Evidence Based Practice Unit (EBPU), University College London and the Anna Freud National Centre for Children and Families, London, England.
Research Department of Behavioural Science and Health, Institute of Epidemiology & Health Care, University College London, London, England.
Eur Child Adolesc Psychiatry. 2024 May;33(5):1465-1479. doi: 10.1007/s00787-023-02257-x. Epub 2023 Jul 5.
There is growing interest in the role of Social Prescribing (SP) to help promote mental well-being and support individuals with mental health difficulties. Yet, implementation of SP to children and young people (CYP) has proved slow and underdeveloped compared with adult populations. Understanding the barriers and facilitators will help key stakeholders to better embed SP for CYP into practice. Using the Theoretical Domains Framework (TDF), a comprehensive, theoretical-led framework, underpinned by 33 behaviour change theories and 128 constructs, perceived barriers and facilitators to SP were investigated. The sample comprised of 11 Link Workers and 9 individuals involved in facilitating SP with CYP, who took part in semi-structured interviews. Transcripts were analysed using a deductive thematic analysis, and themes were coded under each theoretical domain. Overall, 33 barriers and facilitators for SP were identified across 12 domains of the TDF. Under capability, barriers and facilitators were found for knowledge, skills, memory/attention/decision making processes, and behavioural regulation. For opportunity, barriers and facilitators were found for social/professional influences, as well as environmental context and resources. Finally, for motivation, domains covered included: beliefs about consequences, beliefs about capabilities, optimism, motivations/goals, reinforcement, and emotions. Findings suggest that a wide range of barriers and facilitators affect the implementation of CYP SP to improve mental health and well-being. Interventions which target different domains related to capability, opportunity and motivation should be developed to better facilitate CYP SP.
人们对社会处方（SP）在促进心理健康和支持有心理健康困难的个人方面的作用越来越感兴趣。然而，与成年人群体相比，SP 在儿童和青少年（CYP）中的实施速度缓慢且欠发达。了解障碍和促进因素将帮助主要利益相关者更好地将 CYP 的 SP 纳入实践。本研究使用理论领域框架（TDF），这是一个全面的、理论导向的框架，由 33 个行为改变理论和 128 个构念支撑，调查了 SP 的障碍和促进因素。样本包括 11 名联络工作者和 9 名参与促进 CYP 社会处方的人，他们参加了半结构化访谈。使用演绎主题分析对转录本进行分析，并根据每个理论领域对主题进行编码。总体而言，在 TDF 的 12 个领域中确定了 33 个 SP 的障碍和促进因素。在能力方面，发现了知识、技能、记忆/注意力/决策过程和行为调节方面的障碍和促进因素。在机会方面，发现了社会/专业影响以及环境背景和资源方面的障碍和促进因素。最后，在动机方面，涵盖了以下领域：对后果的信念、对能力的信念、乐观、动机/目标、强化和情绪。研究结果表明，广泛的障碍和促进因素影响着实施 CYP SP 以改善心理健康和幸福感。应该开发针对能力、机会和动机相关不同领域的干预措施，以更好地促进 CYP SP。
