Effectiveness Evaluation of Social Prescribing
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorHvidovre University Hospital
About this trial
Social Prescribing (SP), or Social Henvisning (SH) in Denmark, integrates healthcare with social and cultural services to address social determinants of health. The 'Social Prescribing Vesterbro-Sydhavnen' initiative, launched in fall 2024 as part of usual care, aims to involve general practitioners (GP) as primary prescribers to social services through a dedicated link worker, enhancing early intervention and connecting healthcare with community support.
This evaluation aims to assess the effectiveness of the 'Social Prescribing Vesterbro-Sydhavnen' project as part of the Implementation Research Programme SHINE.
The primary outcomes are: changes in contacts with general practice, unplanned hospital contacts and emergency calls (1813) as well as change in patients' perception of loneliness and health-related Quality of life.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
None
Disqualifiers
None
Trial population
The GP´s work with the following inclusion and exclusion criteria when detecting eligible patients for the SP-intervention: INCLUSION CRITERIA * Citizens aged 18+ * In need of social support that can complement treatment in general practice or disease prevention * Motivated or can be motivated to participate. * Can be contacted via phone or email. * Reside in Vesterbro-Sydhavnen, Copenhagen Municipality EXCLUSION CRITERIA * Severe mental illness, other serious disabilities, or substance abuse that prevents the patient from participating in voluntary or municipal services. * Lack of basic language skills in Danish or English, which corresponds to levels A1-A2 of the Common European Framework of Reference for Languages (CEFR), indicating that the individual has very limited or no proficiency in the language.
Trial design
Design model
Case-control
Time perspective
Prospective
Treatments tested in this trial
Social Prescribing
Other interventionThe SP intervention consists of a series of intervention components delivered across the SP pathways: Intervention components GP: 1. Social prescribing from physician to patient Link Worker: 2. Initial phone contact 3. Clarification and follow-up consultations 4. Personalized matching with local services and activities 5. Care coordination 6. Introductory visits to local services and activities 7. Accompanied (if needed) 8. Follow-up conversations 9. Concluding conversations 10. Group-based courses GP / Link Worker: 11. Re-prescribing (where appropriate) Each intervention component is described in detail in the TIDieR checklist
Treatment groups
350 Participants
are divided into 2 treatment groupsGroup A: SP participants1 intervention
Group B: SP participants - controls (registry data)0 interventions
Trial outcomes
Primary outcomes
1
Rate ratios for change in contacts with GP
Primary Outcome: • Change in contacts with general practice (all type of contacts)
Time frame
From the date the Link Worker received the social prescription to 3 and 9 months thereafter.2
Rate ratios for change in unplanned hospital contacts
Primary Outcome: • Change in unplanned hospital contacts
Time frame
From the date the Link Worker received the social prescription to 3 and 9 months thereafter.3
Rate ratios for change in emergency calls (1813)
Primary Outcome: • Change in emergency calls (1813)
Time frame
From the date the Link Worker received the social prescription to 3 and 9 months thereafter.4
Change in the perceived degree of loneliness assessed by T-ILS
Primary Outcome: • Change in perception of loneliness - assessed by Three-Item Loneliness Scale (T-ILS). The scale uses three response categories: Hardly ever = score 1, Some of the time = score 2, Often = score 3. Higher scores means worse outcome.
Time frame
From the enrollment date to 3 and 9 months after the Link Worker has received the social prescription.Secondary outcomes
1
Change in prescribed medication use (rate and dosage)
Change in medication prescriptions (e.g., prescriptions for psychotropic drugs and pain medication) will be compared between intervention and control group (assessed by dosis/number of prescriptions
Time frame
6 months prior and 9 months after the date the Link Worker received the social prescriptionOther outcomes
1
Participation in the Social Prescribing intervention.
Frequency of participation in services (I am there every time, I am there most of the time, I am there sometimes, I am there almost never, I have not been there yet)
Time frame
Assessed 3 and 9 months after the link worker has received the SP referral from the GP2
Service types in Social Prescribing
Categorical classification of services participants are referred to
Time frame
End of followup: 9 months after the link worker has received the SP referral from the GP3
Dropout of evaluation
Categorical classification of reasons for discontinuation in the evaluation
Time frame
End of followup: 9 months after the link worker has received the SP referral from the GPSponsors and contacts
Click on the lead sponsor to view all of their trials.
Hvidovre University Hospital
Lead sponsor
Volunteer Center Sydhavnen
Collaborator
GP cluster Vesterbro-Sydhavnen
Collaborator
Source ClinicalTrials.gov