Social prescribing: less rhetoric and more reality. A systematic review of the evidence
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TLDR
A systematic review of social prescribing programmes being widely promoted and adopted in the UK National Health Service found current evidence fails to provide sufficient detail to judge either success or value for money.Abstract:
Objectives Social prescribing is a way of linking patients in primary care with sources of support within the community to help improve their health and well-being. Social prescribing programmes are being widely promoted and adopted in the UK National Health Service and so we conducted a systematic review to assess the evidence for their effectiveness. Setting/data sources Nine databases were searched from 2000 to January 2016 for studies conducted in the UK. Relevant reports and guidelines, websites and reference lists of retrieved articles were scanned to identify additional studies. All the searches were restricted to English language only. Participants Systematic reviews and any published evaluation of programmes where patient referral was made from a primary care setting to a link worker or facilitator of social prescribing were eligible for inclusion. Risk of bias for included studies was undertaken independently by two reviewers and a narrative synthesis was performed. Primary and secondary outcome measures Primary outcomes of interest were any measures of health and well-being and/or usage of health services. Results We included a total of 15 evaluations of social prescribing programmes. Most were small scale and limited by poor design and reporting. All were rated as a having a high risk of bias. Common design issues included a lack of comparative controls, short follow-up durations, a lack of standardised and validated measuring tools, missing data and a failure to consider potential confounding factors. Despite clear methodological shortcomings, most evaluations presented positive conclusions. Conclusions Social prescribing is being widely advocated and implemented but current evidence fails to provide sufficient detail to judge either success or value for money. If social prescribing is to realise its potential, future evaluations must be comparative by design and consider when, by whom, for whom, how well and at what cost. Trial registration number PROSPERO Registration: CRD42015023501.read more
Citations
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A realist evaluation of social prescribing: an exploration into the context and mechanisms underpinning a pathway linking primary care with the voluntary sector.
TL;DR: A realist approach to evaluate a social prescribing pilot in the areas of Hackney and City in London (United Kingdom) unpacks the contextual factors and mechanisms that influenced the development of this pilot for the benefits of GPs, commissioners and practitioners, and reflects on the realists approach to evaluation as a tool for the evaluation of health interventions.
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Social prescribing: where is the evidence?
TL;DR: Different models of social prescribing, the current evidence base and its limitations, problems relating to what constitutes good evidence, and discuss some potential ways forward are outlined.
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TL;DR: This work describes four complementary strategies that healthcare leaders can pursue to intervene on social adversity, split between patient care and community-level approaches, and highlights the range of potential choices.
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Music and dance in chronic lung disease
TL;DR: Initial research suggests that music and dance have a range of health benefits and show promise as tools to promote living well and self-management in people with chronic lung disease.
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The impact of a social prescribing service on patients in primary care: a mixed methods evaluation
Dawn Carnes,Dawn Carnes,Ratna Sohanpal,Caroline Frostick,Sally Hull,Rohini Mathur,Gopalakrishnan Netuveli,Jin Tong,Patrick Hutt,Marcello Bertotti +9 more
TL;DR: It is indicated that most patients had a positive experience with social prescribing but the service was not utilised to its full extent and changes in general health and well-being following referral were very limited and comprehensive implementation was difficult to optimise.
References
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TL;DR: Promotion of physical activity to sedentary adults recruited in primary care significantly increases physical activity levels at 12 months, as measured by self report, and there is insufficient evidence to recommend exercise referral schemes over advice or counselling interventions.
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