Social prescribing for people living with long-term health conditions: a scoping review.

IF 6.3 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Anna Wilson, Helen Noble, Karen Galway, Julie Doherty
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引用次数: 0

Abstract

Introduction: Social prescribing links people to activities and services typically provided by local voluntary and community sectors to address social determinants of health and wellbeing. People living with long-term health conditions are a target population. This relatively new approach is rapidly expanding, and there is varied evidence regarding how social prescribing is being delivered for people living with long-term conditions. This scoping review aims to report on what is known about the approach for these patient populations.

Methods: Electronic databases MEDLINE, CINAHL, Scopus, Web of Science, and PsycINFO were searched in December 2023, and relevant sources of gray literature in January 2024, with both updated in February 2025. Studies eligible for inclusion included adults (18 +) with long-term conditions engaging with social prescribing in health and community contexts. Studies published in English in any year were included. A data charting template captured key characteristics including reasons for referral, referral pathways, activities and services being utilized, and outcome measures. A descriptive narrative synthesis was conducted, guided by the review questions to explore the current evidence.

Results: Thirty-seven sources of evidence were included. Diabetes was the most common of 65 conditions identified (n = 23). The presence of a long-term condition was the most frequent reason for referral (n = 30), followed by mental health concerns (n = 15), and social isolation or loneliness (n = 11). Most referrals were made within primary care (n = 33), to a link worker or social prescriber (n = 29), who supported participants to access activities and services including exercise (n = 22), information, support, and advice (n = 19), mental health support (n = 15), social and leisure activities (n = 15) and condition-specific support (n = 14). Wellbeing was the most commonly identified measured outcome (n = 23), with studies utilizing the Warwick Edinburgh Mental Wellbeing Scales (n = 7) and Wellbeing Star (n = 7) most frequently.

Conclusions: While common factors were identified, there is considerable variation in social prescribing approaches for people living with long-term conditions, reflecting the diversity of needs, availability of community services, and necessity for personalized care. Further research is needed to inform the development of evidence-based practice which addresses the complex needs of diverse patient populations and supports access to a broad range of referral pathways.

长期健康问题患者的社会处方:范围审查。
导言:社会处方将人们与通常由地方志愿和社区部门提供的活动和服务联系起来,以解决健康和福祉的社会决定因素。患有长期健康问题的人是目标人群。这种相对较新的方法正在迅速扩展,并且有各种各样的证据表明,社会处方是如何为患有长期疾病的人提供的。这篇范围审查的目的是报告关于这些患者群体的已知方法。方法:于2023年12月检索MEDLINE、CINAHL、Scopus、Web of Science、PsycINFO等电子数据库,于2024年1月检索相关灰色文献来源,并于2025年2月更新。符合纳入条件的研究包括在健康和社区环境中长期从事社会处方的成年人(18岁以上)。在任何年份用英语发表的研究都包括在内。数据图表模板捕获了关键特征,包括转诊原因、转诊途径、正在利用的活动和服务以及结果衡量标准。在审查问题的指导下,进行了描述性叙事综合,以探索现有证据。结果:纳入37个证据来源。在确定的65种疾病中,糖尿病是最常见的(n = 23)。长期疾病的存在是转诊最常见的原因(n = 30),其次是精神健康问题(n = 15),以及社会隔离或孤独(n = 11)。大多数转介是在初级保健(n = 33)内进行的,转介给联系工作者或社会处方者(n = 29),他们支持参与者获得活动和服务,包括锻炼(n = 22)、信息、支持和建议(n = 19)、心理健康支持(n = 15)、社交和休闲活动(n = 15)和特定疾病支持(n = 14)。幸福感是最常见的测量结果(n = 23),使用华威爱丁堡心理健康量表(n = 7)和幸福感之星(n = 7)的研究最常见。结论:虽然确定了共同因素,但对于长期患有疾病的人来说,社会处方方法存在相当大的差异,反映了需求的多样性、社区服务的可获得性和个性化护理的必要性。需要进一步的研究来为循证实践的发展提供信息,以解决不同患者群体的复杂需求,并支持获得广泛的转诊途径。
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
Systematic Reviews
Systematic Reviews Medicine-Medicine (miscellaneous)
CiteScore
8.30
自引率
0.00%
发文量
241
审稿时长
11 weeks
期刊介绍: Systematic Reviews encompasses all aspects of the design, conduct and reporting of systematic reviews. The journal publishes high quality systematic review products including systematic review protocols, systematic reviews related to a very broad definition of health, rapid reviews, updates of already completed systematic reviews, and methods research related to the science of systematic reviews, such as decision modelling. At this time Systematic Reviews does not accept reviews of in vitro studies. The journal also aims to ensure that the results of all well-conducted systematic reviews are published, regardless of their outcome.
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