Christian Danielle L, Berzins Kathryn, Weldon Jo C, Toma Madalina, Gabbay Mark, Watkins Caroline, Forder Julien
Applied Health Research Hub (AHRh), University of Central Lancashire, Preston, PR1 2HE, UK.
NIHR Applied Research Collaboration North West Coast (ARC-NWC), University of Liverpool, Liverpool, L69 3GL, UK.
NIHR Open Res. 2024 Nov 12;3:66. doi: 10.3310/nihropenres.13494.2. eCollection 2023.
Person-centred community-based support services (PCCBSS) are an array of non-clinical services provided by organisations such as NHS Trusts, voluntary sector organisations, or local authorities.All PCCBSS involve an individual (variously known as a 'social prescriber', 'link worker', 'signposter', 'navigator', 'connector' or 'neighbourhood coach') who talks with a service user before directing them to a range of relevant community sources of social, emotional, and practical support.Despite much recent investment in social prescribing, and its increased prominence within the policy context across England, little is understood about how PCCBSS are implemented. Research is required across different contexts to describe PCCBSS implementation; in particular, how social care providers successfully interact to support the implementation of PCCBSS, and how services responded to circumstances imposed by the COVID-19 pandemic.
The aim of this post-implementation mixed-methods study is to explore how PCCBSS are implemented and become part of usual working practice. Using three services in North West England as case studies, we will examine factors influencing PCCBSS implementation and establish where there is learning for the wider adult social care system.
The study comprises two work packages (WPs):WP1: collecting data by reviewing service documents from three PCCBSS case studies;WP2: interviewing staff and service users (≤20 participants per PCCBSS);Key implementation data will be systematically abstracted (from WPs1&2) into a coding frame; combining contextual determinants from the Consolidated Framework for Implementation Research (CFIR) with process-related domains from Normalization Process Theory (NPT).
The findings from WP1 and WP2 will be presented in the form of an illustrated 'pen portrait', developed collaboratively with Applied Research Collaboration North West Coast ARC NWC public advisers, to illustrate how implementation evolved for each of the PCCBSS across key time-points in the process (initiation; operation; maintenance). The findings will also inform an online implementation toolkit providing recommendations for setting up future PCCBSS.
以个人为中心的社区支持服务（PCCBSS）是由诸如国民保健服务信托基金、志愿部门组织或地方当局等机构提供的一系列非临床服务。所有PCCBSS都涉及一名个人（有多种称呼，如“社会处方师”“联络工作者”“指路者”“导航员”“连接器”或“社区教练”），该个人在将服务使用者引导至一系列相关的社会、情感和实际支持的社区资源之前，会与服务使用者进行交谈。尽管最近对社会处方投入了大量资金，并且其在英格兰的政策背景下日益突出，但对于PCCBSS如何实施却知之甚少。需要在不同背景下进行研究以描述PCCBSS的实施情况；特别是社会护理提供者如何成功互动以支持PCCBSS的实施，以及服务如何应对新冠疫情带来的情况。
这项实施后混合方法研究的目的是探索PCCBSS如何实施并成为日常工作实践的一部分。以英格兰西北部的三项服务为案例研究，我们将研究影响PCCBSS实施的因素，并确定哪些经验可供更广泛的成人社会护理系统借鉴。
该研究包括两个工作包（WP）：
工作包1：通过审查三个PCCBSS案例研究的服务文件来收集数据；
工作包2：采访工作人员和服务使用者（每个PCCBSS≤20名参与者）；
关键实施数据将被系统地提炼（来自工作包1和2）到一个编码框架中；将实施研究综合框架（CFIR）中的背景决定因素与规范化过程理论（NPT）中与过程相关的领域相结合。
工作包1和2的研究结果将以图文并茂的“人物简介”形式呈现，该简介是与西北海岸应用研究合作ARC NWC公共顾问合作编写的，以说明在过程中的关键时间点（启动；运营；维护）每个PCCBSS的实施情况如何演变。研究结果还将为一个在线实施工具包提供信息，该工具包为建立未来的PCCBSS提供建议。
