Evidence map›Paper›PMID 36253037›Full record

SynthesisBMJ open2022

Effect of social prescribing link workers on health outcomes and costs for adults in primary care and community settings: a systematic review.

Bridget Kiely, Aisling Croke, Muireann O'Shea, Fiona Boland, Eamon O'Shea, Deirdre Connolly, Susan M Smith

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 12 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

78 citing papers in PubMed, 12 syntheses or guidelines pooled it.

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  8. 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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18 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

7 authors.

Bridget KielyDepartment of General Practice, RCSI University of Medicine and Health Sciences, Dublin, Ireland bridgetkiely@rcsi.com.ORCID 0000-0002-5752-0432
Aisling CrokeDepartment of General Practice, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
Muireann O'SheaDepartment of General Practice, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
Fiona BolandData Science Centre, RCSI University of Medicine and Health Sciences, Dublin, Ireland.ORCID 0000-0003-3228-0046
Eamon O'SheaSchool of Business and Economics, National University of Ireland Galway, Galway, Ireland.
Deirdre ConnollyDiscipline of Occupational Therapy, Trinity College, Dublin, Ireland.
Susan M SmithDepartment of General Practice, RCSI University of Medicine and Health Sciences, Dublin, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo establish the evidence base for the effects on health outcomes and costs of social prescribing link workers (non-health or social care professionals who connect people to community resources) for people in community settings focusing on people experiencing multimorbidity and social deprivation.

designSystematic review and narrative synthesis using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach. DATA SOURCES: Cochrane Database, Cochrane Central Register of Controlled Trials, ClinicalTrials.gov, EU Clinical Trials Register, CINAHL, Embase, Global Health, PubMed/MEDLINE, PsycInfo, LILACS, Web of Science and grey literature were searched up to 31 July 2021. A forward citation search was completed on 9 June 2022. ELIGIBILITY CRITERIA: Controlled trials meeting the Cochrane Effectiveness of Practice and Organisation of Care (EPOC) guidance on eligible study designs assessing the effect of social prescribing link workers for adults in community settings on any outcomes. No language restrictions were applied. DATA EXTRACTION AND SYNTHESIS: Two independent reviewers extracted data, evaluated study quality using the Cochrane EPOC risk of bias tool and judged certainty of the evidence. Results were synthesised narratively.

resultsEight studies (n=6500 participants), with five randomised controlled trials at low risk of bias and three controlled before-after studies at high risk of bias, were included. Four included participants experiencing multimorbidity and social deprivation. Four (n=2186) reported no impact on health-related quality of life (HRQoL). Four (n=1924) reported mental health outcomes with three reporting no impact. Two US studies found improved ratings of high-quality care and reduced hospitalisations for people with multimorbidity experiencing deprivation. No cost-effectiveness analyses were identified. The certainty of the evidence was low or very low.

conclusionsThere is an absence of evidence for social prescribing link workers. Policymakers should note this and support evaluation of current programmes before mainstreaming. PROSPERO REGISTRATION NUMBER: CRD42019134737.

Indexed as

Quality of LifeSocial WorkersAdultControlled Before-After StudiesHumansOutcome Assessment, Health CarePrimary Health Carehealth policyprimary caresocial medicine

Identifiers

PMID36253037
PMCPMC9644316

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.