Social prescribing needs and priorities of older adults in Canada: A qualitative analysis

INTRODUCTION: Social prescribing (SP) is a holistic and collaborative approach to help individuals access community-based supports and services for their nonmedical social needs. The aim of this study was to assess the needs and priorities of Canadian older adults (aged 55 years and older), with a focus on optimizing SP programs for those who are systemically disadvantaged and socially marginalized. 

METHODS: Semistructured focus groups (N = 10 groups, 43 participants) were conducted online via Zoom with participants from across Canada. Data transcription and thematic analysis were completed in NVivo. Analyses were informed by self-determination theory. 

RESULTS: Our results suggest that older adults desire SP programs that respect their ability to maintain their autonomy and independence, aid and facilitate the development of connectedness and belonging, are built on a foundation of trust and relationship-building in interactions with providers and link workers, and prioritize the person and thus personalize SP to the unique needs of each individual. 

CONCLUSION: SP programs should be informed by the values of older adults. As work is currently underway to formalize and scale SP in Canada, personalizing these programs to the unique circumstances, needs and priorities of participants should be a top priority. Structurally disadvantaged and socially marginalized older adults want social prescribing (SP) programs that respect their autonomy and independence, boost their social connections with others and help them regain a sense of belonging in their community. Trust and a solid relationship with a link worker or health care provider are of utmost importance. Each older adult is unique, necessitating personalized supports and resources, particularly if they are structurally marginalized and socially disadvantaged. SP implementation in Canada should aim to meet older adults’ needs for autonomy, relatedness and competency in order to be effective. eng