Health & Social Care in the Community最新文献

{"title":"Transnational Caregiving: Experiences of Visible Minority Carer-Employees","authors":"Reemal Shahbaz,&nbsp;Allison Williams,&nbsp;Bharati Sethi,&nbsp;Olive Wahoush","doi":"10.1155/hsc/4282271","DOIUrl":"https://doi.org/10.1155/hsc/4282271","url":null,"abstract":"<div>\u0000 <p>In Canada, approximately 35% of individuals in the workforce are carer employees (CEs). Workplaces lack support programs and initiatives resulting in CEs taking absences from work and opting for early retirement. These circumstances additionally decrease productivity and economic growth, and cause strains on the psychological, physical, and financial well-being of CEs. Many newcomers to Canada are providing care to those across transnational boundaries while being employed. These immigrants are known as transnational CEs (TCEs). The research questions this secondary analysis aims to answer are “<i>What are the experiences of visible minority TCEs before and after the Covid-19 pandemic in London, Ontario, and what are the implications of these experiences for policymakers and employers?</i>”. A qualitative thematic analysis by Braun &amp; Clarke using the ATLAS.ti coding software was conducted to examine the dataset on South American, African, Pakistani, and Syrian descent TCEs. The philosophical orientation that underpins this study is constructivism and the theoretical framework that informs the findings is the intersectionality theory. Data analysis generated from the 29 participants in the study revealed three main themes: (1) the variations in gender-based transnational care, (2) cultural expectations of caregiving, and (3) recommendations to policymakers and employers. The results of the study suggest that male TCEs are more likely to provide financial caregiving, whereas female TCEs do more physical and emotional caring. Furthermore, culture influences caregiving as there are higher expectations from the only or eldest child in the family and those who live abroad. The findings also illustrate that there is a lack of caregiver-friendly workplace policies (CFWPs) in the workplaces (e.g., family responsibility leave) and TCEs lack knowledge about CFWPs. They recommended financial relief, employer support, and extended vacation/family leave to help them balance work and transnational caregiving. Study implications include employer engagement to promote and sustain visible minority TCEs’ health and well-being and educating TCEs and employers on the importance of CFWPs.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/4282271","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143831209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Social Prescribing Interventions in Addressing Health Inequalities in the United Kingdom: A Narrative Review","authors":"Christiana Melam,&nbsp;Judith Dyson,&nbsp;Kate Thomson","doi":"10.1155/hsc/6613809","DOIUrl":"https://doi.org/10.1155/hsc/6613809","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Social prescribing (SP), developed in the United Kingdom through general practice, has seen varied implementation worldwide, influenced by cultural, healthcare and political contexts. Among the various efforts to reduce health inequalities among individuals and groups, social prescribing has been proposed as a key intervention. Despite growing interest, there is a need for a critical examination of social prescribing’s role in addressing health inequalities.</p>\u0000 <p><b>Aim:</b> This study aims to review the experiences of SP service users and service providers concerning the impact of SP on health inequalities in the United Kingdom. By synthesising existing evidence, it seeks to contribute to ongoing discussions and inform future research and policy directions.</p>\u0000 <p><b>Methods:</b> A systematic search and narrative synthesis followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Databases searched included Web of Science, CINAHL, Medline, PsycArticles and PsycINFO, using keywords related to SP and inequalities.</p>\u0000 <p><b>Results:</b> A total of 441 records were identified, with 20 papers meeting the inclusion criteria selected for analysis. The findings highlighted the positive role of SP in addressing the sociopsychological needs of patients and managing long-term conditions. Barriers included resource constraints, training limitations and accessibility challenges, particularly during the COVID-19 pandemic. Facilitators emphasised the importance of the link worker/service user relationship, collaboration and integration.</p>\u0000 <p><b>Conclusion:</b> SP is important in addressing health inequalities, particularly by targeting sociopsychological factors and managing long-term conditions. However, the complexity of these inequalities requires more tailored models and research. None of the studies examined SP within NHS National Health Inequalities framework such as Core20PLUS5. Future research should explore how SP interventions align with and contribute to national efforts to reduce health inequalities. Overcoming barriers such as resource limitations, training gaps and accessibility challenges, while strengthening link-worker relationships, is essential. Multisectoral collaboration and integrating SP into clinical practices are key to enhancing its impact.