conceptual and operational definitions of social prescribing were established. The definitions were transformed into the Common Understanding of Social Prescribing (CUSP) conceptual framework. CONCLUSION This foundational work offers a common thread-a shared sense of what social prescribing is, which may be woven into social prescribing research, policy and practice to foster common understanding of this concept.
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Affiliation(s)
- Caitlin Muhl
- School of Nursing, Faculty of Health Sciences, Queen's University, Kingston, Ontario, Canada
| | - Kate Mulligan
- Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
| | - Imaan Bayoumi
- School of Medicine, Faculty of Health Sciences, Queen's University, Kingston, Ontario, Canada
| | - Rachelle Ashcroft
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada
| | - Christina Godfrey
- School of Nursing, Faculty of Health Sciences, Queen's University, Kingston, Ontario, Canada
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39
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Kahl KG, Stapel B, Heitland I. A lonely heart is a broken heart: it is time for a biopsychosocial cardiovascular disease model. Eur Heart J 2023:ehad310. [PMID: 37385630 DOI: 10.1093/eurheartj/ehad310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/01/2023] Open
Affiliation(s)
- Kai G Kahl
- Department of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School, Carl-Neuberg Str. 1, D-30625 Hannover, Germany
| | - Britta Stapel
- Department of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School, Carl-Neuberg Str. 1, D-30625 Hannover, Germany
| | - Ivo Heitland
- Department of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School, Carl-Neuberg Str. 1, D-30625 Hannover, Germany
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40
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Oster C, Skelton C, Leibbrandt R, Hines S, Bonevski B. Models of social prescribing to address non-medical needs in adults: a scoping review. BMC Health Serv Res 2023; 23:642. [PMID: 37316920 DOI: 10.1186/s12913-023-09650-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2022] [Accepted: 06/05/2023] [Indexed: 06/16/2023] Open
Abstract
BACKGROUND The health and wellbeing consequences of social determinants of health and health behaviours are well established. This has led to a growing interest in social prescribing, which involves linking people to services and supports in the community and voluntary sectors to address non-medical needs. However, there is considerable variability in approaches to social prescribing with little guidance on how social prescribing could be developed to reflect local health systems and needs. The purpose of this scoping review was to describe the types of social prescribing models used to address non-medical needs to inform co-design and decision-making for social prescribing program developers. METHODS We searched Ovid MEDLINE(R), CINAHL, Web of Science, Scopus, National Institute for Health Research Clinical Research Network, Cochrane Central Register of Controlled Trials, WHO International Clinical Trial Registry Platform, and ProQuest - Dissertations and Theses for articles and grey literature describing social prescribing programs. Reference lists of literature reviews were also searched. The searches were conducted on 2 August 2021 and yielded 5383 results following removal of duplicates. RESULTS 148 documents describing 159 social prescribing programs were included in the review. We describe the contexts in which the programs were delivered, the program target groups and services/supports to which participants were referred, the staff involved in the programs, program funding, and the use of digital systems. CONCLUSIONS There is significant variability in social prescribing approaches internationally. Social prescribing programs can be summarised as including six planning stages and six program processes. We provide guidance for decision-makers regarding what to consider when designing social prescribing programs.
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Affiliation(s)
- Candice Oster
- College of Nursing & Health Sciences, Caring Futures Institute, Flinders University, GPO Box 2100, Adelaide, SA, 5001, Australia.
