scholarly journals Social prescribing for people with complex needs: a realist evaluation

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Emily Wood ◽  
Sally Ohlsen ◽  
Sarah-Jane Fenton ◽  
Janice Connell ◽  
Scott Weich
Keyword(s):  
Weak Sense ◽  
Realist Evaluation ◽  
Programme Theory ◽  
Complex Needs ◽  
Social Prescribing ◽  
The North ◽  
The Social ◽  
Health Promoting ◽  
Access Resistance ◽  
Underlying Mechanisms

Abstract Background Social Prescribing is increasingly popular, and several evaluations have shown positive results. However, Social Prescribing is an umbrella term that covers many different interventions. We aimed to test, develop and refine a programme theory explaining the underlying mechanisms operating in Social Prescribing to better enhance its effectiveness by allowing it to be targeted to those who will benefit most, when they will benefit most. Methods We conducted a realist evaluation of a large Social Prescribing organisation in the North of England. Thirty-five interviews were conducted with stakeholders (clients attending Social Prescribing, Social Prescribing staff and general practice staff). Through an iterative process of analysis, a series of context-mechanism-outcome configurations were developed, refined and retested at a workshop of 15 stakeholders. The initial programme theory was refined, retested and ‘applied’ to wider theory. Results Social Prescribing in this organisation was found to be only superficially similar to collaborative care. A complex web of contexts, mechanisms and outcomes for its clients are described. Key elements influencing outcomes described by stakeholders included social isolation and wider determinants of health; poor interagency communication for people with multiple needs. Successful Social Prescribing requires a non-stigmatising environment and person-centred care, and shares many features described by the asset-based theory of Salutogenesis. Conclusions The Social Prescribing model studied is holistic and person-centred and as such enables those with a weak sense of coherence to strengthen this, access resistance resources, and move in a health promoting or salutogenic direction.

scholarly journals A realist evaluation of social prescribing: an exploration into the context and mechanisms underpinning a pathway linking primary care with the voluntary sector

2017 ◽  
Vol 19 (03) ◽  
pp. 232-245 ◽  
Author(s):  
Marcello Bertotti ◽  
Caroline Frostick ◽  
Patrick Hutt ◽  
Ratna Sohanpal ◽  
Dawn Carnes
Keyword(s):  
Primary Care ◽  
Health Inequalities ◽  
Contextual Factors ◽  
Community Services ◽  
Realist Evaluation ◽  
Health Interventions ◽  
Long Term Conditions ◽  
Realist Approach ◽  
Social Prescribing ◽  
The Social

This article adopts a realist approach to evaluate a social prescribing pilot in the areas of Hackney and City in London (United Kingdom). It unpacks the contextual factors and mechanisms that influenced the development of this pilot for the benefits of GPs, commissioners and practitioners, and reflects on the realist approach to evaluation as a tool for the evaluation of health interventions. Primary care faces considerable challenges including the increase in long-term conditions, GP consultation rates, and widening health inequalities. With its emphasis on linking primary care to non-clinical community services via a social prescribing coordinator (SPC), some models of social prescribing could contribute to reduce the burden on primary care, tackle health inequalities and encourage people to make greater use of non-clinical forms of support. This realist analysis was based on qualitative interviews with users, commissioners, a GP survey, focus groups and learning events to explore stakeholders’ experience. To enable a detailed analysis, we adapted the realist approach by subdividing the social prescribing pathway into stages, each with contextual factors, mechanisms and outcomes. SPCs were pivotal to the effective functioning of the social prescribing service and responsible for the activation and initial beneficial impact on users. Although social prescribing shows significant potential for the benefit of patients and primary care, several challenges need to be considered and overcome, including ‘buy in’ from some GPs, branding, and funding for the third sector in a context where social care cuts are severely affecting the delivery of health care. With its emphasis on context and mechanisms, the realist evaluation approach is useful in understanding how to identify and improve health interventions, and analyse in greater detail the contribution of different stakeholders. As the SPC is central to social prescribing, more needs to be done to understand their role conceptually and practically.

Social Responsibility Practice Diagnosis applied to the Universidad del Valle- Northern Facility. Period 2014-2015

2018 ◽  
Vol 34 (62) ◽  
pp. 66-81
Author(s):  
Adriana M. Moreno Moreno ◽  
Eduar Fernando Aguirre González
Keyword(s):  
Social Responsibility ◽  
Action Plan ◽  
Research Problem ◽  
Socially Responsible ◽  
Strategic Development ◽  
Strategic Issues ◽  
The North ◽  
The Social ◽  
The University ◽  
Social Management

