A Qualitative Exploration of the Role of Culturally Relevant Social Prescribing in Supporting Pakistani Carers Living in the UK
ABSTRACT Background Approximately 5.7 million people in the UK are providing informal care. Carers across all ethnic groups can experience negative impacts on their physical and mental health but some minority ethnic groups face greater challenges. Higher levels of social isolation exist among Pakis...
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| Format: | Article |
| Language: | English |
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Wiley
2024-12-01
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| Series: | Health Expectations |
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| Online Access: | https://doi.org/10.1111/hex.70099 |
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| author | Sarah McMullen Shoba Poduval Megan Armstrong Nathan Davies Chris Dayson Kalpa Kharicha Pushpa Nair Manoj Mistry Madiha Sajid Kate Walters Abi Woodward |
| author_facet | Sarah McMullen Shoba Poduval Megan Armstrong Nathan Davies Chris Dayson Kalpa Kharicha Pushpa Nair Manoj Mistry Madiha Sajid Kate Walters Abi Woodward |
| author_sort | Sarah McMullen |
| collection | DOAJ |
| description | ABSTRACT Background Approximately 5.7 million people in the UK are providing informal care. Carers across all ethnic groups can experience negative impacts on their physical and mental health but some minority ethnic groups face greater challenges. Higher levels of social isolation exist among Pakistani carers compared to White British carers, yet the needs of Pakistani carers and how well support services meet these needs is less well understood. Social prescribing can help people get more control over their health care in a nonmedical way. South Asian and other ethnically diverse populations are under‐served in social prescribing and there is little evidence available on why this is the case. Aim To explore the potential role of culturally relevant and adapted social prescribing in assisting Pakistani carers and identify the cultural and religious influences and barriers on carer health behaviours. Methods Semi‐structured one‐to‐one interviews with Pakistani family carers (n = 27) and social prescribing stakeholders (n = 10) living in London and Sheffield, UK. Participants were recruited through voluntary and community sector organisations (VCSOs), social media, religious organisations, and word of mouth. Interview data was analysed in NVivo using reflexive thematic analysis methods. Findings Two themes were developed; (1) Individual and community level influences: Navigating and accessing carer support within Pakistani communities, including carer identity and cultural barriers to accessing support provision, and cultural adaptation to facilitate support for Pakistani carer health and well‐being, (2) societal and structural level challenges: Accessing and providing social prescribing for Pakistani carers, including funding challenges for the provision of culturally relevant carer support, integration of primary care and social prescribing, and enhancing cultural awareness and competence in social prescribing for Pakistani carers. Conclusions There are complexities surrounding carer identity, family dynamics, stigma, and a lack of knowledge of social prescribing within Pakistani communities. There is a need for more culturally competent support, culturally relevant education, awareness‐raising, and collaboration among primary care and VCSO's to better support Pakistani carers through social prescribing, which acknowledges and addresses the complexities. Patient and Public Contribution The study included a patient advisory group comprised of two South Asian family carers who contributed towards all stages of the study. They provided feedback on study documents (topic guides and recruitment materials) and recruitment strategy, supported with translation of study documents and interpretation of the interview data, and helped with facilitation of our dissemination activities. |
| format | Article |
| id | doaj-art-da5cf155db19498ab2e42afe8072f106 |
| institution | OA Journals |
| issn | 1369-6513 1369-7625 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Expectations |
