Sadio Rute, Henriques Adriana, Nogueira Paulo, Costa Andreia
Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), Nursing School of Lisbon (ESEL), 1600-190 Lisbon, Portugal.
ULSAC-Unidade Local de Saúde do Alentejo Central, UCSP Estremoz, 7000-811 Évora, Portugal.
J Clin Med. 2025 Jul 7;14(13):4780. doi: 10.3390/jcm14134780.
: Social prescribing is an innovative approach that connects individuals to community-based activities to promote well-being. This study explores the barriers and facilitators influencing older adults' engagement in social prescribing programmes in Portugal. : A qualitative study was carried out in October 2024, in Portugal, with 16 participants aged 65 and over. Data was collected through two focus groups, each with eight participants. Data were analysed using the COM-B model (Capability, Opportunity, Motivation) to identify key factors affecting adherence. : The main barriers identified were physical limitations, digital exclusion, transport inaccessibility, and the urban-centric location of services. Facilitators comprised tailored activities, digital support and education, accessible venues and transport, and personalised interventions. Ongoing feedback mechanisms and familiar community settings were essential for sustained participation. : These findings suggest that co-designed, inclusive, and locally accessible programmes can significantly enhance the involvement and well-being of older adults.
社会处方是一种创新方法，它将个人与基于社区的活动联系起来以促进福祉。本研究探讨了影响葡萄牙老年人参与社会处方计划的障碍和促进因素。：2024年10月在葡萄牙对16名65岁及以上的参与者进行了一项定性研究。通过两个焦点小组收集数据，每个小组有八名参与者。使用COM-B模型（能力、机会、动机）分析数据以确定影响依从性的关键因素。：确定的主要障碍是身体限制、数字排斥、交通不便以及服务以城市为中心的位置。促进因素包括量身定制的活动、数字支持和教育、可达的场所和交通以及个性化干预。持续的反馈机制和熟悉的社区环境对于持续参与至关重要。：这些发现表明，共同设计、包容且本地可达的计划可以显著提高老年人的参与度和福祉。
