None listed
Conditions
Brief summary
Loneliness is a distressing emotional state resulting from having less social interaction than desired. Social prescribing offers a community-based approach to managing loneliness, but there have been few controlled trials of social prescribing to date and a lack of theoretical framework to explain how social prescribing works. This project draws on social identity theorising to address these questions. This controlled trial will recruit 90 community dwelling adults in two conditions: Social Prescribing v GP treatment as usual (TAU), and survey them at two timepoints: first engagement with a social program (T1) and 8 weeks later (T2). Primary outcomes include loneliness, mental wellbeing, and health service use (past 2 months).
Interventions
This study conducted at five sites in Queensland will examine the effects of social prescribing (SP) to a community based group program compared to primary care treatment as usual (TAU) on participants’ loneliness, mental wellbeing, and health service use. Social prescribing involves the person being referred (often by a GP or allied health professional) to a link worker (typically a nurse or social worker) who meets with the person to find a suitable social group program the person can join. The number of social groups will be at the discretion of the participant however we expect that it will only be one new group activity within the 8 week period between T1 and T2 surveys. Examples include arts based groups, exercise groups, and adult education classes, typically once a week for 1-2 hours (we will examine the first 8 weeks, although programs differ in duration). There is no maximum number of participants per group program, although they typically involve 8 - 20 participants, depending on the nature of the activity. Participants' attendance at meetings with the link worker and attendance at the group programs will be monitored by the link workers. The aim is to increase people's meaningful participation in social and community life which is likely to decrease loneliness, improve their mental health and wellbeing and decrease their reliance on primary health services.
Sponsors
Study design
Eligibility
Inclusion criteria
Inclusion criteria are individuals who are experiencing loneliness, aged 18 or over and have sufficient English language skills to be able to provide consent to participate in the research. We expect them to range in age, and to represent a variety of cultural and ethnic groups. We expect that some individuals will be experiencing mental health issues such as depression and social anxiety (which are highly correlated with loneliness) or older age.
Exclusion criteria
Exclusion criteria are that the study cannot include individuals people who are experiencing acute symptoms better addressed via an alternative service (e.g. suicidal ideation, manic or agitated behaviours, intoxication, significant cognitive impairment such as dementia). The Community Link Workers who screen individuals for the social prescribing program are trained Social Workers and they will direct such individuals to a more suitable service.