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Implementation of a Loneliness Screening and Referral Program in Primary Care: A Mixed Methods Pilot Study
Purpose:
Loneliness screening is recommended as best practice in primary care for older adults, yet it is not widely implemented. The purpose of the current study was to assess feasibility of a loneliness screening and referral program (SOCIAL Rx) in a primary care practice.
Method:
Loneliness was assessed using the 3-item UCLA Loneliness Scale and curated referrals were provided for those who screened positive. Outcome measures were organized using the RE-AIM framework domains of reach, effectiveness, and adoption. Qualitative interviews were conducted to explore feasibility/acceptability and patient preferences regarding referrals.
Results:
Eighty-one percent of patients were screened for loneliness; 33.3% were somewhat lonely and 17.7% were very lonely. Fifty-two percent of those who were lonely were provided a referral, and 40% of providers referred ≥50% of eligible patients.
Conclusion:
Loneliness was prevalent in this population of older adults, highlighting the imperative for screening and intervention. [Research in Gerontological Nursing, 18(2), 69-80.].
