Evidence map›Paper›PMID 31727668›Full record

ArticleBMJ open2019

The social cure of social prescribing: a mixed-methods study on the benefits of social connectedness on quality and effectiveness of care provision.

Blerina Kellezi, Juliet Ruth Helen Wakefield, Clifford Stevenson, Niamh McNamara, Elizabeth Mair, Mhairi Bowe, Iain Wilson, Moon Moon Halder

Abstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed, 14 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

74 citing papers in PubMed, 14 syntheses or guidelines pooled it.

  1. Pooled it
  2. Outcomes and instruments used in social prescribing: a modified umbrella review.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2024
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  14. Can Social Prescribing Foster Individual and Community Well-Being? A Systematic Review of the Evidence.International journal of environmental research and public health · 2021
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14 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Blerina KelleziPsychology, Nottingham Trent University, Nottingham, UK blerina.kellezi@ntu.ac.uk.ORCID 0000-0003-4825-3624
Juliet Ruth Helen WakefieldPsychology, Nottingham Trent University, Nottingham, UK.ORCID 0000-0001-9155-9683
Clifford StevensonPsychology, Nottingham Trent University, Nottingham, UK.ORCID 0000-0002-2438-6425
Niamh McNamaraPsychology, Nottingham Trent University, Nottingham, UK.ORCID 0000-0003-3123-3678
Elizabeth MairPsychology, Nottingham Trent University, Nottingham, UK.ORCID 0000-0001-5356-5927
Mhairi BowePsychology, Nottingham Trent University, Nottingham, UK.ORCID 0000-0002-0491-1472
Iain WilsonPsychology, Nottingham Trent University, Nottingham, UK.ORCID 0000-0001-6670-9328
Moon Moon HalderPsychology, Nottingham Trent University, Nottingham, UK.ORCID 0000-0002-1608-6027

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis 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.

designMixed-methods: Study 1: semistructured interviews; study 2: longitudinal survey.

settingAn English SP pathway delivered between 2017 and 2019.

participantsStudy 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.

interventionChronically 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 measureStudy 1: health providers and users' qualitative perspectives on the experience of the pathway and social determinants of health. Study 2: patients' primary care usage.

resultsHealthcare 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.

conclusionsMethodological 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.

Indexed as

Patient Acceptance of Health CarePrescriptionsSocial ParticipationSocial WorkAdultAgedAged, 80 and overFemaleFocus GroupsHumansInterviews as TopicLonelinessMaleMiddle AgedPrimary Health CareQualitative Researchcommunitylonelinessprimary caresocial curesocial determinants of healthsocial prescribing

Identifiers

PMID31727668
PMCPMC6887058

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.