The effectiveness of social prescribing in the management of long-term conditions in community-based adults: A systematic review and meta-analysis.

IF 2.6 3区医学 Q1 REHABILITATION

Clinical Rehabilitation Pub Date : 2024-10-01 Epub Date: 2024-06-11 DOI:10.1177/02692155241258903

Declan J O'Sullivan, Lindsay M Bearne, Janas M Harrington, Jefferson R Cardoso, Joseph G McVeigh

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引用次数: 0

Abstract

Objective: The objective of this systematic review and meta-analysis was to evaluate the effectiveness of social prescribing interventions in the management of long-term conditions in adults.

Data sources: Eleven electronic databases were searched for randomised and quasi-randomised controlled trials.

Review methods: Outcomes of interest were quality of life, physical activity, psychological well-being and disease-specific measures. Bias was assessed with the Cochrane Risk of Bias 2 tool. A narrative synthesis and meta-analysis were performed.

Results: Twelve studies (n = 3566) were included in this review. Social prescribing interventions were heterogeneous and the most common risks of bias were poor blinding and high attrition. Social prescribing interventions designed to target specific long-term conditions i.e., cancer and diabetes demonstrated significant improvements in quality of life (n = 2 studies) and disease-specific psychological outcomes respectively (n = 3 studies). There was some evidence for improvement in physical activity (n = 2 studies) but most changes were within group only (n = 4 studies). Social prescribing interventions did not demonstrate any significant changes in general psychological well-being.

Conclusion: Social prescribing interventions demonstrated some improvements across a range of outcomes although the quality of evidence remains poor.

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社会处方在社区成人长期病症管理中的有效性：系统回顾与荟萃分析。

目的本系统综述和荟萃分析的目的是评估社会处方干预在成人长期疾病管理中的有效性：检索了 11 个电子数据库中的随机和准随机对照试验：研究结果包括生活质量、身体活动、心理健康和疾病特异性指标。偏倚采用 Cochrane Risk of Bias 2 工具进行评估。进行了叙述性综合和荟萃分析：本综述纳入了 12 项研究（n = 3566）。社会处方干预措施多种多样，最常见的偏倚风险是盲法不完善和自然减员率高。针对特定长期病症（如癌症和糖尿病）的社会处方干预分别显著改善了生活质量（2 项研究）和特定疾病的心理结果（3 项研究）。有证据表明，体育锻炼有所改善（2 项研究），但大多数变化仅限于群体内部（4 项研究）。结论：结论：社会处方干预在一系列结果方面都有所改善，但证据质量仍然较差。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Rehabilitation 医学-康复医学

CiteScore

5.60

自引率

6.70%

发文量

117

审稿时长

4-8 weeks

期刊介绍： Clinical Rehabilitation covering the whole field of disability and rehabilitation, this peer-reviewed journal publishes research and discussion articles and acts as a forum for the international dissemination and exchange of information amongst the large number of professionals involved in rehabilitation. This journal is a member of the Committee on Publication Ethics (COPE)