| | - Claire Skelton
- College of Medicine & Public Health, Flinders University, Adelaide, SA, Australia
| | - Richard Leibbrandt
- College of Science & Engineering, Flinders University, Adelaide, SA, Australia
| | - Sonia Hines
- College of Medicine & Public Health, Flinders Rural and Remote Health, Flinders University, Alice Springs, Northern Territory, Australia
| | - Billie Bonevski
- College of Medicine & Public Health, Flinders University, Adelaide, SA, Australia
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Grover S, Sandhu P, Nijjar GS, Percival A, Chudyk AM, Liang J, McArthur C, Miller WC, Mortenson WB, Mulligan K, Newton C, Park G, Pitman B, Rush KL, Sakakibara BM, Petrella RJ, Ashe MC. Older adults and social prescribing experience, outcomes, and processes: a meta-aggregation systematic review. Public Health 2023; 218:197-207. [PMID: 37060740 DOI: 10.1016/j.puhe.2023.02.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2022] [Revised: 02/15/2023] [Accepted: 02/19/2023] [Indexed: 04/17/2023]
Abstract
OBJECTIVE Social prescribing is a complex care model, which aims to address unmet non-medical needs and connect people to community resources. The purpose of this systematic review was to synthesize available evidence from qualitative methods (e.g. interviews or focus groups) on experience, outcomes, and processes for social prescribing and older adults (from the person or provider level). STUDY DESIGN This was a systematic review using the Joanna Brigg's meta-aggregative approach. METHODS We searched multiple online databases for peer-reviewed studies, which included older adults aged ≥60 years (group mean age) and social prescribing experience, outcomes, or processes. We included all qualitative or mixed methods designs from all years and languages. Date of the last primary search was March 24, 2022. Two authors used online software to conduct the screening independently and then decided on the final list of included studies via notes and online discussion. RESULTS We screened 376 citations (after duplicates) and included eight publications. There were 197 older adult participants (59% women), and many people were living with chronic health conditions. Few details were provided for participants' ethnicity, education, and related factors. We created five synthesized findings related to (1) the approach of social prescribing; implementation factors such as (2) relationships, (3) behavior change strategies, and (4) the environment; and (5) older adults' perceived health and psychosocial outcomes. CONCLUSIONS Despite the limited number of available studies, data provide an overview of people and processes involved with social prescribing, identified research and practice gaps, and possible next steps for implementing and evaluating social prescribing for older adults in primary care.
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Affiliation(s)
- Sanya Grover
- Department of Family Practice, The University of British Columbia (UBC), Vancouver, BC, Canada
| | - Prabhleen Sandhu
- Department of Family Practice, The University of British Columbia (UBC), Vancouver, BC, Canada
| | - Gurkirat Singh Nijjar
- Department of Family Practice, The University of British Columbia (UBC), Vancouver, BC, Canada
| | - Amanda Percival
- Department of Family Practice, The University of British Columbia (UBC), Vancouver, BC, Canada
| | - Anna M Chudyk
- College of Nursing, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada
| | - Jessica Liang
- Department of Family Practice, The University of British Columbia (UBC), Vancouver, BC, Canada
| | - Caitlin McArthur
- School of Physiotherapy, Dalhousie University, Halifax, Nova Scotia, Canada
| | - William C Miller
- UBC Department of Occupational Science and Occupational Therapy, Vancouver, BC, Canada; GF Strong Rehabilitation Research Program, Vancouver, BC, Canada; International Collaboration on Repair Discoveries, Vancouver, BC, Canada
| | - W Ben Mortenson
- UBC Department of Occupational Science and Occupational Therapy, Vancouver, BC, Canada; GF Strong Rehabilitation Research Program, Vancouver, BC, Canada; International Collaboration on Repair Discoveries, Vancouver, BC, Canada
| | - Kate Mulligan
- Dalla Lana School of Public Health, University of Toronto, Ontario, Canada
| | - Christie Newton
- Department of Family Practice, The University of British Columbia (UBC), Vancouver, BC, Canada
| | - Grace Park
- Department of Family Practice, The University of British Columbia (UBC), Vancouver, BC, Canada; Fraser Health Authority, Surrey, BC, Canada
| | | | - Kathy L Rush
- School of Nursing, UBC-Okanagan, Kelowna, BC, Canada
| | - Brodie M Sakakibara
- UBC Department of Occupational Science and Occupational Therapy, Vancouver, BC, Canada; Centre for Chronic Disease Prevention and Management, Southern Medical Program, UBC-Okanagan, Kelowna, BC, Canada
| | - Robert J Petrella
- Department of Family Practice, The University of British Columbia (UBC), Vancouver, BC, Canada; Department of Family Medicine, Western University, London, Ontario, Canada; School of Kinesiology, Western University, London, Ontario, Canada; Western Centre for Public Health & Family Medicine, Western University, London, Ontario, Canada
| | - Maureen C Ashe
- Department of Family Practice, The University of British Columbia (UBC), Vancouver, BC, Canada
