Evidence map›Paper›PMID 34094992›Full record

ArticleJournal of multimorbidity and comorbidity

Primary care-based link workers providing social prescribing to improve health and social care outcomes for people with multimorbidity in socially deprived areas (the LinkMM trial): Pilot study for a pragmatic randomised controlled trial.

Bridget Kiely, Deirdre Connolly, Barbara Clyne, Fiona Boland, Patrick O'Donnell, Eamon O Shea, Susan M Smith

Registry-linked trialAbstract read
In one paragraph

Article in Journal of multimorbidity and comorbidity. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07768332 (Exploring the Feasibility of Social Prescription in People on the Autism Spectrum), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 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.

NCT07768332 narecruitingnot on this map

Exploring the Feasibility of Social Prescription in People on the Autism Spectrum

TypeinterventionalSponsorNational Taiwan University HospitalRan2024 to 2027Enrolled90ConditionsAutism Spectrum Disorder (ASD, Autism, Autistic Spectrum Disorder (ASD)ArmsIndependent museum visit, Guided museum visits and group discussions, Museum visit with a friend
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Article
  10. Social prescription for the elderly: a community-based scoping review.Primary health care research & development · 2024
    Article
  11. Article
  12. Guides for facilitating the implementation and evaluation of social prescribing: lessons from the "Access to Resources in the Community" model.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2024
    Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
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

7 authors.

Bridget KielyHRB Centre for Primary Care Research, Royal College of Surgeons, Dublin, Ireland.ORCID 0000-0002-5752-0432
Deirdre ConnollyDiscipline of Occupational Therapy, Trinity College, Dublin, Ireland.
Barbara ClyneHRB Centre for Primary Care Research, Royal College of Surgeons, Dublin, Ireland.
Fiona BolandData Science Centre and HRB Centre for Primary Care Research, Royal College of Surgeons, Dublin, Ireland.ORCID 0000-0003-3228-0046
Patrick O'DonnellSchool of Medicine, University of Limerick, Limerick, Ireland.
Eamon O SheaCentre for Economic and Social Research on Dementia, National University of Ireland, Galway, Galway, Ireland.
Susan M SmithHRB Centre for Primary Care Research, Royal College of Surgeons, Dublin, Ireland.ORCID 0000-0001-6027-2727

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIndividuals with multimorbidity in deprived areas experience worse health outcomes and fragmented care. Research suggests that primary care-based link workers providing social prescribing have potential to improve health and well-being. This paper reports the results of a pilot study conducted in preparation for a randomised controlled trial (RCT) that aims to test the effectiveness of primary care-based link workers providing social prescribing in improving health outcomes for people with multimorbidity who attend general practices in deprived areas in Ireland.

methodsAn uncontrolled pilot study of an intervention based on the Glasgow Deep End links worker programme, in a single general practice, tested the feasibility and acceptability of planned processes for a RCT. Outcomes were recruitment and retention rates and acceptability of the trial processes and intervention to patients, general practitioners (GPs) and the link worker. Structured interviews were conducted with six patients, the link worker and two GPs within the practice and analysed using descriptive qualitative analysis. Feedback from a Public Patient Involvement group and an Implementation Advisory Group of key stakeholders was incorporated into the evaluation process.

resultsTwelve out of 14 patients completed the intervention. Selection and recruitment processes were lengthier than expected. GPs recommended including psychosocial need in the selection process. Interviewed patients, the GPs and the link worker were positive about the intervention.

conclusionA range of adaptations were identified for the main trial, mainly considering psychosocial need in the selection process to reflect normal referral pathways. This has resulted in a pragmatic RCT design.

Indexed as

complex interventiongeneral practiceLink workermultimorbidityprimary caresocial deprivationsocial prescribing

Identifiers

PMID34094992
PMCPMC8142241

What OpenQuestion holds

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Registered trials

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.