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Using self-determination theory to understand the social prescribing process: a qualitative study.
Sara Bhatti1, Jennifer Rayner2,3,4, Andrew D Pinto4,5,6,7
1Alliance for Healthier Communities, Toronto, Canada sara.bhatti@allianceON.org.
Social prescribing (SP) empowers patients by connecting them to community resources, fostering improved self-management and well-being. This holistic approach enhances social support networks and patient engagement in primary care.
Area of Science:
- Public Health
- Primary Care
- Community Health
Background:
- Social prescribing (SP) integrates social activities and community support into primary care for holistic patient well-being.
- The 'Rx: Community' project implemented SP across 11 community health centres (CHCs) in Ontario, Canada.
Purpose of the Study:
- To investigate the process by which social prescribing facilitates positive patient outcomes.
- To understand patient experiences with social prescribing within a primary care setting.
Main Methods:
- Qualitative study employing 18 focus groups with 88 patients and 8 in-depth telephone interviews.
- Thematic analysis of transcribed data using self-determination theory (SDT) as a framework.
Main Results:
- Patients experienced SP as an empathetic process respecting their needs, enhancing their voice in care, and building trusting relationships.
- SP expanded social support networks, improved mental health, and enhanced chronic condition self-management skills.
- Voluntary 'health champion' roles within SP provided a sense of purpose and community contribution.
Conclusions:
- Social prescribing demonstrates positive patient outcomes and aligns well with the community health centre model.
- Further research is recommended to evaluate the impact on health outcomes and the return on investment for SP programs.
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