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Social prescribing link workers help patients connect with community resources. A one-month intervention was too short for complex needs, indicating a need for longer programs and simplified recruitment for effective implementation.

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Area of Science:

  • Public Health
  • Health Services Research
  • Social Determinants of Health

Background:

  • Social prescribing link workers connect patients with community resources to enhance health and well-being.
  • While prominent in policy, evidence on link worker support and intervention implementation factors is limited.

Purpose of the Study:

  • To conduct a process evaluation of a general practice-based link worker intervention for adults with multimorbidity.
  • To explore implementation, adaptations, context, and mediators of the link worker intervention.

Main Methods:

  • Convergent, mixed methods process evaluation of a one-month randomized trial.
  • Qualitative data from interviews (patients, GPs, link workers, resource providers) and quantitative data were analyzed.
  • Thematic analysis of qualitative data integrated with quantitative findings.

Main Results:

  • General practitioners faced recruitment challenges due to complex documentation and COVID-19 impacts.
  • The one-month intervention duration was insufficient for patients with complex needs to establish community resource connections, especially during COVID-19 restrictions.
  • Referral timing, general practice location, and the person-centered approach of link workers positively influenced the intervention.

Conclusions:

  • Future evaluations require simplified recruitment procedures integrated into routine practice.
  • A longer intervention duration is recommended for patients with multimorbidity to facilitate community resource connection.