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/6613809","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143826768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Development of an Employment Anxiety Scale for Chinese College Graduates","authors":"Weidong Wang,&nbsp;Yisong Hu","doi":"10.1155/hsc/9964482","DOIUrl":"https://doi.org/10.1155/hsc/9964482","url":null,"abstract":"<div>\u0000 <p>This study aims to develop an employment anxiety scale for Chinese college graduates, providing a tool for subsequent research on employment anxiety in China. The exploratory factor analysis (EFA) identified two factors: “Cognitive Expectations” and “Somatic Symptoms.” The confirmatory factor analysis (CFA) results suggested that retaining 14 key items led to a good model fit, confirming the EFA results. The internal consistency reliability of the scale was 0.9254. Correlation analysis between the self-constructed scale and the State–Trait Anxiety Inventory indicated high validity of the self-constructed scale. Graduates’ anxiety scale scores varied by different sociodemographic characteristics. Female graduates, undergraduates, and graduates from regular colleges scored higher on the anxiety scale. The self-constructed employment anxiety scale for college graduates demonstrated good reliability and validity, making it a suitable tool for measuring employment anxiety among college graduates. Furthermore, it holds significant potential for informing targeted interventions by universities to address key aspects of employment anxiety and for evaluating the effectiveness of employment-related policies, ultimately supporting graduate well-being and improving outcomes in the transition to the workforce.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/9964482","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143770446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep Health in People Experiencing Homelessness: A Scoping Review","authors":"Shannon L. Edmed,&nbsp;Louis de Waal,&nbsp;Kalina R. Rossa,&nbsp;Cassandra L. Pattinson,&nbsp;Caroline Salom,&nbsp;Sylistah Gadam,&nbsp;Nadine Lorimer,&nbsp;Simon S. Smith","doi":"10.1155/hsc/8766803","DOIUrl":"https://doi.org/10.1155/hsc/8766803","url":null,"abstract":"&lt;div&gt;\u0000 &lt;p&gt;&lt;b&gt;Objectives:&lt;/b&gt; The objective of this scoping review was to explore the body of knowledge that exists on the topic of sleep in adults experiencing homelessness.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Background:&lt;/b&gt; Sleep is essential for health and wellbeing, and has an important role in cognition, decision making and life outcomes. The experience of homelessness increases exposure to risk factors that influence poor sleep health, including social and environmental exposures. People experiencing homelessness may not have the autonomy to mitigate these environmental and social impacts.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Methods:&lt;/b&gt; For this scoping review, we searched for English language peer-reviewed articles in PubMed, Web of Science, Scopus, Sociological Abstracts, Social Science Database, Australian Public Affairs Full Text and PsycINFO. Forward and backward searching of included articles was also conducted. The methodology for this scoping review was guided by the scoping review framework in the Joanna Briggs Institute Manual for Evidence Synthesis.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Eligibility Criteria:&lt;/b&gt; Studies were included if they examined the concept of any dimension of the sleep experience (including sleep-related daytime impairment) in adults 18 years and over experiencing homelessness in high income countries.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Sources of Evidence:&lt;/b&gt; This review considered research-oriented literature, including original research, reviews, meta-analyses, practice guidelines, qualitative studies, conference abstracts, and government and nongovernment research-oriented reports.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Charting Methods:&lt;/b&gt; Data were extracted on publication year, research design, geographical location, participant characteristics, measurement and key findings. Findings were narratively described or presented as frequencies. A thematic analysis was also completed for qualitative research studies.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Results:&lt;/b&gt; This review extracted data from 101 studies. Of these, 45 were quantitative, 43 were qualitative, 6 were mixed-methods, and 7 were narrative reviews. The majority of studies included a focus on populations from the United States (56 studies), followed by the United Kingdom (18 studies). Only 34% of the included studies explicitly focussed on sleep as a core objective of the research. In the thematic analysis, the most frequently identified barriers to sleep across studies were safety and security, weather exposure and lack of comfort.