Effectiveness of social prescribing for chronic disease prevention in adults: a systematic review and meta-analysis of randomised controlled trials

医学 心理干预 超重 荟萃分析 随机对照试验 物理疗法 肥胖 系统回顾 疾病 内科学 梅德林 精神科 政治学 法学
作者
Htet Lin Htun,Achamyeleh Birhanu Teshale,Miranda Cumpston,Lisa Demos,Joanne Ryan,Alice Owen,Rosanne Freak‐Poli
出处
期刊:Journal of Epidemiology and Community Health [BMJ]
卷期号:77 (4): 265-276 被引量:18
标识
DOI:10.1136/jech-2022-220247
摘要

Social prescribing (SP) enables healthcare professionals to link patients with non-medical interventions available in the community to address underlying socioeconomic and behavioural determinants. We synthesised the evidence to understand the effectiveness of SP for chronic disease prevention.A systematic literature search was conducted using five databases and two registries. Eligible studies included randomised controlled trials of SP among community-dwelling adults recruited from primary care or community setting, investigating any chronic disease risk factors defined by the WHO (behavioural factors: smoking, physical inactivity, unhealthy diet and excessive alcohol consumption; metabolic factors: raised blood pressure, overweight/obesity, hyperlipidaemia and hyperglycaemia). Random effect meta-analyses were performed at two time points: completion of intervention and follow-up after trial.We identified nine reports from eight trials totalling 4621 participants. All studies evaluated SP exercise interventions which were highly heterogeneous regarding the content, duration, frequency and length of follow-up. Majority of studies had some concerns for risk of bias. Meta-analysis revealed that SP likely increased physical activity (completion: mean difference (MD) 21 min/week, 95% CI 3 to 39, I2=0%; follow-up ≤12 months: MD 19 min/week, 95% CI 8 to 29, I2=0%). However, SP may not improve markers of adiposity, blood pressure, glucose and serum lipid. There were no eligible studies that primarily target unhealthy diet, smoking and excessive alcohol drinking behaviours.SP exercise interventions probably increased physical activity slightly; however, no benefits were observed for metabolic factors. Determining whether SP is effective in modifying the determinants of chronic diseases and promotes sustainable healthy behaviours is limited by the current evidence of quantification and uncertainty, warranting further rigorous studies.CRD42022346687.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
刚刚
抹茶拿铁加奶砖完成签到 ,获得积分10
1秒前
1秒前
机灵夜云发布了新的文献求助10
1秒前
1秒前
欢呼妙菱发布了新的文献求助10
1秒前
aaron9898完成签到,获得积分10
2秒前
雪落千寒完成签到,获得积分10
2秒前
无花果应助glany采纳,获得10
2秒前
有且仅有完成签到 ,获得积分10
2秒前
3秒前
3秒前
wshwx完成签到,获得积分10
3秒前
4秒前
ljxx发布了新的文献求助10
4秒前
默默的绾绾完成签到,获得积分10
4秒前
4秒前
刻苦冷菱发布了新的文献求助10
4秒前
17完成签到,获得积分10
5秒前
自由采枫完成签到,获得积分10
5秒前
刘一安完成签到 ,获得积分10
5秒前
zm发布了新的文献求助10
5秒前
猪丢了完成签到 ,获得积分10
5秒前
南风完成签到,获得积分10
6秒前
专注凝蝶发布了新的文献求助10
7秒前
害羞洋葱完成签到,获得积分20
7秒前
7秒前
aaron9898完成签到,获得积分10
7秒前
公冶嘉懿发布了新的文献求助10
7秒前
认真的小懒虫完成签到,获得积分10
8秒前
叶子发布了新的文献求助30
8秒前
ayuelei发布了新的文献求助10
8秒前
8秒前
共享精神应助叶子j945采纳,获得10
8秒前
南风发布了新的文献求助30
10秒前
10秒前
11秒前
Orange应助大佬虎采纳,获得30
11秒前
自觉的傲薇应助行走的鱼采纳,获得20
12秒前
扎心发布了新的文献求助10
12秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
Cognitive Neuroscience: The Biology of the Mind 1000
Technical Brochure TB 814: LPIT applications in HV gas insulated switchgear 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Picture Books with Same-sex Parented Families: Unintentional Censorship 500
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3969335
求助须知:如何正确求助?哪些是违规求助? 3514162
关于积分的说明 11172430
捐赠科研通 3249456
什么是DOI,文献DOI怎么找? 1794853
邀请新用户注册赠送积分活动 875437
科研通“疑难数据库(出版商)”最低求助积分说明 804809