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在瑞典试行社交处方(SPiS)——一项针对老年人孤独感的干预项目,采用综合护理模式:研究方案。

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.

作者信息

Johansson Erika, Jonsson Frida, Rapo Emil, Lundgren Anna-Sofia, Hörnsten Åsa, Nilsson Ingeborg

机构信息

Umeå University, SE.

出版信息

Int J Integr Care. 2021 Jun 22;21(2):33. doi: 10.5334/ijic.5609.

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.

摘要

引言

65岁及以上老年人的孤独感和社会孤立是一个新出现的受到公众关注的问题,与发病率和死亡率增加相关。目前在瑞典尚未开发、实施或评估针对孤独感的系统性干预措施。本项目的总体目标是开发、测试和完善一个以个人为中心的瑞典社会处方模式(SPiS),并评估它是否以及如何减少老年人的孤独感、促进健康和改善幸福感。

描述

重点将是开发、进行文化调适、评估和完善社会处方模式。按照现实主义评价的顺序结构,在三个连续阶段收集和运用定性与定量数据以及后续分析方法。该项目将提供关于社会处方模式在老年人孤独感、健康和幸福感方面,对谁有效、在何种条件下有效以及为何有效的知识。

讨论

社会处方模式具有独特地位,可提供关于如何在瑞典背景下减少孤独感的初步知识。然而,评估很复杂,因为这项研究超出了“它是否有效?”这个一维问题。

结论

开发、实施和评估这样一个复杂项目需要系统且密切的评估。

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