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Conclusions:&lt;/b&gt; This scoping review identified notable gaps in the literature, including a need for validated subjective and objective sleep measures for people experiencing homelessness, and a lack of research on sleep interventions in this population. Review findings can be used to stimulate and guide more targeted research, helping to identify appropriate intervention targets and approaches to improve sleep and related outcomes in this population.&lt;/p&gt;\u0000 ","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/8766803","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143770156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"People Transforming Communities Through Community Commitment. A Case Study of Two Mid-Western Community Leadership Development Programs","authors":"Ifeolu David,&nbsp;Wilson Majee","doi":"10.1155/hsc/7002933","DOIUrl":"https://doi.org/10.1155/hsc/7002933","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Community leadership programs (CLPs) play a crucial role in cultivating local leadership that is instrumental in driving substantial changes within communities.</p>\u0000 <p><b>Objective:</b> Using an organizational commitment framework, this study evaluates the impact of two Midwestern CLPs cultivating community commitment and facilitating the application of leadership skills to promote community well-being.</p>\u0000 <p><b>Methods:</b> A qualitative research design was employed, involving in-depth interviews with program graduates (33), facilitators (4), and community partners (4). The study assessed the nature and effects of affective, normative, and continuance commitment developed through participation in these programs.</p>\u0000 <p><b>Findings:</b> Participants demonstrated strong community commitment, characterized by a deep emotional connection to, a felt responsibility for, and a persistent engagement with, their communities. These forms of commitment were critical in enabling participants to apply learned leadership skills effectively to initiate and sustain community improvement projects.</p>\u0000 <p><b>Conclusion:</b> CLPs are crucial in enhancing community commitment and leadership capacity, thereby driving transformative community change. The programs not only develop individual leaders but also promote a collective leadership ethos that is essential for addressing community challenges collaboratively. The findings advocate for the broader implementation of CLPs to strengthen community ties and improve collective community health and well-being.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/7002933","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143769973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Green Social Prescribing: A Before and After Evaluation of a Novel Community-Based Intervention for Adults Experiencing Mental Health Problems","authors":"P. M. Darcy,&nbsp;H. Armitt,&nbsp;A. Hurd,&nbsp;L. W. Paton,&nbsp;P. C. L. White,&nbsp;P. A. Coventry","doi":"10.1155/hsc/2016261","DOIUrl":"https://doi.org/10.1155/hsc/2016261","url":null,"abstract":"<div>\u0000 <p>There is a strong body of evidence that points to the mental health and well-being benefits of nature alongside a growing evidence based on the health and well-being benefits of green social prescribing. Central to the UK government’s commitment to transform mental health services, seven successful ‘test and learn’ green social prescribing sites were identified across England, including the Humber and North Yorkshire green social prescribing programme. We used a cohort design to compare participants’ mental health and well-being outcomes before and after exposure to nature-based interventions offered via a referral from social prescribing organisations linked to the green social prescribing initiative. Data were collected between February 2022 and March 2023 using before and after questionnaires to determine the impact of green social prescribing on mental health and well-being outcomes using ONS-4 and Hospital and Anxiety Depression scales. In total, two hundred and twenty-three participants from across Humber and North Yorkshire were included in the cohort evaluation. Survey data were analysed quantitatively using descriptive and multivariable analyses. After adjustments for deprivation and health status, larger benefits for improvements in well-being were found to be associated with nature-based activities with durations of nine to 12 weeks compared to those with durations of one to four weeks. Horticultural and care farming activities were also shown to be associated with some improvements in well-being over nature-based sports and exercise activities. We have undertaken the first longitudinal and quantitative evaluation of the NHS England green social prescribing “test and learn” programme across Humber and North Yorkshire. Our evaluation in Humber and North Yorkshire showed green social prescribing is beneficial for mental health and well-being among community-based adults, suggesting potential as a timely and relevant community-based intervention to address the demand for mental health care in an era of high unmet need.