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      Let’s Try Social Prescribing in Sweden (SPiS) – an Interventional Project Targeting Loneliness among Older Adults Using a Model for Integrated Care: A Research Protocol

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          Abstract

          Introduction:

          Loneliness and social isolation among older adults (≥65) are an emerging issue of public concern, associated with increased morbidity and mortality. Today there is no systematic intervention developed, implemented or evaluated in Sweden addressing loneliness. The overall aim for this project is to develop, test and refine a person-centred Swedish model for social prescribing (SPiS), and to assess whether and how it reduces loneliness, promotes health and improves well-being among older adults.

          Description:

          The focus will be to develop, culturally adapt, evaluate and refine the SPiS model. Following the sequential structure of realist evaluation in three consecutive phases qualitative and quantitative data along with subsequent analysis methods will be collected and utilized. The project will provide knowledge of what works with the social prescribing model, for whom, in what conditions and why, in relation to loneliness, health and well-being among older adults.

          Discussion:

          SPiS has the unique position of providing initial knowledge regarding how to reduce loneliness in the Swedish context. However, evaluation is complex as this research goes beyond the unidimensional question “Is it working?”.

          Conclusion:

          Developing, implementing and evaluating such a complex program needs systematic and close evaluation.

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          Most cited references49

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          Using thematic analysis in psychology

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            World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects.

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              Process evaluation of complex interventions: Medical Research Council guidance

              Process evaluation is an essential part of designing and testing complex interventions. New MRC guidance provides a framework for conducting and reporting process evaluation studies
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                Author and article information

                Contributors
                Role: Professor
                Role: Professor
                Role: Professor
                Journal
                Int J Integr Care
                Int J Integr Care
                1568-4156
                International Journal of Integrated Care
                Ubiquity Press
                1568-4156
                22 June 2021
                Apr-Jun 2021
                : 21
                : 2
                : 33
                Affiliations
                [1 ]Umeå University, SE
                Author notes
                CORRESPONDING AUTHOR: Erika Johansson, PhD Umeå University, SE erika.johansson@ 123456umu.se
                Author information
                https://orcid.org/0000-0001-9094-1821
                https://orcid.org/0000-0002-5902-3798
                https://orcid.org/0000-0002-8758-5704
                https://orcid.org/0000-0003-1543-6512
                https://orcid.org/0000-0002-8265-5769
                Article
                10.5334/ijic.5609
                8231464
                34220397
                d890c0fc-8a25-43af-8b40-2778b9f96595
                Copyright: © 2021 The Author(s)

                This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.

                History
                : 04 September 2020
                : 23 February 2021
                Categories
                Research and Theory

                Health & Social care
                social prescribing,loneliness,social participation,integrated care,complex intervention,realist evaluation

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