Facilitator factors to develop a healthy ageing Social Prescribing local system in Portugal—A qualitative case study
Vol 9, Issue 1, 2025
VIEWS - 37 (Abstract)
Abstract
Social Prescribing (SP) is an approach which aims of improving health and well-being and connecting patients to community services. Examples of these services include physical activity and cultural activities. Despite its benefits, SP has still not been fully implemented in Portugal. This case study is part of a larger study on Social Prescribing Local System (SPLS) implementation, which comprised a quantitative approach, a pilot study and a qualitative approach, and aims at exploring patients’ and healthcare workers’ perspectives on SP. The study was carried out to understand the motivations of different stakeholders for participating in the pilot project, the anticipated benefits for patients, healthcare professionals, and the health unit, as well as their perceptions and experiences within the scope of the SP project. Data collection was carried out in December 2020 through semi-structured individual interviews and a focus group. A total of seven participants were included, of which one patient, one museum representative and five healthcare professionals. Different common dimensions related to SP emerge, including health and well-being, social interaction and community engagement, accessibility and inclusivity, motivation and adherence, collaboration and coordination, and education and awareness. The patient considered the adequacy of the activity to the patient’s state of health and capabilities, adoption of a phased approach, with a focus on progress, in order to promote long-term adherence as facilitators. For the museum, disseminating its activities to healthcare professionals and patients through different channels such as posters at the health center, social media pages, and training sessions can significantly enhance visibility and engagement, while direct phone contact and digital publications can further promote adherence, ensuring a comprehensive and coordinated approach to patient participation and institutional benefit. Healthcare professionals identified several benefits, including reduction of social isolation and sedentarism, as well as a means of strengthening the therapeutic relationship with patients. The design and implementation of SP programs should be participative and involve all stakeholders participating in the process. Barriers to adherence included time for activity and the associated costs or prerequisites, availability of activities and lack of perceived interest in health.
Keywords
Full Text:
PDFReferences
Brandling, J., House, W., Howitt, D., Sansom, A. (2011). New routes: pilot research project of a new Social Prescribing service provided in Keynsham. In: The Care Forum.
Brunton, L., Tazzyman, A., Ferguson, J., Hodgson, D., Nelson, P. A. (2022). The challenges of integrating signposting into general practice: qualitative stakeholder perspectives on care navigation and Social Prescribing in primary care. BMC Prim care. 23(1):66.
Chatterjee, H. J., Camic, P. M., Lockyer, B., Thomson, L. J. M. (2018). Non-clinical community interventions: a systematised review of Social Prescribing schemes. Arts & Heal. 10(2):97–123.
Costa, A., Lopes, J., Sousa, C. J., Santos, O., Virgolino, A., Nogueira, P., et al. (2021b). Developing a Social Prescribing local system in a European Mediterranean country: a feasibility study to promote active and healthy aging. BMC Health Serv Res. 21:1–11.
Costa, A., Sousa, C. J., Seabra, P. R. C., Virgolino, A., Santos, O., Lopes, J., et al. (2021a). Effectiveness of Social Prescribing programs in the primary health-care context: a systematic literature review. Sustainability. 13(5):2731.
Creswell, J. W., Creswell, J. D. (2009). Research design: qualitative. Quant Mix methods.
Durlak, J. A., DuPre, E. P. (2008). Implementation matters: A review of research on the influence of implementation on program outcomes and the factors affecting implementation. Am J Community Psychol. 41:327–50.
Ebrahimoghli, R., Pezeshki, M. Z., Farajzadeh, P., Arab-Zozani, M., Mehrtak, M., Alizadeh, M. (2023). Factors influencing Social Prescribing initiatives: a systematic review of qualitative evidence. Perspect Public Health. 17579139231184808.
Fixsen, D. A., Barrett, D. S., Shimonovich, M. (2022). Supporting vulnerable populations during the pandemic: Stakeholders’ experiences and perceptions of Social Prescribing in Scotland during Covid-19. Qual Health Res. 32(4):670–82.
Fundação Calouste Gulbenkian. (2014). Um Futuro para a Saúde. Todos temos um papel a desempenhar [Internet]. Available from: https://gulbenkian.pt/publication/um-futuro-saude-um-papel-desempenhar/
Ghogomu, E. T., Welch, V., Yaqubi, M., Dewidar, O., Barbeau, V. I., Biswas, S., et al. (2024). PROTOCOL: Effects of Social Prescribing for older adults: An evidence and gap map. Campbell Syst Rev. 20(2):e1382.
