Implementation of a Loneliness Screening and Referral Program in Primary Care: A Mixed Methods Pilot Study

在基层医疗机构实施孤独筛查和转诊计划:一项混合方法试点研究

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Abstract

PURPOSE: Loneliness screening is recommended as best practice in primary care for older adults, yet it is not widely implemented. The purpose of the current study was to assess feasibility of a loneliness screening and referral program (SOCIAL Rx) in a primary care practice. METHOD: Loneliness was assessed using the 3-item UCLA Loneliness Scale and curated referrals were provided for those who screened positive. Outcome measures were organized using the RE-AIM framework domains of reach, effectiveness, and adoption. Qualitative interviews were conducted to explore feasibility/acceptability and patient preferences regarding referrals. RESULTS: Eighty-one percent of patients were screened for loneliness; 33.3% were somewhat lonely and 17.7% were very lonely. Fifty-two percent of those who were lonely were provided a referral, and 40% of providers referred ≥50% of eligible patients. CONCLUSION: Loneliness was prevalent in this population of older adults, highlighting the imperative for screening and intervention. [Research in Gerontological Nursing, 18(2), 69-80.].

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