Social Responsibility is a concept that has been approached from different perspectives by theoreticians and institutions. Initially, this was limited exclusively to companies, however, the creation of the Social Capital, Ethics and Development Initiative by the Inter-American Development Bank (IDB) sought to make educational institutions aware that, like any other organization, they are responsible for the externalities they generate in their environment and their stakeholders. This research approaches the concept of University Social Responsibility (USR) from the scheme proposed by the IDB, which proposes four axes of action for Universities’ CR: Responsible Campus, Professional and Citizen Training, Social Management of Knowledge and Social Participation. The Universidad del Valle has a strategic plan entitled “Universidad del Valle’s Strategic Development Plan” and Regionalization attached thereto. It has also developed its action plan and in the five strategic issues raised herein, its socially responsible approach is clearly identifiable. The North Cauca Facility wherein this study is being developed, even though it does not have a University Social Responsibility Management Model, has attempted to align its practices with its strategic affairs that broadly conform to the four axes proposed by the IDB. This research addresses a relevant and current issue inasmuch as it proposes to develop a diagnosis on the relationship between the four axes of Social Responsibility proposed by the IDB and the practice of Social Responsibility applied at the Universidad del Valle, North Cauca Facility, for the period 2014-2015. In order to answer the research problem, a qualitative, exploratory and descriptive type of study is used, given that the work was based on the documentary information available at the University, while the interviews with the directors of the Institution are used as a tool for oral history. The research method used is the case study, which allows to address a unit of analysis in depth, in this case the USR within the Universidad del Valle, North Cauca Facility.

About Using the Complex Method in Studies of the Quality of Life of the Population of the North Ossetia

2020 ◽  
pp. 36-48
Author(s):  
I. M. Loskutova ◽  
N. G. Romanova
Keyword(s):  
Quality Of Life ◽  
Integrated Approach ◽  
Standard Of Living ◽  
Complex Method ◽  
The North ◽  
Social Wellbeing ◽  
The Social ◽  
Sociological Studies ◽  
North Ossetia

This article is devoted to the application of an integrated approach in the study of the quality of life of the population of the North Ossetia. Aspects of the specifity of objective and subjective approaches are substantiated. The increasing importance of the concept of “quality of life” in the XXI century is indicated. A review of sociological studies of the level and quality of life in Russia, as well as a range of monographic works on the analyzed issues. The results of empirical sociological studies in 2014 and 2018 (a study of the quality and standard of living of the population of North Ossetia and a study of the social wellbeing of the population of North Ossetia using the methodology developed by Lapin N. I. and Belyaeva L. A.) are presented.

Enhanced Seasonal Exchange of CO2 by Northern Ecosystems Since 1960

Science ◽  
2013 ◽  
Vol 341 (6150) ◽  
pp. 1085-1089 ◽  
Author(s):  
H. D. Graven ◽  
R. F. Keeling ◽  
S. C. Piper ◽  
P. K. Patra ◽  
B. B. Stephens ◽  
...  
Keyword(s):  
Boreal Forests ◽  
Atmospheric Carbon Dioxide ◽  
Ecosystem Models ◽  
The North ◽  
Ecological Changes ◽  
Term Change ◽  
Major Shift ◽  
Underlying Mechanisms ◽  
Global Carbon

Seasonal variations of atmospheric carbon dioxide (CO2) in the Northern Hemisphere have increased since the 1950s, but sparse observations have prevented a clear assessment of the patterns of long-term change and the underlying mechanisms. We compare recent aircraft-based observations of CO2 above the North Pacific and Arctic Oceans to earlier data from 1958 to 1961 and find that the seasonal amplitude at altitudes of 3 to 6 km increased by 50% for 45° to 90°N but by less than 25% for 10° to 45°N. An increase of 30 to 60% in the seasonal exchange of CO2 by northern extratropical land ecosystems, focused on boreal forests, is implicated, substantially more than simulated by current land ecosystem models. The observations appear to signal large ecological changes in northern forests and a major shift in the global carbon cycle.

scholarly journals Behaviour change practices in exercise referral schemes: developing realist programme theory of implementation

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
John Downey ◽  
Katie Shearn ◽  
Nicola Brown ◽  
Ross Wadey ◽  
Jeff Breckon
Keyword(s):  
Behaviour Change ◽  
Theoretical Domains Framework ◽  
Developed Countries ◽  
Realist Evaluation ◽  
Service Planning ◽  
Service Development ◽  
Activity Levels ◽  
Programme Theory ◽  
Implementation Framework ◽  
Exercise Referral

Abstract Background Exercise Referral Schemes have been delivered worldwide in developed countries to augment physical activity levels in sedentary patients with a range of health issues, despite their utility being questioned. Understanding the implementation mechanisms of behaviour change practices is important to avoid inappropriate decommissioning and support future service planning. The aim of this study was to develop initial theories to understand what influences the behaviour change practices of Exercise Referral practitioners within the United Kingdom. Methods An eight-month focused ethnography was undertaken, to carry out the first phase of a realist evaluation, which included participant observation, interviews, document analysis, and reflexive journaling. A comprehensive implementation framework (Consolidated Framework for Implementation Research) was adopted providing an extensive menu of determinants. Mechanisms were categorised based on the Theoretical Domains Framework (within the Capability, Opportunity, Motivation, Behaviour model) providing an explanatory tool linking the levels of the framework. Results Three programme theories are proposed. Firstly, motivation and capability are influenced when behaviour change oriented planning and training are in place. Secondly, motivation is influenced if leadership is supportive of behaviour change practice. Lastly, integration between health professionals and practitioners will influence motivation and capability. The conditions necessary to influence motivation and capability include a person-centred climate, cognizant practitioners, and established communities of practice. Conclusions The findings are the first to articulate the necessary elements for the implementation of behaviour change practices in Exercise Referral services. These results outline emerging theories about the conditions, resources, and explanations of behaviour change implementation that can inform service development.