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Htun HL, Teshale AB, Cumpston MS, Demos L, Ryan J, Owen A, Freak-Poli R. Effectiveness of social prescribing for chronic disease prevention in adults: a systematic review and meta-analysis of randomised controlled trials. J Epidemiol Community Health 2023; 77:265-276. [PMID: 36813546 DOI: 10.1136/jech-2022-220247] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Accepted: 02/05/2023] [Indexed: 02/24/2023]
Abstract
BACKGROUND Social prescribing (SP) enables healthcare professionals to link patients with non-medical interventions available in the community to address underlying socioeconomic and behavioural determinants. We synthesised the evidence to understand the effectiveness of SP for chronic disease prevention. METHODS A systematic literature search was conducted using five databases and two registries. Eligible studies included randomised controlled trials of SP among community-dwelling adults recruited from primary care or community setting, investigating any chronic disease risk factors defined by the WHO (behavioural factors: smoking, physical inactivity, unhealthy diet and excessive alcohol consumption; metabolic factors: raised blood pressure, overweight/obesity, hyperlipidaemia and hyperglycaemia). Random effect meta-analyses were performed at two time points: completion of intervention and follow-up after trial. RESULTS We identified nine reports from eight trials totalling 4621 participants. All studies evaluated SP exercise interventions which were highly heterogeneous regarding the content, duration, frequency and length of follow-up. Majority of studies had some concerns for risk of bias. Meta-analysis revealed that SP likely increased physical activity (completion: mean difference (MD) 21 min/week, 95% CI 3 to 39, I2=0%; follow-up ≤12 months: MD 19 min/week, 95% CI 8 to 29, I2=0%). However, SP may not improve markers of adiposity, blood pressure, glucose and serum lipid. There were no eligible studies that primarily target unhealthy diet, smoking and excessive alcohol drinking behaviours. CONCLUSIONS SP exercise interventions probably increased physical activity slightly; however, no benefits were observed for metabolic factors. Determining whether SP is effective in modifying the determinants of chronic diseases and promotes sustainable healthy behaviours is limited by the current evidence of quantification and uncertainty, warranting further rigorous studies. PROSPERO REGISTRATION NUMBER CRD42022346687.
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Affiliation(s)
- Htet Lin Htun
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
| | | | - Miranda S Cumpston
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
| | - Lisa Demos
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.,Australian Disease Management Association (ADMA), Melbourne, Victoria, Australia
| | - Joanne Ryan
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
| | - Alice Owen
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
| | - Rosanne Freak-Poli
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia .,School of Clinical Sciences at Monash Health, Monash University, Melbourne, Victoria, Australia
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Teshale AB, Htun HL, Hu J, Dalli LL, Lim MH, Neves BB, Baker JR, Phyo AZZ, Reid CM, Ryan J, Owen AJ, Fitzgerald SM, Freak-Poli R. The relationship between social isolation, social support, and loneliness with cardiovascular disease and shared risk factors: A narrative review. Arch Gerontol Geriatr 2023; 111:105008. [PMID: 37003026 DOI: 10.1016/j.archger.2023.105008] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2022] [Revised: 03/16/2023] [Accepted: 03/22/2023] [Indexed: 04/03/2023]
Abstract
BACKGROUND Cardiovascular disease (CVD) is the greatest contributor to global morbidity and mortality. Poor social health plays a critical role in CVD incidence. Additionally, the relationship between social health and CVD may be mediated through CVD risk factors. However, the underlying mechanisms between social health and CVD are poorly understood. Certain social health constructs (social isolation, low social support and loneliness) have complicated the characterisation of a causal relationship between social health and CVD. AIM To provide an overview of the relationship between social health and CVD (and its shared risk factors). METHOD In this narrative review, we examined published literature on the relationship between three social health constructs (social isolation, social support, and loneliness) and CVD. Evidence was synthesised in a narrative format, focusing on the potential ways in which social health affects CVD, including shared risk factors. RESULTS The current literature highlights an established relationship between social health and CVD with a likelihood for bi-directionality. However, there is speculation and varied evidence regarding how these relationships may be mediated through CVD risk factors. CONCLUSIONS Social health can be considered an established risk factor for CVD. However, the potential bi-directional pathways of social health with CVD risk factors are less established. Further research is needed to understand whether targeting certain constructs of social health may directly improve the management of CVD risk factors. Given the health and economic burdens of poor social health and CVD, improvements to addressing or preventing these interrelated health conditions would have societal benefits.
