Aims: The aim of this systematic literature review is to assess the impact of social prescribing (SP) programmes on loneliness among participants and the population. Methods: We followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to search EBSCOHost (CINAHL Complete, eBook Collection, E-Journals, MEDLINE with Full Text, Open Dissertations, PsycARTICLES, and PsycINFO), UK National Institute for Health and Care Excellence (NICE), Web of Science Core Collection, and grey literature. We included studies measuring the effectiveness and impact of SP programmes in terms of loneliness. We excluded systematic reviews and studies without evaluations. Due to the absence of confidence intervals and the low number of studies, we conduct no meta-analysis. Results: From 4415 unique citations, nine articles met the inclusion criteria. The studies do not use uniform measures or randomised samples. All nine studies report positive individual impacts; three report reductions in general practitioner (GP), A&E, social worker, or inpatient/outpatient services; and one shows that belonging to a group reduces loneliness and healthcare usage. Conclusion: The findings of this systematic review indicate that individuals and service providers view SP as a helpful tool to address loneliness. However, evidence variability and the small number of studies make it difficult to draw a conclusion on the extent of the impact and the pathways to achieving positive change. More research is needed into the impact of SP programmes on participants, populations, and communities in terms of loneliness, isolation, and connectedness, especially in light of the surge in SP activity as a key part of pandemic response.
Social prescribing programmes (SP) are person-centred coaching schemes meant to help participants improve individual circumstances, thereby to reduce demand on health and social care. SP could be an innovative means to improve preventive and public health in the pursuit of universal financially sustainable healthcare. Given its potential, our systematic review assesses type, content, and quality of evidence available regarding SP effectiveness at the individual, system, and community levels. We examine the impact of SP on addressing loneliness, social isolation, well-being, and connectedness, as well as related concepts, which are not yet considered jointly in one study. Following PRISMA, we search: EBSCOHost (CINAHL Complete; eBook Collection; E-Journals; MEDLINE Full Text; Open Dissertations; PsycARTICLES; PsycINFO); Web of Science Core Collection; and UK National Institute for Health and Care Excellence. Excluding systematic reviews and articles without impact evaluations, we review 51 studies. Several studies do not distinguish between core concepts and/or provide information on the measures used to assess outcomes; exactly one peer-reviewed study presents a randomised controlled trial. If we wish to know the potential of social prescribing to lead to universal financially sustainable healthcare, we urge researchers and practitioners to standardise definitions and metrics, and to explore conceptual linkages between social prescribing and system/community outcomes.
Recent world events have renewed interest among social movement scholars in strategies and associated outcomes in campaigns against nondemocratic regimes. Most comparative work is limited to large-scale mobilization and takes violent/nonviolent tactics as given, thereby overlooking prior group mobilization and initial tactic choice. While a chosen tactic is plausibly related to group characteristics and resources, we argue that the mobilization process underlying large-scale campaigns begins when groups stake claims and assess those claims' potential. The proposed framework can help to explain both the specific tactics chosen and whether campaigns take on violent or nonviolent forms. We focus on grievances and the origins of mobilization through formulation of claims-making disputes over regime type, government composition, and electoral legitimacy—independent of mobilization—and consider how resources provide a comparative advantage for violence or nonviolence. An application to states in the former Soviet Union demonstrates the framework's utility for understanding when claims evolve to violent and nonviolent mobilization.
Bosnia and Herzegovina (BiH) experienced an unprecedented wave of non-sectarian anti-government protests in 2014. Although the key motivating factors generally highlighted such as economic marginalization and poor governance were common throughout Bosnia and Herzegovina, the protests did not extend to all parts of the country. Notably, despite very similar initial conditions in the two jurisdictions of the country, the Federation of Bosnia and Herzegovina (FBiH) saw major unrest with a large number of participants in many locations while subsequent protest mobilization was much more limited in the Republic of Srpska (RS). We take advantage of the variation in the responses from the two governments in the same country to evaluate how observed and anticipated government responses can shape the willingness to join dissident activity. We argue that variation in government responses and its impact on perceptions on prospects for successful collective action can help account for the differences in mobilization across the two entities. We test our expectations using a new data set on protest events, participants and government responses in BiH from January to April 2014. Our findings are consistent with the argument that coherent repressive government policies tend to suppress mobilization, while mixes of repressive responses and concessions from the government can encourage further mobilization. The results for FBiH show clear variation in protest following changes in government behavior, and are consistent the claim that repressive responses likely suppressed mobilization in the RS.
Dissidents can choose among different tactics to redress political grievances, yet violent and nonviolent mobilization tend to be studied in isolation. We examine why some countries see the emergence of organized dissident activity over governmental claims, and why in some cases these organizational claims result in civil wars or nonviolent campaigns, while others see no large-scale collective action. We develop a two-stage theoretical framework examining the organized articulation of political grievance and then large-scale violent and nonviolent collective action. We test implications of this framework using new data on governmental incompatibilities in a random sample of 101 states from 1960-2012. We show that factors such as demography, economic development and civil society have differential effects on these different stages and outcomes of mobilization. We demonstrate that the common finding that anocracies are more prone to civil war primarily stems from such regimes being more prone to see maximalist political demands that could lead to violent mobilization, depending on other factors conducive to creating focused military capacity We find that non-democracy generally promotes nonviolent campaigns as anocracies and autocracies are both more likely to experience claims and more prone to nonviolent campaigns, conditional on claims.
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