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

IF 1.6 4区医学 Q3 NURSING Research in Gerontological Nursing Pub Date : 2025-03-01 DOI:10.3928/19404921-20250219-02

Chava Pollak, Jennifer Winter, Lin Drury, Claudene George, Amy R Ehrlich, Joe Verghese, Helena M Blumen

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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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初级保健孤独感筛查和转诊项目的实施：一项混合方法的试点研究。

目的：孤独感筛查被推荐为老年人初级保健的最佳实践，但尚未广泛实施。本研究的目的是评估孤独感筛查和转诊项目（SOCIAL Rx）在初级保健实践中的可行性。方法：采用加州大学洛杉矶分校孤独感量表进行孤独感评估，并为筛查阳性的患者提供精心安排的转诊。使用RE-AIM框架的覆盖范围、有效性和采用范围来组织结果测量。进行定性访谈以探讨转诊的可行性/可接受性和患者偏好。结果：81%的患者接受了孤独感筛查；33.3%的人有些孤独，17.7%的人非常孤独。52%的孤独患者被转诊，40%的提供者转诊了≥50%的符合条件的患者。结论：孤独感在老年人群中普遍存在，强调了筛查和干预的必要性。老年护理研究，18(2),69-80。

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来源期刊

Research in Gerontological Nursing NURSING-

CiteScore

2.30

自引率

6.20%

发文量

审稿时长

>12 weeks

期刊介绍： Research in Gerontological Nursing is a forum for disseminating peer-reviewed, interdisciplinary, cutting-edge gerontological nursing research and theory to investigators, educators, academicians, clinicians, and policymakers involved with older adults in all health care settings. The Journal accepts manuscripts reporting research, theory, integrative and systematic reviews, instrument development, and research methods with the aims of improving the wellness and quality of care of the older adult population. Theory papers should advance gerontological knowledge, and integrative reviews should provide an analysis of the state of the science and provide direction for future research.