Optimising cultural provision to improve older people's wellbeing through social prescribing in the context of COVID-19: Realist review and evaluation

近年来，文化机构支持公共福利（例如增加活动和志愿服务机会），可以被视为“社区资产”，是社会处方的核心。社会处方旨在增强人们应对影响其身心感受的“非医疗”挑战（例如孤立、焦虑、情绪低落）的能力。英国国家医疗服务体系引入了联系工作者，他们受雇在全科医生诊所工作，通过将人们与社区资产（如团体、组织、慈善机构）联系起来，促进社会处方。这可能包括与文化机构的联系，这可以改善社会隔离，让人们的注意力远离他们的担忧。2019冠状病毒病大流行正在影响文化部门所能提供的服务，目前预计这场危机将产生严重的精神和/或社会后果，尤其是对老年人而言。从一开始，这一人群就被确定为“有风险”，因为他们的病情本身和对它的反应，包括极度孤立，尤其是不熟悉在线交流的人。我们的研究将探讨文化机构如何适应以支持老年人的福祉。这将使我们能够就在当前和未来大流行的背景下为老年人提供社会处方的“准备好转诊”bbb100文化机构提出建议。我们将使用现实主义的方法来探索什么有效，对谁有效，为什么有效以及在什么情况下有效。我们将综合现有证据，制定一个规划理论，说明如何最好地动员和参与文化机构，以支持老年人在大流行期间和之后的复原力。我们将通过进一步的数据收集来检验这一方案理论：对老年人/文化机构工作人员的访谈和对链接工作人员的调查。

In recent years, cultural institutions have supported public wellbeing (e.g. increasing offers of activities and volunteering opportunities) and can be considered 'community assets' that are central to social prescribing. Social prescribing aims to empower people to address 'non-medical' challenges (e.g. isolation, anxiety, low mood) that affect how they feel physically and psychologically. The NHS has seen the introduction of link workers, employed to work in GP practices to facilitate social prescribing by connecting people to community assets (e.g. groups, organisations, charities). This might include connections to cultural institutions, which can ameliorate social isolation and give people a focus away from their worries. The COVID-19 pandemic is affecting what the cultural sector can offer, at a time when significant mental and/or social consequences of the crisis are anticipated, especially among older people. From the outset, this population was identified as 'at risk' from the condition itself and responses to it, including extreme isolation, especially if unfamiliar with online communication. Our research will explore how cultural institutions adapt to support older people's wellbeing. This will allow us to provide recommendations on being 'referral-ready'[1] cultural institutions for social prescribing for older people in the context of the current pandemic and future ones. We will use a realist approach to explore what works, for whom, why and in what circumstances. We will synthesise existing evidence to develop a programme theory on how cultural institutions might be best mobilised and engaged to support older people's resilience during and after the pandemic. We will refine this programme theory by testing it through further data collection: interviews with older people/cultural institution staff and survey with link workers.