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/2016261","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143741316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stay or Return: A Qualitative Exploration of the Experiences of Malawian Migrants Who Returned From South Africa During Covid-19","authors":"Wilson Majee,&nbsp;Ifeolu David,&nbsp;Gashaye M. Tefera,&nbsp;Martina Lembani","doi":"10.1155/hsc/9508497","DOIUrl":"https://doi.org/10.1155/hsc/9508497","url":null,"abstract":"<div>\u0000 <p>Covid-19 created unprecedented disruptions on human migration. Business closures and travel bans disproportionately impacted economic migrants who were neither able to support their families nor travel to their home countries. The primary aim of the study was to explore the experiences of Malawian migrants who returned from South Africa during Covid-19. A secondary objective was to explore solutions to the migration-related challenges that migrants experienced. A qualitative approach involving 15 in-depth interviews with Malawian migrants living in South Africa who returned home during Covid-19 was used. Interviews were audio-recorded, transcribed verbatim, and analyzed thematically. Three main themes emerged from the data and revolved around the migration stages, namely, the pre-return/departure stage, the travel/transit phase, and the return and reintegration. Within these migration phases, participants reported failure to integrate with host community, fear of dying in a foreign country, financial hardship, corruption, risk of contracting diseases due to limited hygiene, and economic hardships in the home country as some of the main challenges they dealt with. Reintegration with family members was generally very positive as most migrants indicated that their family members were happy to see them alive. To effectively mitigate these challenges at various phases of the migration cycle, there is a need for swift and better coordination and policy change at the governmental level to take actions that support and protect migrants, as well as community and individual level actions such as saving money for emergencies.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/9508497","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143735442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social Prescribing Data and Outcome Recording Practices: An Interview-Based Study Into the Opinions and Experiences of Social Prescribing Stakeholders in the Liverpool City Region, UK","authors":"F. Wobi,&nbsp;C. E. Brett,&nbsp;R. Harrison,&nbsp;T. M. Kidd,&nbsp;H. Timpson","doi":"10.1155/hsc/8094184","DOIUrl":"https://doi.org/10.1155/hsc/8094184","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Social prescribing (SP) is a system-wide approach to reducing health inequalities through nonclinical healthcare interventions. The aim of this study was to explore the practices undertaken and the opinions held by various stakeholders involved in SP in relation to data collection and information utilisation within and between SP programmes/schemes.</p>\u0000 <p><b>Methods:</b> Semistructured interviews were conducted with nine stakeholders involved in SP planning and delivery within the Liverpool City Region (LCR), including SP link workers, service managers and commissioners. A deductive thematic analysis approach was used to analyse the transcripts.</p>\u0000 <p><b>Results:</b> Three themes were identified pertaining to quantitative data recording, qualitative data recording and the utilisation of data. The interviews revealed considerable variations in systems and consistency of data collection among stakeholders. While some data were collected via existing outcome measurement tools, their adequacy for use within SP in particular was critiqued. Case studies and qualitative feedback (formal and informal) were more frequently used and were felt to be more effective in capturing impact. Strengths of data sharing included the creation of data intelligence to inform more targeted service provision. Knowledge of national guidance pertaining to SP data collection and outcome recording was lacking.</p>\u0000 <p><b>Conclusion:</b> Further research on the acceptability of incorporating further SP-specific indicators within commissioner reporting systems is needed, including formal acknowledgement of qualitative impact reporting on existing, quantitative health inequality indicators or key performance indicators. However, the burden of this on existing structures needs to be assessed. Support for data linkage arrangements and data recording processes, combined with wider routine outcome data recording, can support a targeted approach to increasing the evidence base for SP’s impact on health and wellbeing.