The GenWell Project, Toronto, Ontario, Canada.
Simon Fraser University, Vancouver, British Columbia, Canada.
Health Promot Chronic Dis Prev Can. 2024 Sep;44(9):367-375. doi: 10.24095/hpcdp.44.9.03.
Social prescribing (SP) is a holistic and collaborative approach to help individuals access community-based supports and services for their nonmedical social needs. The aim of this study was to assess the needs and priorities of Canadian older adults (aged 55 years and older), with a focus on optimizing SP programs for those who are systemically disadvantaged and socially marginalized.
Semistructured focus groups (N = 10 groups, 43 participants) were conducted online via Zoom with participants from across Canada. Data transcription and thematic analysis were completed in NVivo. Analyses were informed by self-determination theory.
Our results suggest that older adults desire SP programs that respect their ability to maintain their autonomy and independence, aid and facilitate the development of connectedness and belonging, are built on a foundation of trust and relationship-building in interactions with providers and link workers, and prioritize the person and thus personalize SP to the unique needs of each individual.
SP programs should be informed by the values of older adults. As work is currently underway to formalize and scale SP in Canada, personalizing these programs to the unique circumstances, needs and priorities of participants should be a top priority.
社会处方（SP）是一种整体的、协作的方法，旨在帮助个人获得基于社区的支持和服务，以满足他们的非医疗性社会需求。本研究旨在评估加拿大老年人（55 岁及以上）的需求和优先事项，重点是优化针对那些在系统上处于不利地位和社会边缘化的人的 SP 计划。
通过 Zoom 在线进行半结构式焦点小组（N=10 组，43 名参与者），参与者来自加拿大各地。在 NVivo 中完成数据转录和主题分析。分析受自我决定理论的启发。
我们的研究结果表明，老年人希望 SP 计划尊重他们保持自主和独立的能力，帮助和促进联系和归属感的发展，建立在与提供者和联络人员互动中的信任和关系建设的基础上，优先考虑个人，从而根据每个人的独特需求个性化 SP。
SP 计划应该以老年人的价值观为指导。由于目前正在努力在加拿大正式化和扩大 SP 的规模，因此将这些计划个性化以适应参与者的独特情况、需求和优先事项应该是当务之急。
