Let’s Try Social Prescribing in Sweden (SPiS) – an Interventional Project Targeting Loneliness among Older Adults Using a Model for Integrated Care: A Research Protocol

Abstract

Introduction: Loneliness and social isolation among older adults (≥65) are an emerging issue of public concern, associated with increased morbidity and mortality. Today there is no systematic intervention developed, implemented or evaluated in Sweden addressing loneliness. The overall aim for this project is to develop, test and refine a person-centred Swedish model for social prescribing (SPiS), and to assess whether and how it reduces loneliness, promotes health and improves well-being among older adults.Description: The focus will be to develop, culturally adapt, evaluate and refine the SPiS model. Following the sequential structure of realist evaluation in three consecutive phases qualitative and quantitative data along with subsequent analysis methods will be collected and utilized. The project will provide knowledge of what works with the social prescribing model, for whom, in what conditions and why, in relation to loneliness, health and well-being among older adults.Discussion: SPiS has the unique position of providing initial knowledge regarding how to reduce loneliness in the Swedish context. However, evaluation is complex as this research goes beyond the unidimensional question "Is it working?". Conclusion:Developing, implementing and evaluating such a complex program needs systematic and close evaluation.

Social support in maintaining mental health and quality of life among community-dwelling older people with functional limitations in Malaysia: a population-based cross-sectional study

“…In this paradigm, the health sector seamlessly integrates referrals for community-based social activities into the treatment plans for older people. 80 81 To effectively implement this initiative in Malaysia, a comprehensive approach is essential, beginning with the mapping and garnering support from various facilities that offer relevant services. This entails identifying and engaging stakeholders across different sectors to ensure alignment and collaboration.…”

Global developments in social prescribing

“…28 29 In the USA, social prescriptions have largely focused on connecting patients to resources for basic needs, given significant socioeconomic inequalities and a weaker public social safety net. 30 In Sweden, 31 the Netherlands 18 and countries that position social prescribing as part of larger Healthy Aging national strategies, such as Singapore and China, social prescriptions have often focused on social isolation and overall well-being. 23 32 The WHO estimates 70%-90% of healthcare takes place in the home.…”

European Perspective on How Social Prescribing Can Facilitate Health and Social Integrated Care in the Community

“…The goal is to improve their mental health and physical well-being by allowing them to focus on what is important to them, thus giving them more control over their health and wellbeing [1]. It is often described as an innovative form of integrated care more focused on social engagement, as social activities are considered protective factors against isolation and subjective loneliness [2][3][4]. Social prescribing is sometimes known as community referral and by similar names.…”