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Affiliation(s)
| | - Htet Lin Htun
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
| | - Jessie Hu
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
| | - Lachlan L Dalli
- Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Melbourne, Victoria, Australia.
| | - Michelle H Lim
- Prevention Research Collaboration, School of Public Health, The University of Sydney, New South Wales, Australia.
| | | | - J R Baker
- School of Health, Southern Cross University, Australia; Primary & Community Care Limited, Australia.
| | - Aung Zaw Zaw Phyo
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
| | - Christopher M Reid
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia; School of Population Health, Curtin University, Perth, Western Australia, Australia.
| | - Joanne Ryan
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
| | - Alice J Owen
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
| | - Sharyn M Fitzgerald
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
| | - Rosanne Freak-Poli
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia; Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Melbourne, Victoria, Australia.
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Wang H, Yu X. Strengthening implementation research on social prescribing in mental healthcare for older adults in Western Pacific Region. THE LANCET REGIONAL HEALTH - WESTERN PACIFIC 2023. [DOI: 10.1016/j.lanwpc.2023.100721] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/11/2023]
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Gorenberg J, Tierney S, Wong G, Turk A, Libert S, Potter C, Eccles K, Forster S, Husk K, Chatterjee HJ, Webster E, McDougall B, Warburton H, Shaw L, Mahtani KR. Understanding and Improving Older People's Well-Being through Social Prescribing Involving the Cultural Sector: Interviews from a Realist Evaluation. J Appl Gerontol 2023:7334648231154043. [PMID: 36724235 DOI: 10.1177/07334648231154043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
Abstract
Social prescribing is a non-clinical approach to addressing social, environmental, and economic factors affecting how people feel physical and/or emotionally. It involves connecting people to "community assets" (e.g., local groups, organizations, and charities) that can contribute to positive well-being. We sought to explain in what ways, for whom, and why the cultural sector can support social prescribing with older people. We conducted semi-structured interviews with 28 older people (aged 60+) and 25 cultural sector staff. The following nine concepts, developed from interview data, progressed the understanding of tailoring cultural offers, which came from our previous realist review-immersion, buddying, café culture, capacity, emotional involvement, perseverance, autonomy, elitism, and virtual cultural offers. Through tailoring, we propose that older people might experience one or more of the following benefits from engaging with a cultural offer as part of social prescribing-being immersed, psychological holding, connecting, and transforming through self-growth.