Glaser, B., Strauss, A. (2017). Discovery of grounded theory: Strategies for qualitative research. Routledge.
Halaweh, M., Fidler, C., McRobb, S. (2008). Integrating the grounded theory method and case study research methodology within is research: A possible’road map’.
Hoffmeister, L. V., Nunes, M. F., Figueiredo, C. E. M., Coelho, A., Oliveira, M. F. F., Massano, P., et al. (2021). Evaluation of the impact and implementation of Social Prescribing in primary healthcare units in Lisbon: a mixed-methods study protocol. Int J Integr Care. 21(2).
Husk, K., Blockley, K., Lovell, R., Bethel, A., Lang, I., Byng, R., et al. (2020). What approaches to Social Prescribing work, for whom, and in what circumstances? A realist review. Heal & Soc care community. 28(2):309–24.
Khan, H., Giurca, B. C., Sanderson, J., Dixon, M., Leitch, A., Cook, C. (2023). Social Prescribing around the world: a world map of global developments in Social Prescribing across different health system contexts. London Natl Acad Soc Prescr.
Kuhn, A. L. R., Rariden, C. A. (2024). Social Prescribing: Healing People Through Community. J Nurse Pract. 20(2):104894.
Ministério da Saúde. (2017). SNS + Proximidade [Internet]. Lisboa. Available from: http://www.sns.gov.pt
Morse, D. F., Sandhu, S., Mulligan, K., Tierney, S., Polley, M., Giurca, B. C., et al. (2022). Global developments in Social Prescribing. BMJ Glob Heal. 7(5):e008524.
Muhl, C., Mulligan, K., Bayoumi, I., Ashcroft, R., Godfrey, C. (2023). Establishing internationally accepted conceptual and operational definitions of Social Prescribing through expert consensus: a Delphi study. BMJ Open. 13(7):e070184.
Napierala, H., Krueger, K., Kuschick, D., Heintze, C., Herrmann, W. J., Holzinger, F. (2022). Social Prescribing: systematic review of the effectiveness of psychosocial community referral interventions in primary care. Int J Integr Care. 22(3).
Oster, C., Skelton, C., Leibbrandt, R., Hines, S., Bonevski, B. (2023). Models of Social Prescribing to address non-medical needs in adults: a scoping review. BMC Health Serv Res. 23(1):642.
Pescheny, J. V., Pappas, Y., Randhawa, G. (2018a). Evaluating the implementation and delivery of a Social Prescribing intervention: a research protocol. Int J Integr Care. 18(1).
Pescheny, J. V., Pappas, Y., Randhawa, G. (2018b). Facilitators and barriers of implementing and delivering Social Prescribing services: a systematic review. BMC Health Serv Res. 18:1–14.
Purvis, B., Mao, Y., Robinson, D. (2019). Three pillars of sustainability: in search of conceptual origins. Sustain Sci. 14:681–95.
Simpson, S., Furlong, M., Giebel, C. (2021). Exploring the enablers and barriers to Social Prescribing for people living with long-term neurological conditions: a focus group investigation. BMC Health Serv Res. 21:1–14.
South, J., Higgins, T. J., Woodall, J., White, S. M. (2008). Can Social Prescribing provide the missing link? Prim Heal Care Res & Dev. 9(4):310–8.
Whitelaw, S., Thirlwall, C., Morrison, A., Osborne, J., Tattum, L., Walker, S. (2017). Developing and implementing a Social Prescribing initiative in primary care: insights into the possibility of normalisation and sustainability from a UK case study. Prim Heal care Res & Dev. 18(2):112–21.
World Health Organization. (2022). A toolkit on how to implement social prescribing. WHO Regional Office for the Western Pacific.
DOI: https://doi.org/10.24294/jipd9271
Refbacks
- There are currently no refbacks.
Copyright (c) 2025 Sofia Ribeiro, Joaquim Oliveira Lopes, Osvaldo Santos, Carolina Capitão, Raquel Martins, Ana Virgolino, Violeta Alarcão, Paulo Nogueira, Adriana Henriques, Paulo Seabra, Miguel Arriaga, Cristiano Matos, Andreia Cost
License URL: https://creativecommons.org/licenses/by/4.0/
This site is licensed under a Creative Commons Attribution 4.0 International License.