A controlled evaluation of social prescribing on loneliness for adults in Queensland: 8-week outcomes

Author:

Dingle Genevieve A.1,Sharman Leah S.1,Hayes Shaun1,Haslam Catherine1,Cruwys Tegan2,Jetten Jolanda1,Haslam S. Alexander1,McNamara Niamh3,Chua David4,Baker J. R.5,Johnson Tracey4

Affiliation:

1. The University of Queensland

2. Australian National University

3. Nottingham Trent University

4. Inala Primary Care

5. Southern Cross University

Abstract

Abstract Background There have been few controlled evaluations of Social Prescribing (SP), in which link workers support lonely individuals to engage with community-based social activities. This study reports early outcomes of a trial comparing General Practitioner treatment-as-usual (TAU) with TAU combined with Social Prescribing (SP) in adults experiencing loneliness in Queensland. Methods 114 individuals were non-randomly assigned to one of two conditions (SP, n = 63; TAU, n = 51) and assessed at baseline and 8 weeks, on primary outcomes (loneliness, well-being, health service use in past 2 months) and secondary outcomes (social anxiety, psychological distress, social trust). Results Retention was high (79.4%) in the SP condition. Time x condition interaction effects were found for loneliness and social trust, with improvement observed only in SP participants over the 8-week period. SP participants reported significant improvement on all other outcomes with small-to-moderate effect sizes (ULS-8 loneliness, wellbeing, psychological distress, social anxiety). However, interaction effects did not reach significance. Discussion Social prescribing effects were small to moderate at the 8-week follow up. Group-based activities are available in communities across Australia, with data here suggesting that they offer accessible and tailored solutions to meet individual psychosocial needs. Trial registration ANZCTR, Retrospectively registered 08/06/2022, https://www.anzctr.org.au/ACTRN12622000801718.aspx

Publisher

Research Square Platform LLC

Reference41 articles.

1. Baker D. All the lonely people - Loneliness in Australia 2001–2009. Canberra: The Australia Institute; 2012.

2. Who are the lonely? A typology of loneliness in New Zealand;Hawkins-Elder H;Australian & New Zealand Journal of Psychiatry,2018

3. Mental Health Foundation (UK). All the Lonely People Report., 2022. www.mentalhealth.org.uk/sites/default/files/2022-06/MHAW22-Loneliness-UK-Report.

4. COVID-19 and loneliness: A rapid systematic review;Pai N;Australian & New Zealand Journal of Psychiatry,2021

5. Loneliness: A signature mental health concern in the era of COVID-19;Killgore WDS;Psychiatry Res,2020

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