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Affiliation(s)
- Jordan Gorenberg
- Nuffield Department of Primary Care Health Sciences, 6396University of Oxford, Oxford, UK
| | - Stephanie Tierney
- Nuffield Department of Primary Care Health Sciences, 6396University of Oxford, Oxford, UK
| | - Geoff Wong
- Nuffield Department of Primary Care Health Sciences, 6396University of Oxford, Oxford, UK
| | - Amadea Turk
- Nuffield Department of Primary Care Health Sciences, 6396University of Oxford, Oxford, UK
| | - Sebastien Libert
- Nuffield Department of Primary Care Health Sciences, 6396University of Oxford, Oxford, UK
| | - Caroline Potter
- Nuffield Department of Population Health, 6396University of Oxford, Oxford, UK
| | - Kathryn Eccles
- Oxford Internet Institute, 6396University of Oxford, Oxford, UK
| | - Shona Forster
- Department of Psychiatry, 6396University of Oxford, Oxford, UK
| | - Kerryn Husk
- Peninsula Medical School, 6633University of Plymouth, Plymouth, UK
| | | | - Emma Webster
- Gardens, Libraries and Museums, 6396University of Oxford, Oxford, UK
| | - Beth McDougall
- Gardens, Libraries and Museums, 6396University of Oxford, Oxford, UK
| | - Harriet Warburton
- Gardens, Libraries and Museums, 6396University of Oxford, Oxford, UK
| | - Lucy Shaw
- Gardens, Libraries and Museums, 6396University of Oxford, Oxford, UK
| | - Kamal R Mahtani
- Nuffield Department of Primary Care Health Sciences, 6396University of Oxford, Oxford, UK
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46
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Golden TL, Maier Lokuta A, Mohanty A, Tiedemann A, Ng TWC, Mendu M, Morgan N, Kuge MN, Brinza T. Social prescription in the US: A pilot evaluation of Mass Cultural Council's "CultureRx". Front Public Health 2023; 10:1016136. [PMID: 36743160 PMCID: PMC9892638 DOI: 10.3389/fpubh.2022.1016136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2022] [Accepted: 12/12/2022] [Indexed: 01/20/2023] Open
Abstract
Introduction As the field of public health strives to address the impacts of social determinants of health, it has seen increasing interest in community-referral practices that expand health care beyond clinical spaces. However, community arts and culture organizations are rarely included in these practices, despite accumulating evidence of associated health benefits. In addition, such inclusion has not been formally studied. In response, this article offers an evaluation of "CultureRx" in Massachusetts (MA): the first US model of arts on prescription. The program is a partnership between 20 healthcare providers and 12 cultural organizations, in which providers can offer "prescriptions" to cultural experiences to support patients' health. Methods Evaluation was undertaken to illuminate participant experiences, program successes and barriers, and recommendations for further development. The cultural organizations collected participant data (n = 84) and completed surveys about their own experiences (n = 12). Authors conducted semi-structured focus groups and interviews with healthcare providers (n = 33). Data analysis was customized for each dataset. Results Findings indicate that participants enjoyed and hoped to repeat their prescribed experiences, which they saw as beneficial to wellbeing. Providers identified the program as a new and critical addition to their toolkits; they also indicated it had a positive effect on their own wellbeing. Cultural organizations reported varied challenges, learnings, and recommendations. Conclusion The CultureRx pilot suggests that integrating arts/culture assets into health and social care approaches can enrich and improve traditional US models of community referral. By including arts/culture resources when addressing social determinants of health, communities will be better positioned to equitably and holistically advance health.
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Affiliation(s)
- Tasha L. Golden
- International Arts and Mind Lab, Johns Hopkins University School of Medicine, Baltimore, MD, United States,Center for Arts in Medicine, University of Florida, Gainesville, FL, United States
| | - Alyson Maier Lokuta
- Center for Arts in Medicine, University of Florida, Gainesville, FL, United States,New Jersey Performing Arts Center, Newark, NJ, United States
| | - Aanchal Mohanty
- International Arts and Mind Lab, Johns Hopkins University School of Medicine, Baltimore, MD, United States
| | - Alyssa Tiedemann
- International Arts and Mind Lab, Johns Hopkins University School of Medicine, Baltimore, MD, United States,*Correspondence: Alyssa Tiedemann ✉
| | - T. W. Cherry Ng
- International Arts and Mind Lab, Johns Hopkins University School of Medicine, Baltimore, MD, United States
| | | | - Nicole Morgan
- Center for Arts in Medicine, University of Florida, Gainesville, FL, United States
| | - Maria Nagae Kuge
- Center for Arts in Medicine, University of Florida, Gainesville, FL, United States
| | - Tessa Brinza
- Center for Arts in Medicine, University of Florida, Gainesville, FL, United States
