Effectiveness Evaluation in the SHINE Research Programme - Social Prescribing for Adults and Elderly: The Path to Effective Implementation
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 350
- 试验地点
- 1
- 主要终点
- Rate ratios for change in contacts with GP
研究概览
简要总结
Social Prescribing (SP), or Social Henvisning (SH) in Denmark, integrates healthcare with social and cultural services to address social determinants of health. The 'Social Prescribing Vesterbro-Sydhavnen' initiative, launched in fall 2024 as part of usual care, aims to involve general practitioners (GP) as primary prescribers to social services through a dedicated link worker, enhancing early intervention and connecting healthcare with community support.
This evaluation aims to assess the effectiveness of the 'Social Prescribing Vesterbro-Sydhavnen' project as part of the Implementation Research Programme SHINE.
The primary outcomes are: changes in contacts with general practice, unplanned hospital contacts and emergency calls (1813) as well as change in patients' perception of loneliness and health-related Quality of life.
详细描述
Social Prescribing (SP), or Social Henvisning (SH) in Denmark, integrates healthcare with social and cultural services to address social determinants of health. Internationally, SP improves patient well-being, reduces loneliness, and lowers healthcare utilization. Countries like the United Kingdom, Canada, and Australia have shown its effectiveness in reducing hospital admissions and supporting vulnerable populations.
The 'Social Prescribing Vesterbro-Sydhavnen' initiative, launched in fall 2024 as part of usual care, aims to involve general practitioners (GP) as primary prescribers to social services through a dedicated link worker, enhancing early intervention and connecting healthcare with community support.
This evaluation aims to assess the effectiveness of the 'Social Prescribing Vesterbro-Sydhavnen' project, in the following named as SP-intervention.
Information about the experimental group The participants in this evaluation are all patients participating in the SP intervention upon referral from their GP. The investigators anticipate that up to 500 patients from around 15 GPs in 10 clinics will participate in the SP-intervention, hereof a sample of 315 in the analysis of this evaluation. Participants are recruited consecutively in the GP clinics starting from summer 2025.
The target group of the SP-intervention are adults (+18) with or at risk of complex health and social challenges or with a high level of both elective and acute visits to general practice, including socially related consultations.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- 未提供
排除标准
- 未提供
结局指标
主要结局
Rate ratios for change in contacts with GP
时间窗: From the date the Link Worker received the social prescription to 3 and 9 months thereafter.
Primary Outcome: • Change in contacts with general practice (all type of contacts)
Rate ratios for change in unplanned hospital contacts
时间窗: From the date the Link Worker received the social prescription to 3 and 9 months thereafter.
Primary Outcome: • Change in unplanned hospital contacts
Rate ratios for change in emergency calls (1813)
时间窗: From the date the Link Worker received the social prescription to 3 and 9 months thereafter.
Primary Outcome: • Change in emergency calls (1813)
Change in the perceived degree of loneliness assessed by T-ILS
时间窗: From the enrollment date to 3 and 9 months after the Link Worker has received the social prescription.
Primary Outcome: • Change in perception of loneliness - assessed by Three-Item Loneliness Scale (T-ILS). The scale uses three response categories: Hardly ever = score 1, Some of the time = score 2, Often = score 3. Higher scores means worse outcome.
Change in the perceived degree of loneliness - assessed by De Jong Gierveld Loneliness Scale
时间窗: From the enrollment date to 3 and 9 months after the Link Worker has received the social prescription.
Primary Outcome: • Change in perception of loneliness - assessed by De Jong Gierveld Loneliness Scale On the positively worded items, the neutral and negative answers are scored as "1" (Yes=0, More or less=1, and No=1). A higher score means a worse outcome.
Change in quality of life - assessed by EQ-5D-5L
时间窗: From the enrollment date to 3 and 9 months after the Link Worker has received the social prescription.
Primary Outcome: • Change in perception of Health-related Quality of Life (HRQoL) - assessed by EQ-5D-5L. The EQ-5D-5L instrument covers five dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression) with five response levels: 1 = no problems, 2 = slight problems, 3 = moderate problems, 4 = severe problems, 5 = extreme problems; higher scores indicate worse outcomes. Dimension-level responses are aggregated into a single utility index using the Danish value set (range \< 0 \[health states worse than death\] to 1 \[full health\]); lower index scores reflect poorer health.
Change in quality of life - assessed by EQ-VAS (visual analog scale)
时间窗: From the enrollment date to 3 and 9 months after the Link Worker has received the social prescription.
Primary Outcome: • Change in perception of Health-related Quality of Life (HRQoL) - assessed by EQ-VAS (visual analog scale). Tthe minimum value = 0 and maximum value = 100. A higher scores mean a better outcome.
次要结局
- Change in prescribed medication use (rate and dosage)(6 months prior and 9 months after the date the Link Worker received the social prescription)
研究者
Ove Andersen
Professor, MD, PhD
Hvidovre University Hospital