Exploración cualitativa en el Reino Unido de un programa de prescripción social basado en la naturaleza: la perspectiva del usuario del servicio
DOI:
https://doi.org/10.71164/socialmedicine.v19i2.2026.2255Palabras clave:
Prescripción social basada en la naturaleza (NBSP), prescripción social, bienestar, salud comunitariaResumen
Los esquemas de prescripción social están creciendo en el Reino Unido. La evidencia que apoya las propuestas de prescripción social basada en la naturaleza, un subconjunto específico de la prescripción social, está aumentando; sin embargo, existen varios desafíos para capturar su impacto. Muchas evaluaciones se han centrado en la mejora de la salud para medir el impacto. La perspectiva del usuario del servicio es fundamental para comprender su valor más amplio y justifica una exploración continua. El aporte potencial implícito en las perspectivas de los participantes para identificar los "ingredientes activos" de estos esquemas podría informar el desarrollo de futuros marcos diseñados para comprender las mejores prácticas, garantizar el uso eficiente de los fondos del NHS, la asignación de recursos y reducir la carga en la atención primaria. Por lo tanto, este estudio tuvo como objetivo comprender el valor de los esquemas de prescripción social situados en la naturaleza desde la perspectiva del usuario del servicio. Se realizaron tres discusiones con grupos focales (n = 22) y 17 entrevistas individuales (59% de participantes varones). El análisis temático generó tres temas: " Comunidad", "conexión y exposición a la naturaleza" y " efecto dominó " ; que resaltaron el valor de la participación. Los esquemas de prescripción social situados en la naturaleza benefician a los participantes de múltiples maneras. Proporcionan un espacio seguro y con apoyo para desarrollar la identidad personal y habilidades sociales, vitales para la conexión social y un sentido de propósito. La exposición y la conexión con la naturaleza fueron importantes para facilitar estos beneficios. Las características específicas del programa local estudiado también destacaron la importancia crucial que desempeña el personal del sector no gubernamental en la prestación de servicios a quienes enfrentan privaciones, desempleo o un bienestar deficiente. Las relaciones entre los líderes del programa y los usuarios del servicio generaron oportunidades para desarrollar habilidades y confianza en sí mismos, lo que generó un efecto dominó que se extendió más allá del entorno inmediato.
Citas
Khan, H., Giurca, B. C., Sanderson, J., Dixon, M., Leitch, A., & Cook, C. Social prescribing around the world—a world map of global developments in social prescribing across different health system contexts [Internet]. London (UK): National Academy for Social Prescribing; 2023
Kings fund 2020, What is social prescribing? Accessed [5.9.24] at What Is Social Prescribing? | The King's Fund (kingsfund.org.uk)
Wallace, C., Newstead, S., Wallace, S., Lynch, M., Elliott, M., Llewellyn, M., & Randall, S. (2024). Social Prescribing in Wales. In Social Prescribing Policy, Research and Practice: Transforming Systems and Communities for Improved Health and Wellbeing (pp. 65-84). Cham: Springer International Publishing.
NFSP; National framework for social prescribing. Welsh government 19th January 2024. Policy and strategy document. Accessed (8.8.24) at National framework for social prescribing [HTML] | GOV.WALES
National Centre for Creative Health
Jenkins, C., Lambert, K., & Mackintosh, W. (2025). An introduction to creative health. InnovAiT, 18(3), 135-139.
Mughal, R., Seers, H., Polley, M., Sabey, A., & Chatterjee, H. J. (2022). How the natural environment can support health and wellbeing through social prescribing.
Schertz, K. E., & Berman, M. G. (2019). Understanding nature and its cognitive benefits. Current Directions in Psychological Science, 28(5), 496-502.
Seers, Helen, Rabya Mughal, and Helen Chatterjee. "Connection to nature." (2022): 20230324580.
Capaldi, C. A., Passmore, H. A., Nisbet, E. K., Zelenski, J. M., & Dopko, R. L. (2015). Flourishing in nature: A review of the benefits of connecting with nature and its application as a wellbeing intervention. International Journal of Wellbeing, 5(4).
Reis, A., Gray, T., Mann, J. et al. Measuring nature-based health interventions – a rapid review of instrumentation and outcomes. Journal of Outdoor and Environmental Education 27, 57–186 (2024). https://doi.org/10.1007/s42322-023-00135-3
Staras, C. O., Wakefield, J. R., McDermott, D. T., & Jones, B. A. (2024). An evaluation of the role of social identity processes for enhancing health outcomes within UK‐based social prescribing initiatives designed to increase social connection and reduce loneliness: A systematic review. Journal of Community & Applied Social Psychology, 34(5), e2878.
Menhas, R., Yang, L., Saqib, Z. A., Younas, M., & Saeed, M. M. (2024). Does nature-based social prescription improve mental health outcomes? A systematic review and meta-analysis. Frontiers in Public Health, 12, 1228271.
Mughal, R., Seers, H., Polley, M., Sabey, A., & Chatterjee, H. J. (2022). How the natural environment can support health and wellbeing through social prescribing.
Cooper, M., Avery, L., Scott, J., Ashley, K., Jordan, C., Errington, L., & Flynn, D. (2022). Effectiveness and active ingredients of social prescribing interventions targeting mental health: a systematic review. BMJ open, 12(7), e060214.
Makanjuola, A., Lynch, M., Hartfiel, N., Cuthbert, A., & Edwards, R. T. (2023). Prevention of poor physical and mental health through the green social prescribing opening doors to the outdoors programme: a social return on investment analysis. International Journal of Environmental Research and Public Health, 20(12), 6111.