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Chang L, Chen SC, Lin PY, Lin HP, Liao LL, Chao HC, Chen MC, Chen MC, Tsao YY. A Pilot Study to Explore the Improvements in Pulmonary and Cognitive Functions With a Kazoo Intervention Among Middle-Aged and Older Adults in a Rural Community. Gerontol Geriatr Med 2023; 9:23337214231212268. [PMID: 38026090 PMCID: PMC10647995 DOI: 10.1177/23337214231212268] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2023] [Revised: 10/09/2023] [Accepted: 10/17/2023] [Indexed: 12/01/2023] Open
Abstract
Dementia is a leading cause of disability and dependence in older adults worldwide. The aim of this pilot study was to explore the effect of using a kazoo instrument to improve pulmonary function and cognitive reserve in middle-aged and older adults in rural areas. This quasi-experimental study was conducted at two community care stations selected using cluster sampling from a rural district in southern Taiwan. We enrolled 85 middle-aged and older adults who were randomly assigned into self-learner and in-class groups. Both groups received a 6-month kazoo program. Cognitive and pulmonary function were compared before and after the intervention between the two groups. Significantly improved pulmonary function with regards to forced vital capacity (p < .05) was found in the self-learner group, and significantly improved maximum expiratory flow 75% (p < .001) was found in both groups. Mini-Mental State Examination scores significantly improved in the self-learner group (p < .01), but there was no significant change in the in-class group. Our results suggest that community care stations could consider implementing wind instrument programs such as a kazoo to enhance pulmonary function and cognitive reserve in middle-aged and older adults residing in rural areas.
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Affiliation(s)
- Luna Chang
- National Tainan Junior College of Nursing, Tainan, Taiwan. R.O.C
| | - Shu-Chuan Chen
- National Tainan Junior College of Nursing, Tainan, Taiwan. R.O.C
| | - Po-Yu Lin
- National Cheng Kung University Hospital, Tainan, Taiwan. R.O.C
| | - Hsiu-Pi Lin
- Chia Nan University of Pharmacy & Science, Tainan, Taiwan. R.O.C
| | - Li-Ling Liao
- Kaohsiung Medical University, Kaohsiung, Taiwan. R.O.C
| | - Hui-Chen Chao
- National Tainan Junior College of Nursing, Tainan, Taiwan. R.O.C
| | - Mei-Chun Chen
- National Tainan Junior College of Nursing, Tainan, Taiwan. R.O.C
| | - Mei-Chun Chen
- National Tainan Junior College of Nursing, Tainan, Taiwan. R.O.C
| | - Yi-Ying Tsao
- National Tainan Junior College of Nursing, Tainan, Taiwan. R.O.C
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Morimoto Y, Koga Y, Kenzaka T, Son D. Social Prescribing Initiative at Community Library and Its Impact on Residents and the Community: A Qualitative Study. J Prim Care Community Health 2023; 14:21501319231181877. [PMID: 37335035 DOI: 10.1177/21501319231181877] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/21/2023] Open
Abstract
INTRODUCTION/OBJECTIVES Social prescribing aims to improve health and well-being by connecting individuals with mental health, housing, and loneliness issues to informal services and support. This approach connects individuals to activities and services in their community to fulfill their practical, social, and emotional needs. However, no reports of community libraries being prescribed as a place to be referred through social prescribing were observed in the literature and the impact of community libraries on community residents and communities in social prescribing. The aim of this study was to identify the functions of a community library operated by medical and social professionals in the social prescribing initiative, its functions, and its impact on community residents and communities. METHODS Semi-structured interviews were conducted with the users of the Daikai Bunko Library, a community library in Toyooka City, Japan. The library was established by a primary care physician and community residents as a place where visitors can stay and use it as a library, a bookstore, a café, and a consultation place. Interviews were recorded, and the verbatim transcript was analyzed using the Steps for Coding and Theorization. RESULTS Ten individuals participated. The theoretical description of the interview texts revealed 11 categories as the function of the library and its effect on the individuals and the community: a place to stay, attractive space design, diverse accessibility, choosability of various roles, consultation function, social support, empowerment, mutual trust, formation of connections across generations/attributes, co-creation, and social impact. CONCLUSIONS We found that a community library run by medical and social professionals was a useful social prescribing site and had various effects on the community residents who used it. Various functions of the community library, such as consultation functions and attractive space design, may lead to effects on local individuals providing social support and empowerment, with social impacts such as co-creation and formation of connections to the local community.
