An Effectiveness-implementation Hybrid Study of Social Prescribing in a Singapore Community Hospital Setting

NCT04840420 | Unknown DMC

• 1 other identifier: 2021/2116
• Study Type: interventional
• Target: 804
• Locations: 0 countries
• Sites: N/A

Brief Summary

This research is an effectiveness-implementation hybrid study with two aims: 1\) to determine the utility of a WBC (Well Being Coordinator)-driven Social Prescribing model in the intermediate care setting; and 2) to assess the patient health outcomes associated with the implementation pilot. The implementation research questions include:

1. 1.Practical fit: Does the intervention fit with the daily life activities of study participants? What is the level of safety and burdensomeness of the frequency, intensity and duration of the intervention?
2. 2.Acceptability: What are the acceptance, retention and follow-up rates as the participants move through the intervention? What are the reasons for retention?
3. 3.Adoption: How well do the WBC carry out the assessment and intervention as planned?
4. 4.Participants in the intervention group will incur a higher improvement in perceived general wellbeing and social support than those participants in the control group.
5. 5.Participants in the intervention group will incur less healthcare utilisation than those in the control group.
6. 6.Improvement in the perceived general wellbeing and social support will be moderated by the level of social support of participants.

Conditions

Social Isolation

Keywords

well-being coordinators; social prescribing

Outcome Measures

Primary Outcomes (2)

• BIT score

  general wellbeing measured by the Brief Inventory of Thriving (BIT),

  2 months post discharge

• mMOS-SS score

  social support will be measured by the modified Medical Outcomes Study \- Social Support Survey (mMOS-SS)

  2 months post discharge

Secondary Outcomes (3)

• healthcare utilisation 12months post enrollment

  12 months post enrollment

• MBI

  1 day to 6 months post enrollment

• qualitative study

  1 day to 12 months post enrollment

Study Arms (2)

Intervention

ACTIVE COMPARATOR

Inpatient The WBCs conducts approximately daily visits to: 1. collect demographics and baseline data; 2. co-develop personalised social prescription plan with the participant based on Social Determinants of Health (SDoH) using SBAR4; 3. referring and accompanying the participant to attend inpatient activities that suit the participant's interests and preferences; and 4. informing and seeking the participant's agreement with community assets identified for the participant together with CNS. About 1-week post-discharge, the WBCs will call to check his/her transition back to community and readiness to start attending community activities or receiving services. For community activities, the WBCs and CNS will visit the participant, accompanying him/her to the activity premise on the first day of the activity session and send the participant home after the session.

Other: social prescribing

Control

OTHER

Usual Care Inpatient phase For the control group, the interviewer will conduct approximately 2 visits to collect demographics and baseline data. The duration of each visit will range from 15 to 30 minutes. Community phase For the control group, no intervention will be administered.

Other: usual care

Interventions

social prescribing OTHER

as above

Intervention

usual care OTHER

as above

Control

Eligibility Criteria

• Age: 21 Years - 99 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• the study team uses 7 categories of SDOH, namely Housing, Food, Economic Stability, Cognition and Learning, Social Environment, Access to Healthcare, and Digital Technologies. If there are care needs related to at least one category of SDOH, the patients will be deemed eligible for the Social Prescribing intervention. In addition, the patient must have the mental capacity to consent and participant in thesurvey.

You may not qualify if:

• The following group of patients will be excluded from the study:
• Patients who will be discharged to Nursing Homes;
• Patients who are unable to complete the required survey used in this study due to physical/sensory/cognitive impairment; and/or
• Patients who are diagnosed with a life-limiting condition with a prognosis of equal or less than 3 months.

Sponsors & Collaborators

• Bright Vision Hospital: lead
• Sengkang Community Hospital: collaborator
• Outram Community Hospital: collaborator

Related Publications (2)

• Polley MJ, Fleming J, Anfilogoff T, Carpenter A. Making sense of Social Prescribing. Univ Westminst. Published online August 17, 2017:79.

  BACKGROUND

• Helen J. Chatterjee, Paul M. Camic, Bridget Lockyer & Linda J. M. Thomson (2018) Non-clinical community interventions: a systematised review of social prescribing schemes, Arts & Health, 10:2, 97-123, DOI:10.1080/17533015.2017.1334002

  BACKGROUND

MeSH Terms

Conditions

Social Isolation

Condition Hierarchy (Ancestors)

Social Behavior; Behavior

Study Officials

• Lee Kheng Hock, MBBS

  Bright Vision Hospital

  PRINCIPAL INVESTIGATOR

• Low Sher Guan, MBBS

  Sengkang Community Hospital

  STUDY DIRECTOR

• Low Lian Leng, MBBS

  Outram Community Hospital

  STUDY DIRECTOR

• Kwan Li Feng, Adeline

  Sengkang Community Hospital

  STUDY DIRECTOR

• Zhao Dan

  Sengkang Community Hospital

  STUDY DIRECTOR

• Wong Peng Yong, Andrew, MBBS

  Bright Vision Hospital

  STUDY DIRECTOR

Central Study Contacts

Wong Peng Yong, Andrew, MBBS

CONTACT

+6569307048; andrew.wong.p.y@singhealth.com.sg

Png Shi Hui, Noelle

CONTACT

+6569307048

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: open label randomised control trial

Study Record Dates

• First Submitted: April 7, 2021
• First Posted: April 12, 2021
• Study Start: April 19, 2021
• Primary Completion: September 30, 2022
• Study Completion: September 30, 2022
• Last Updated: April 12, 2021

Record last verified: 2021-04

Data Sharing

• IPD Sharing: Will not share