A social identity approach to social prescribing: developing a community prescribing toolkit to minimise disengagement by facilitating social identification

Morgan, T. ORCID: 0000-0001-9838-5081, 2023. A social identity approach to social prescribing: developing a community prescribing toolkit to minimise disengagement by facilitating social identification. PhD, Nottingham Trent University.

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Social prescribing is a non-medical health initiative that empowers individuals to manage their health and well-being by connecting them to local community resources, including community groups. However, disengagement and a prior lack of theory guiding social prescribing prevents our understanding of how and when social prescriptions to community groups promote health and wellbeing. To address these gaps, this research applied the Social Identity Approach to Health (SIAH, Haslam et al., 2018; Jetten et al., 2012) to social prescribing, to further establish a theoretical foundation and mitigate disengagement by promoting social identification. A four-study exploratory, sequential mixed method approach aimed to answer the overarching research question: How can the application of the SIAH improve the social prescribing referral process to community groups? Interviews with 27 social prescribing stakeholders in Study One revealed tacit understanding of group processes such as need satisfaction, fit, shared similarities, and belonging within social prescribing. These insights shaped the creation of a toolkit aimed at facilitating social identification during a community group social prescription.
Study Two refined the toolkit through focus groups and an online qualitative questionnaire with seven Link Workers and three group leaders. However, Study Three’s questionnaire with 70 Link Workers outlined the impracticalities of trialling the toolkit whilst services were recovering from the COVID-19 pandemic. Thus, Study Four was altered to deepen understandings of the facilitators and barriers to engagement with recommended community groups via five service-user interviews. Analysis indicated that complex or traumatic social histories for service-users impacted the perceived accessibility of community groups by fostering distrust, social avoidance, and disengagement. These findings were integrated into the developed toolkit. This work has been pivotal in evidencing the SIAH to social prescribing and developing a social identity-informed social prescribing toolkit, providing the necessary groundwork for future trialling of the toolkit.

Item Type: Thesis
Creators: Morgan, T.
Harkin, L.Thesis supervisorPSY3HARKILorcid.org/0000-0003-0511-5934
Bowe, M.Thesis supervisorPSY3BOWEMorcid.org/0000-0002-0491-1472
Stevenson, C.Thesis supervisorPSY3STEVECorcid.org/0000-0002-2438-6425
Date: November 2023
Rights: This work is the intellectual property of the author. You may copy up to 5% of this work for private study, or personal, non-commercial research. Any re-use of the information contained within this document should be fully referenced, quoting the author, title, university, degree level and pagination. Queries or requests for any other use, or if a more substantial copy is required, should be directed in the owner(s) of the Intellectual Property Rights.
Divisions: Schools > School of Social Sciences
Record created by: Melissa Cornwell
Date Added: 10 Jul 2024 09:54
Last Modified: 10 Jul 2024 09:54
URI: https://irep.ntu.ac.uk/id/eprint/51733

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