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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...

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Autores principales: Kellezi, Blerina, Wakefield, Juliet Ruth Helen, Stevenson, Clifford, McNamara, Niamh, Mair, Elizabeth, Bowe, Mhairi, Wilson, Iain, Halder, Moon Moon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
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.
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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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