Lynch, M., Whiteley, H., Hartfiel, N., Edwards, R. T., & Cuthbert, A. (2024). 57 Nature based social prescribing for enhancing mental health and well-being. European Journal of Public Health, 34(Supplement_2), ckae114-090.
Kenyon, A. V., Coventry, P., White, P., Montasem, A., Phukan, S., & Ozols-Riding, J. (2023). Evaluation of the West Yorkshire Health and Care Partnership Green Social Prescribing Funding Programme.
Sands, G., Blake, H., Carter, T., & Spiby, H. (2023). Nature-Based Interventions in the UK: A Mixed Methods Study Exploring Green Prescribing for Promoting the Mental Wellbeing of Young Pregnant Women. International Journal of Environmental Research and Public Health, 20(20), 6921.
Dayson, C., & Leather, D. (2020). Evaluation of HALE Community Connectors Social Prescribing Service 2018-19.
Bagnall, A. M., & Brymer, E. (2019). Social return on investment analysis of the health and wellbeing impacts of Wildlife Trust programmes.
Foster, A., & Dayson, C. (2024). Evaluation of the South Yorkshire Tackling and Preventing Mental Health Through Green Social Prescribing Project: Data and Insights 2021/22-2023/24.
Sachs, A. L., Kolster, A., Wrigley, J., Papon, V., Opacin, N., Hill, N., ... & Litt, J. (2024). Connecting through nature: A systematic review of the effectiveness of nature-based social prescribing practices to combat loneliness. Landscape and Urban Planning, 248, 105071.
Leavell, M. A., Leiferman, J. A., Gascon, M., Braddick, F., Gonzalez, J. C., & Litt, J. S. (2019). Nature-based social prescribing in urban settings to improve social connectedness and mental well-being: a review. Current environmental health reports, 6, 297-308.
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NFSP; National framework for social prescribing. Welsh government 19th January 2024. Policy and strategy document. Accessed (8.8.24) at National framework for social prescribing [HTML] | GOV.WALES
DEFRA (2011). Good practice in social prescribing for mental health: the role of nature based interventions (NECR228) natural England. Accessed from http://publications.naturalengland.org.uk/publication/5134438692814848#: ~:text=Good%20practice%20in%20social%20prescribing%20for%20mental%20h ealth%3A,Access%20to%20the%20countryside%20- %20research%20and%20evidence
Bickerdike L, Booth A, Wilson PM, et al. Social prescribing: less rhetoric and more reality. A systematic review of the evidence. BMJ Open 2017;7:e013384.doi:10.1136/bmjopen-2016-013384
Pescheny, J. V., Randhawa, G., & Pappas, Y. (2020). The impact of social prescribing services on service users: a systematic review of the evidence. European journal of public health, 30(4), 664-673.
Griffiths, C., Hina, F., & Jiang, H. (2022). Social prescribing through primary care: a systematic review of the evidence. Open journal of preventive medicine, 12(2), 31-58.
Tate, C., Tran, N., Longo, A., Barry, J., Taylor, T., O'Neill, C., & Hunter, R. (2024). Economic evaluations of urban green and blue space interventions: A scoping review. Ecological Economics, 222, 108217.
Brown, M. & Aylett, K. (2025). Interrogating green social prescribing in South Wales; A multi-stakeholder qualitative exploration. PLOS ONE, 20(1), e0314107. https://doi.org/10.1371/journal.pone.0314107,
Sands, G., Blake, H., Carter, T., & Spiby, H. (2023). Nature-Based Interventions in the UK: A Mixed Methods Study Exploring Green Prescribing for Promoting the Mental Wellbeing of Young Pregnant Women. International Journal of Environmental Research and Public Health, 20(20), 6921.
Cooper, M., Flynn, D., Scott, J., Ashley, K., & Avery, L. (2024). Barriers and Facilitators to the Design and Delivery of Social Prescribing Services to Support Adult Mental Health: Perspectives of Social Prescribing Service Providers. Health & Social Care in the Community, 2024(1), 5581012.
Jenkins, C., Lambert, K., & Mackintosh, W. (2025). An introduction to creative health. InnovAiT, 18(3), 135-139.
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative research in psychology, 3(2), 77-101.
Staras, C. O., Wakefield, J. R., McDermott, D. T., & Jones, B. A. (2024). An evaluation of the role of social identity processes for enhancing health outcomes within UK‐based social prescribing initiatives designed to increase social connection and reduce loneliness: A systematic review. Journal of Community & Applied Social Psychology, 34(5), e2878.
Bhatti, S., Rayner, J., Pinto, A. D., Mulligan, K., & Cole, D. C. (2021). Using self-determination theory to understand the social prescribing process: a qualitative study. BJGP open, 5(2).
Warran, K., Burton, A., & Fancourt, D. (2022). What are the active ingredients of ‘arts in health’ activities? Development of the INgredients iN ArTs in hEalth (INNATE) Framework. Wellcome Open Research, 7.
de Bell, S., Alejandre, J. C., Menzel, C., Sousa-Silva, R., Straka, T. M., Berzborn, S., ... & Bonn, A. (2024). Nature-based social prescribing programmes: opportunities, challenges, and facilitators for implementation. Environment International, 108801.
Elliott, M., Davies, M., Davies, J., & Wallace, C. (2022). Exploring how and why social prescribing evaluations work: a realist review. BMJ open, 12(4), e057009.
Wildman, J.M., Moffatt, S., Steer, M. et al. Service-users’ perspectives of link worker social prescribing: a qualitative follow-up study. BMC Public Health 19, 98 (2019). https://doi.org/10.1186/s12889-018-6349-x
Impact Report 2023 | Centre for Sustainable Healthcare
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