scholarly journals “The Future of Archaeology Is Antiracist”: Archaeology in the Time of Black Lives Matter

2021 ◽  
pp. 1-20
Author(s):  
Ayana Omilade Flewellen ◽  
Justin P. Dunnavant ◽  
Alicia Odewale ◽  
Alexandra Jones ◽  
Tsione Wolde-Michael ◽  
...  
Keyword(s):  
United States ◽  
North American ◽  
The United States ◽  
Heritage Preservation ◽  
Social Unrest ◽  
Black Lives Matter ◽  
The North ◽  
Road Map ◽  
The Social ◽  
The Future

This forum builds on the discussion stimulated during an online salon in which the authors participated on June 25, 2020, entitled “Archaeology in the Time of Black Lives Matter,” and which was cosponsored by the Society of Black Archaeologists (SBA), the North American Theoretical Archaeology Group (TAG), and the Columbia Center for Archaeology. The online salon reflected on the social unrest that gripped the United States in the spring of 2020, gauged the history and conditions leading up to it, and considered its rippling throughout the disciplines of archaeology and heritage preservation. Within the forum, the authors go beyond reporting the generative conversation that took place in June by presenting a road map for an antiracist archaeology in which antiblackness is dismantled.

scholarly journals Social Condition of England during the Wars of the Roses

1902 ◽  
Vol 16 ◽  
pp. 159-200
Author(s):  
Vincent B. Redstone
Keyword(s):  
Social Life ◽  
English History ◽  
Class A ◽  
The North ◽  
The Arts ◽  
The Social ◽  
Wars Of The Roses ◽  
Social Habits ◽  
North And South ◽  
Better Than

The social life of the inhabitants of England during the years of strife which brought about the destruction of the feudal nobility, gave to the middle class a new position in the State, and freed the serf from the shackles of bondage, has been for some time past a subject of peculiar interest to the student of English history. If we desire to gain an accurate knowledge of the social habits and customs prevalent during this period of political disturbance, we cannot do better than direct our attention towards that part of the country which was the least affected by the contest between the Houses of York and Lancaster, the eastern district of England, which since the days of King John had enjoyed a remarkable immunity from civil war. Here the powerful lords of the North and South found little support; the vast estates of the old feudal barons were broken up into numerous independent manors. Moreover the arts of peace, in the shape of the mysteries of trade, manufactures, and commerce, widely flourished among the inhabitants of these regions.

The Social Structure of Modern Bamako

Africa ◽  
1965 ◽  
Vol 35 (2) ◽  
pp. 125-142 ◽  
Author(s):  
Claude Meillassoux
Keyword(s):  
Social Structure ◽  
The North ◽  
The Social ◽  
North Bank ◽  
Niger River ◽  
Opening Paragraph ◽  
The Town

Opening ParagraphAccording to a partial census taken in 1960, Bamako city has about 130,000 inhabitants. Small by Western standards, it is still by far the largest city in Mali. At the time of the French conquest Bamako had only between 800 and 1,000 inhabitants; it was the capital of a Bambara chiefdom, grouping about thirty villages on the north bank of the Niger river, with a total of about 5,000 people. The ruling dynasty was that of the Niaré, who, according to their traditions, came from the Kingi eleven generations ago (between 1640 and 1700). For defence against the neighbours and armed slave-raiders fortifications were built around the town and a permanent army of so-fa (horsemen) was raised. Soon after its foundation Bamako attracted Moslem Moors from Twat who settled as marabouts and merchants under the protection of the Niaré's warriors. Among them, the Twati (later to be called Touré) and the Dravé became, alongside and sometimes in competition with the Niaré, the leading families.

scholarly journals ‘There is nothing there’: Deindustrialization and loss in a coastal town

2021 ◽  
pp. 102452942110113
Author(s):  
Luke Telford
Keyword(s):  
Qualitative Interviews ◽  
Economic Security ◽  
Economic Decline ◽  
North East ◽  
The North ◽  
Seaside Resort ◽  
The Social ◽  
Post War ◽  
Stable Employment ◽  
The Town

Based on 52 qualitative interviews with working-class individuals, this paper explores the social and economic decline of a coastal locale referred to as High Town in Teesside in the North East of England. First, the paper outlines how the locality expanded as a popular seaside resort under capitalism’s post-war period. It then assesses how the seaside existed together with industrial work, offering stable employment opportunities, economic security and a sense of community. Next, the article documents the shift to neoliberalism in the 1980s, specifically the decline of High Town’s seaside resort, the deindustrialization process and therefore the 2015 closure of High Town’s steelworks. It explicates how this exacerbated the locale’s economic decline through the loss of industrial work’s ‘job for life’, its diminishing popularity as a coastal area and the further deterioration of the town centre. The paper concludes by suggesting that High Town has lost its raison d’être under neoliberalism and faces difficulties in revival.

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