ArticleBMC primary care2025
Analysing comfort with primary care discussions and openness to social prescribing as mediators of the associations between loneliness and wellbeing among Canadians aged 55 and older.
Article in BMC primary care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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.
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Who cites it
2 citing papers in PubMed.
- Are quantitative targets for social network size and interaction frequency appropriate for public health guidelines on social connection? Evidence from loneliness and related mental health outcomes.SSM - population health · 2026Article
- Measuring the iceberg: complex lives, invisible metrics, and lived experience in social prescribing.Frontiers in public health · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAddressing the complex health and wellbeing challenges of older adults is a critical public health priority as populations age. Social Prescribing (SP) represents a promising strategy, connecting patients to non-clinical, community-based resources to enhance physical, mental, and social wellbeing.
methodsTo develop a SP theory of change, this study used cross-sectional data from 2,450 community-dwelling older adults who participated in a population survey. Factor analyses identified four factors of comfort with primary care discussions (general, mental, physical, and social wellness) and three factors of openness to SP (effectiveness, meaningfulness, and supportiveness). Path analysis was conducted for each set of mediators separately.
resultsPath analyses revealed that comfort with primary care discussions about social wellness (β = 0.08**) is associated with better wellbeing. People who report social loneliness are most comfortable with primary care discussions about general wellness (β = - 0.17***) and least comfortable with primary care discussions about mental wellness (β = - 0.24***), whereas people who report emotional loneliness are more likely to have similar levels of comfort to discuss general wellness and mental wellness (β = - 0.18***; - 0.18***). In addition, social loneliness is associated with less comfort with primary care discussions about social wellness (β = - 0.19***) and mental wellness (β = - 0.19***), whereas association is not found for emotional loneliness. These suggest that addressing the SP needs of people who experience emotional loneliness requires a different strategy. Reporting emotional loneliness is associated with expressing support for SP (β = 0.14***), which may be key to improving wellbeing (β = 0.10***) among this population. Overall, social loneliness has a total effect size of β
conclusionsWhile SP may be acceptable to those who need it, some may experience greater difficulties accessing SP through primary care providers without interventions tailored to their loneliness status that could elicit buy-in and enrolment. Primary care providers may wish to pay closer attention to people with emotional loneliness. Other considerations, such as trust and motivational interviewing for positive self-beliefs may explain potential changes from loneliness to wellbeing.
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Registered trials
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