| spelling | doaj-art-da5cf155db19498ab2e42afe8072f1062025-08-20T02:04:15ZengWileyHealth Expectations1369-65131369-76252024-12-01276n/an/a10.1111/hex.70099A Qualitative Exploration of the Role of Culturally Relevant Social Prescribing in Supporting Pakistani Carers Living in the UKSarah McMullen0Shoba Poduval1Megan Armstrong2Nathan Davies3Chris Dayson4Kalpa Kharicha5Pushpa Nair6Manoj Mistry7Madiha Sajid8Kate Walters9Abi Woodward10Research Department of Primary Care and Population Health University College London London UKResearch Department of Primary Care and Population Health University College London London UKWolfson Institute of Population Health Queen Mary University London London UKWolfson Institute of Population Health Queen Mary University London London UKAdvanced Wellbeing Research Centre Sheffield Hallam University Sheffield UKNIHR Health & Social Care Workforce Research Unit, Kings College London London UKResearch Department of Primary Care and Population Health University College London London UKPatient and Public Involvement PartnerPatient and Public Involvement PartnerResearch Department of Primary Care and Population Health University College London London UKResearch Department of Primary Care and Population Health University College London London UKABSTRACT Background Approximately 5.7 million people in the UK are providing informal care. Carers across all ethnic groups can experience negative impacts on their physical and mental health but some minority ethnic groups face greater challenges. Higher levels of social isolation exist among Pakistani carers compared to White British carers, yet the needs of Pakistani carers and how well support services meet these needs is less well understood. Social prescribing can help people get more control over their health care in a nonmedical way. South Asian and other ethnically diverse populations are under‐served in social prescribing and there is little evidence available on why this is the case. Aim To explore the potential role of culturally relevant and adapted social prescribing in assisting Pakistani carers and identify the cultural and religious influences and barriers on carer health behaviours. Methods Semi‐structured one‐to‐one interviews with Pakistani family carers (n = 27) and social prescribing stakeholders (n = 10) living in London and Sheffield, UK. Participants were recruited through voluntary and community sector organisations (VCSOs), social media, religious organisations, and word of mouth. Interview data was analysed in NVivo using reflexive thematic analysis methods. Findings Two themes were developed; (1) Individual and community level influences: Navigating and accessing carer support within Pakistani communities, including carer identity and cultural barriers to accessing support provision, and cultural adaptation to facilitate support for Pakistani carer health and well‐being, (2) societal and structural level challenges: Accessing and providing social prescribing for Pakistani carers, including funding challenges for the provision of culturally relevant carer support, integration of primary care and social prescribing, and enhancing cultural awareness and competence in social prescribing for Pakistani carers. Conclusions There are complexities surrounding carer identity, family dynamics, stigma, and a lack of knowledge of social prescribing within Pakistani communities. There is a need for more culturally competent support, culturally relevant education, awareness‐raising, and collaboration among primary care and VCSO's to better support Pakistani carers through social prescribing, which acknowledges and addresses the complexities. Patient and Public Contribution The study included a patient advisory group comprised of two South Asian family carers who contributed towards all stages of the study. They provided feedback on study documents (topic guides and recruitment materials) and recruitment strategy, supported with translation of study documents and interpretation of the interview data, and helped with facilitation of our dissemination activities.https://doi.org/10.1111/hex.70099culturally relevantfamily carerhealth and well‐beinghealth inequalitiesPakistanisocial prescribing |
| spellingShingle | Sarah McMullen Shoba Poduval Megan Armstrong Nathan Davies Chris Dayson Kalpa Kharicha Pushpa Nair Manoj Mistry Madiha Sajid Kate Walters Abi Woodward A Qualitative Exploration of the Role of Culturally Relevant Social Prescribing in Supporting Pakistani Carers Living in the UK Health Expectations culturally relevant family carer health and well‐being health inequalities Pakistani social prescribing |
| title | A Qualitative Exploration of the Role of Culturally Relevant Social Prescribing in Supporting Pakistani Carers Living in the UK |
| title_full | A Qualitative Exploration of the Role of Culturally Relevant Social Prescribing in Supporting Pakistani Carers Living in the UK |
| title_fullStr | A Qualitative Exploration of the Role of Culturally Relevant Social Prescribing in Supporting Pakistani Carers Living in the UK |
| title_full_unstemmed | A Qualitative Exploration of the Role of Culturally Relevant Social Prescribing in Supporting Pakistani Carers Living in the UK |
| title_short | A Qualitative Exploration of the Role of Culturally Relevant Social Prescribing in Supporting Pakistani Carers Living in the UK |
| title_sort | qualitative exploration of the role of culturally relevant social prescribing in supporting pakistani carers living in the uk |
| topic | culturally relevant family carer health and well‐being health inequalities Pakistani social prescribing |
| url | https://doi.org/10.1111/hex.70099 |
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