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The social cure of social prescribing: a mixed-methods study on the benefits of social connectedness on quality and effectiveness of care provision
OBJECTIVES: This study aimed to assess the degree to which the ‘social cure’ model of psychosocial health captures the understandings and experiences of healthcare staff and patients in a social prescribing (SP) pathway and the degree to which these psychosocial processes predict the effect of the p...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BMJ Publishing Group
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6887058/ https://www.ncbi.nlm.nih.gov/pubmed/31727668 http://dx.doi.org/10.1136/bmjopen-2019-033137 |
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author | Kellezi, Blerina Wakefield, Juliet Ruth Helen Stevenson, Clifford McNamara, Niamh Mair, Elizabeth Bowe, Mhairi Wilson, Iain Halder, Moon Moon |
author_facet | Kellezi, Blerina Wakefield, Juliet Ruth Helen Stevenson, Clifford McNamara, Niamh Mair, Elizabeth Bowe, Mhairi Wilson, Iain Halder, Moon Moon |
author_sort | Kellezi, Blerina |
collection | PubMed |
description | OBJECTIVES: This study aimed to assess the degree to which the ‘social cure’ model of psychosocial health captures the understandings and experiences of healthcare staff and patients in a social prescribing (SP) pathway and the degree to which these psychosocial processes predict the effect of the pathway on healthcare usage. DESIGN: Mixed-methods: Study 1: semistructured interviews; study 2: longitudinal survey. SETTING: An English SP pathway delivered between 2017 and 2019. PARTICIPANTS: Study 1: general practitioners (GPs) (n=7), healthcare providers (n=9) and service users (n=19). Study 2: 630 patients engaging with SP pathway at a 4-month follow-up after initial referral assessment. INTERVENTION: Chronically ill patients experiencing loneliness referred onto SP pathway and meeting with a health coach and/or link worker, with possible further referral to existing or newly created relevant third-sector groups. MAIN OUTCOME MEASURE: Study 1: health providers and users’ qualitative perspectives on the experience of the pathway and social determinants of health. Study 2: patients’ primary care usage. RESULTS: Healthcare providers recognised the importance of social factors in determining patient well-being, and reason for presentation at primary care. They viewed SP as a potentially effective solution to such problems. Patients valued the different social relationships they created through the SP pathway, including those with link workers, groups and community. Group memberships quantitatively predicted primary care usage, and this was mediated by increases in community belonging and reduced loneliness. CONCLUSIONS: Methodological triangulation offers robust conclusions that ‘social cure’ processes explain the efficacy of SP, which can reduce primary care usage through increasing social connectedness (group membership and community belonging) and reducing loneliness. Recommendations for integrating social cure processes into SP initiatives are discussed. |
format | Online Article Text |
id | pubmed-6887058 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-68870582019-12-04 The social cure of social prescribing: a mixed-methods study on the benefits of social connectedness on quality and effectiveness of care provision Kellezi, Blerina Wakefield, Juliet Ruth Helen Stevenson, Clifford McNamara, Niamh Mair, Elizabeth Bowe, Mhairi Wilson, Iain Halder, Moon Moon BMJ Open Mental Health OBJECTIVES: This study aimed to assess the degree to which the ‘social cure’ model of psychosocial health captures the understandings and experiences of healthcare staff and patients in a social prescribing (SP) pathway and the degree to which these psychosocial processes predict the effect of the pathway on healthcare usage. DESIGN: Mixed-methods: Study 1: semistructured interviews; study 2: longitudinal survey. SETTING: An English SP pathway delivered between 2017 and 2019. PARTICIPANTS: Study 1: general practitioners (GPs) (n=7), healthcare providers (n=9) and service users (n=19). Study 2: 630 patients engaging with SP pathway at a 4-month follow-up after initial referral assessment. INTERVENTION: Chronically ill patients experiencing loneliness referred onto SP pathway and meeting with a health coach and/or link worker, with possible further referral to existing or newly created relevant third-sector groups. MAIN OUTCOME MEASURE: Study 1: health providers and users’ qualitative perspectives on the experience of the pathway and social determinants of health. Study 2: patients’ primary care usage. RESULTS: Healthcare providers recognised the importance of social factors in determining patient well-being, and reason for presentation at primary care. They viewed SP as a potentially effective solution to such problems. Patients valued the different social relationships they created through the SP pathway, including those with link workers, groups and community. Group memberships quantitatively predicted primary care usage, and this was mediated by increases in community belonging and reduced loneliness. CONCLUSIONS: Methodological triangulation offers robust conclusions that ‘social cure’ processes explain the efficacy of SP, which can reduce primary care usage through increasing social connectedness (group membership and community belonging) and reducing loneliness. Recommendations for integrating social cure processes into SP initiatives are discussed. BMJ Publishing Group 2019-11-14 /pmc/articles/PMC6887058/ /pubmed/31727668 http://dx.doi.org/10.1136/bmjopen-2019-033137 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Mental Health Kellezi, Blerina Wakefield, Juliet Ruth Helen Stevenson, Clifford McNamara, Niamh Mair, Elizabeth Bowe, Mhairi Wilson, Iain Halder, Moon Moon The social cure of social prescribing: a mixed-methods study on the benefits of social connectedness on quality and effectiveness of care provision |
title | The social cure of social prescribing: a mixed-methods study on the benefits of social connectedness on quality and effectiveness of care provision |
title_full | The social cure of social prescribing: a mixed-methods study on the benefits of social connectedness on quality and effectiveness of care provision |
title_fullStr | The social cure of social prescribing: a mixed-methods study on the benefits of social connectedness on quality and effectiveness of care provision |
title_full_unstemmed | The social cure of social prescribing: a mixed-methods study on the benefits of social connectedness on quality and effectiveness of care provision |
title_short | The social cure of social prescribing: a mixed-methods study on the benefits of social connectedness on quality and effectiveness of care provision |
title_sort | social cure of social prescribing: a mixed-methods study on the benefits of social connectedness on quality and effectiveness of care provision |
topic | Mental Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6887058/ https://www.ncbi.nlm.nih.gov/pubmed/31727668 http://dx.doi.org/10.1136/bmjopen-2019-033137 |
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