Dingle Genevieve A, Sharman Leah S, Hayes Shaun, Haslam Catherine, Cruwys Tegan, Jetten Jolanda, Haslam S Alexander, McNamara Niamh, Chua David, Baker James R, Johnson Tracey
School of Psychology, The University of Queensland, Brisbane, QLD, Australia.
Research School of Psychology, Australian National University, Canberra, ACT, Australia.
Front Psychol. 2024 Apr 12;15:1359855. doi: 10.3389/fpsyg.2024.1359855. eCollection 2024.
There have been few controlled evaluations of Social Prescribing (SP), in which link workers support lonely individuals to engage with community-based social activities. This study reports early outcomes of a trial comparing General Practitioner treatment-as-usual (TAU) with TAU combined with Social Prescribing (SP) in adults experiencing loneliness in Queensland.
Participants were 114 individuals who were non-randomly assigned to one of two conditions (SP, = 63; TAU, = 51) and assessed at baseline and 8 weeks, on primary outcomes (loneliness, well-being, health service use in past 2 months) and secondary outcomes (social anxiety, psychological distress, social trust).
Retention was high (79.4%) in the SP condition. Time × condition interaction effects were found for loneliness and social trust, with improvement observed only in SP participants over the 8-week period. SP participants reported significant improvement on all other outcomes with small-to-moderate effect sizes (ULS-8 loneliness, wellbeing, psychological distress, social anxiety). However, interaction effects did not reach significance.
Social prescribing effects were small to moderate at the 8-week follow up. Group-based activities are available in communities across Australia, however, further research using well-matched control samples and longer-term follow ups are required to provide robust evidence to support a wider roll out.
对社会处方(SP)的对照评估较少,在社会处方中,联络工作人员帮助孤独的人参与社区社会活动。本研究报告了一项试验的早期结果,该试验比较了常规全科医生治疗(TAU)与TAU联合社会处方(SP)对昆士兰州孤独成年人的效果。
114名参与者被非随机分配到两种情况之一(SP组,n = 63;TAU组,n = 51),并在基线和8周时对主要结局(孤独感、幸福感、过去2个月内的医疗服务使用情况)和次要结局(社交焦虑、心理困扰、社会信任)进行评估。
SP组的保留率很高(79.4%)。在孤独感和社会信任方面发现了时间×情况的交互作用,仅在8周期间SP组参与者有改善。SP组参与者在所有其他结局上均有显著改善,效应大小为小到中等(ULS-8孤独感、幸福感、心理困扰、社交焦虑)。然而,交互作用未达到显著水平。
在8周随访时,社会处方的效果为小到中等。澳大利亚各地社区都有基于群体的活动,然而,需要使用匹配良好的对照样本和长期随访进行进一步研究,以提供有力证据支持更广泛的推广。