Evidence map›Paper›PMID 41859853›Full record

ArticleHealth promotion international2026

Unpacking the early implementation of social prescribing in Swedish primary care: a theory-informed process evaluation.

Frida Jonsson, Emilia W E Viklund, Frida Degerstedt, Anna Sofia Lundgren, Ingeborg Nilsson

Abstract read
In one paragraph

Article in Health promotion international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. 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

5 authors.

Frida JonssonDepartment of Social Work, Samhällsvetarhuset, plan 5, Biblioteksgränd 4, Umeå University, 901 87 Umeå, Sweden.ORCID 0000-0002-5902-3798
Emilia W E ViklundDepartment of Community Medicine and Rehabilitation, Biologihuset, plan 6, Johan Bures väg 12, Umeå University, 901 87 Umeå, Sweden.
Frida DegerstedtDepartment of Community Medicine and Rehabilitation, Biologihuset, plan 6, Johan Bures väg 12, Umeå University, 901 87 Umeå, Sweden.
Anna Sofia LundgrenDepartment of Culture and Media Studies, Humanisthuset, Biblioteksgränd 3, Umeå University, 901 87 Umeå and Affiliated with Centre for Demography and Ageing Research (Cedar), Norra Beteendevetarhuset, plan 4, Humanioragränd, Umeå University, 901 87 Umeå, Sweden.
Ingeborg NilssonDepartment of Community Medicine and Rehabilitation, Biologihuset, plan 6, Johan Bures väg 12, Umeå University, 901 87 Umeå, Sweden.

Funding

Swedish Research Council 2022-00342Umeå University FS. 2.1.6-374-21
6 · The paper itself

Abstract

Social prescribing has gained attention internationally as a health-promoting way to address patients' nonmedical needs, yet research in the Nordic healthcare context remains limited. This theory-informed process evaluation set out to unpack the early implementation of a social prescribing model in Swedish primary care, developed to reduce loneliness and promote health among older adults. Guided by Normalization Process Theory (NPT) and the Consolidated Framework for Implementation Research (CFIR), this study assessed how and under what conditions the model was implemented across 10 primary care centres between May 2023 and December 2024. Data were triangulated from interviews with prescribers and patients, alongside prescribing and follow-up materials. Thematic analysis indicated that while the approach was perceived as relevant and timely, implementation was hindered by a selective use of the routine screening question and lack of person-centredness in the prescribing process, reflecting poor fidelity to core principles. Leadership engagement and managerial support that appeared symbolic rather than active further constrained implementation by limiting integration into organizational workflows, rendering the approach peripheral or optional to other clinical and statutory tasks. The model's operationalization also lacked alignment with community resources and bridging structures, limiting implementation by failing to meet patients' needs and expectations. While the Swedish social prescribing approach aligns with national policy discourse and prescribers' values, its scale-up will require clearer guidance on components needing high-fidelity delivery, necessary organizational structures, accessible local resources, and mechanisms linking primary care with the wider community. These findings contribute to the international evidence base on social prescribing and inform refinements of the Swedish model.

Indexed as

Health PromotionPrimary Health CareSocial PrescribingAgedHumansSwedenimplementationlonelinessNormalization Process Theory (NPT)older adultsprimary careprocess evaluationsocial prescribing

Identifiers

PMID41859853
PMCPMC13017104

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.