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/8094184","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143726796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers to Participation in Nature Prescriptions: Evidence From a Cross-Sectional Survey of Adults in Australia, India, Singapore, the United Kingdom, and the United States","authors":"Michelle Kondo,&nbsp;Deepti Adlakha,&nbsp;Melissa Marselle,&nbsp;Nicole Odell,&nbsp;Katarzyna Olcon,&nbsp;Katherine Deutsch,&nbsp;Xiaoqi Feng,&nbsp;Aaron Hipp,&nbsp;Thomas Astell-Burt","doi":"10.1155/hsc/6635387","DOIUrl":"https://doi.org/10.1155/hsc/6635387","url":null,"abstract":"<div>\u0000 <p>Cities, states, and countries across the globe are recognizing the interconnections of human and planetary health, and are investing in greening. Nevertheless, environmental improvements may not bring adequate changes in exposure needed to reduce chronic disease and improve mental health. Nature prescription, in which a health provider refers a patient to spend time outdoors, is a potential behavioral intervention that could connect people to accessible green spaces. However, formidable patient barriers could reduce the potential to scale-up implementation in equitable and sustained ways. We surveyed 2625 adult respondents within Australia, India, Singapore, the United States, and the United States about their perceptions of a set of seven potential barriers to participation in nature prescriptions. Analyses revealed that respondents in India and Singapore, although most aware of and experienced with nature prescriptions, reported facing greater barriers than in other countries. Weather was the most commonly reported barrier, followed by the lack of time and distance. A lack of interest was a greater barrier among young, urban respondents with a college degree. The barrier of the lack of company was greater for urban residents and for those experiencing financial difficulty. In addition, contrary to many prior studies, we observed greater overall perceived barriers for respondents with higher education levels. Many of the perceived barriers covered by our survey are structurally modifiable, and programs developing in each of these locations may draw from these findings to tailor outreach strategies.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/6635387","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Promoting Physical Activity Through Social Prescribing: A Narrative Review of Literature on the Mechanisms of Change","authors":"Julie Sandell Jacobsen,&nbsp;Rasmus Østergaard Nielsen,&nbsp;Nanna Holt Jessen,&nbsp;Halfdan Thorsø Skjerning,&nbsp;Sebastian Skejø,&nbsp;Lene Gissel Rasmussen,&nbsp;Dea Kejlberg Andelius,&nbsp;Solvej Videbæk Bueno,&nbsp;Per Kallestrup,&nbsp;Jeanette Reffstrup Christensen,&nbsp;Knud Ryom","doi":"10.1155/hsc/3898705","DOIUrl":"https://doi.org/10.1155/hsc/3898705","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Social prescribing (SP) has received increasing interest in recent years due to its potential to encourage health-promoting behaviours, such as physical activity (PA). However, to develop effective SP interventions, it is critical to enhance our understanding of the mechanisms of change associated with SP and their potential to promote PA. This review aimed to synthesise the mechanisms of change in SP interventions and to develop a logic model illustrating a theoretical framework for SPs potential to promote PA.</p>\u0000 <p><b>Methods:</b> A narrative review was performed, including a systematic literature search in Medline, Embase and PsycINFO. The systematic literature search was finalised on 21 February 2023, and studies investigating mechanisms of change in SP interventions were included. Findings were synthesised and illustrated in a logic model illustrating how SP interventions may promote PA as an outcome.</p>\u0000 <p><b>Results:</b> The systematic literature search identified 340 studies, of which 11 met the inclusion criteria. The SP interventions comprised three processes: referral, linking and engagement. These processes influenced various mechanisms of change, which were classified into two perspectives. From a person-centred perspective, the mechanisms with the potential to promote PA comprised self-efficacy, motivation, empowerment and ‘having a voice’. These mechanisms were associated with crucial elements of SP, such as tailoring to needs, trusted relationships, nonstigmatising activities and peer-to-peer support. From a system-based perspective, the mechanisms with the potential to promote PA included system capacity and resources together with shared understanding and knowledge. These mechanisms were related to crucial elements of SP, including reliance on established communication and network, local agency and accessibility.</p>\u0000 <p><b>Conclusion:</b> A person-centred perspective describes SPs potential to promote PA through various mechanisms of change. However, these mechanisms appear to be intricately connected with the local context. Consequently, SP intervention research could benefit from incorporating contextual factors and, ideally, also integrating system thinking.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/3898705","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143707440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}