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Affiliation(s)
| | - Yayoi Koga
- Professional College of Arts and Tourism, Toyooka, Japan
| | - Tsuneaki Kenzaka
- Kobe University Graduate School of Medicine, Kobe, Japan
- Hyogo Prefectural Tamba Medical Center, Tamba, Japan
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Karran EL, G. Cashin A, Barker T, A. Boyd M, Chiarotto A, Dewidar O, Petkovic J, Sharma S, Tugwell P, Moseley GL. The ' what' and ' how' of screening for social needs in healthcare settings: a scoping review. PeerJ 2023; 11:e15263. [PMID: 37101795 PMCID: PMC10124546 DOI: 10.7717/peerj.15263] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2023] [Accepted: 03/28/2023] [Indexed: 04/28/2023] Open
Abstract
Background Adverse social determinants of health give rise to individual-level social needs that have the potential to negatively impact health. Screening patients to identify unmet social needs is becoming more widespread. A review of the content of currently available screening tools is warranted. The aim of this scoping review was to determine what social needs categories are included in published Social Needs Screening Tools that have been developed for use in primary care settings, and how these social needs are screened. Methods We pre-registered the study on the Open Science Framework (https://osf.io/dqan2/). We searched MEDLINE and Embase from 01/01/2010 to 3/05/2022 to identify eligible studies reporting tools designed for use in primary healthcare settings. Two reviewers independently screened studies, a single reviewer extracted data. We summarised the characteristics of included studies descriptively and calculated the number of studies that collected data relevant to specific social needs categories. We identified sub-categories to classify the types of questions relevant to each of the main categories. Results We identified 420 unique citations, and 27 were included. Nine additional studies were retrieved by searching for tools that were used or referred to in excluded studies. Questions relating to food insecurity and the physical environment in which a person lives were the most frequently included items (92-94% of tools), followed by questions relating to economic stability and aspects of social and community context (81%). Seventy-five percent of the screening tools included items that evaluated five or more social needs categories (mean 6.5; standard deviation 1.75). One study reported that the tool had been 'validated'; 16 reported 'partial' validation; 12 reported that the tool was 'not validated' and seven studies did not report validation processes or outcomes.
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Affiliation(s)
- Emma L. Karran
- IIMPACT in Health, University of South Australia, Adelaide, South Australia, Australia
| | - Aidan G. Cashin
- Centre for Pain IMPACT, Neuroscience Research Australia, Sydney, New South Wales, Australia
- School of Health and Medical Sciences, University of New South Wales, Sydney, New South Wales, Australia
| | - Trevor Barker
- IIMPACT in Health, University of South Australia, Adelaide, South Australia, Australia
| | - Mark A. Boyd
- Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, Australia
- Northern Adelaide Local Health Network, Adelaide, South Australia, Australia
| | - Alessandro Chiarotto
- Department of General Practice, Erasmus University/Rotterdam, Rotterdam, Netherlands
| | - Omar Dewidar
- Bruyere Research Institute, University of Ottawa, Ottawa, Canada
| | | | - Saurab Sharma
- Centre for Pain IMPACT, Neuroscience Research Australia, Sydney, New South Wales, Australia
- School of Health and Medical Sciences, University of New South Wales, Sydney, New South Wales, Australia
| | - Peter Tugwell
- Department of Medicine and School of Epidemiology, University of Ottawa, Ottawa, Canada
| | - G. Lorimer Moseley
- IIMPACT in Health, University of South Australia, Adelaide, South Australia, Australia
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Bertotti M, Hayes D, Berry V, Jarvis-Beesley P, Husk K. Social prescribing for children and young people. THE LANCET CHILD & ADOLESCENT HEALTH 2022; 6:835-837. [DOI: 10.1016/s2352-4642(22)00248-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Accepted: 08/18/2022] [Indexed: 11/18/2022]
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