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Social prescriptions for advancing resilience in kids (SPARK): study protocol for a randomized controlled trial

Kempe, S; Bennett, S; MacLeod, O; Mohamed, N; Cloutier, P; Muhl, C; Hayes, D; ... Racine, N; + view all (2025) Social prescriptions for advancing resilience in kids (SPARK): study protocol for a randomized controlled trial. BMC Psychology , 13 (1) , Article 1126. 10.1186/s40359-025-03465-7. Green open access

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Abstract

BACKGROUND: Child mental health needs are rising in Canada, with over half a million young people requiring access to mental health care. Social determinants, including poverty and limited social support, contribute significantly to these difficulties. Social prescribing (SP), a non-medical intervention connecting individuals to community resources, is gaining traction in child and youth wellbeing research, though empirical evidence remains limited. OBJECTIVES: The overarching goal of the Social Prescriptions for Advancing Resilience in Kids (SPARK) study is to establish the preliminary feasibility of implementing social prescribing for children and youth on an outpatient MH waitlist. The study objectives are to determine feasibility and evaluate effectiveness. METHODS: This study will recruit 170 children and youth between the ages of 11 and 17 on the waitlist for outpatient mental health support at the Children's Hospital of Eastern Ontario (CHEO) in Ottawa, Ontario, Canada. Participants will be randomly assigned to either the intervention group or educational control group. Youth in the intervention group will receive a social prescription connecting them to community-based activities of their choice, while those in the control group will receive an educational booklet on social connections. Caregivers will also be invited to take part in the study. Children, youth, and their caregivers in the control group will complete online questionnaires at baseline and again 12 weeks later, while those in the intervention group will complete them at baseline and 12 weeks after beginning the social prescribing activities. The questionnaires will address demographic information, youths' symptoms of anxiety and depression, overall wellbeing, emotional and behavioural difficulties, social connectedness, and protective factors. Additionally, children and youth, caregivers, and staff (i.e., clinicians, medical practitioners) will participate in qualitative interviews about their experiences with SP. DISCUSSION: The findings from this study will add important knowledge about the impact of social prescribing as an approach to support the wellbeing of children and youth experiencing mental health challenges. In addition, this study will offer valuable insights into the barriers encountered and the strategies used to facilitate effective implementation of child and youth social prescribing. TRIAL REGISTRATION: The study was registered with ClinicalTrials.gov on June 6, 2025 (NCT07022561).

Type: Article
Title: Social prescriptions for advancing resilience in kids (SPARK): study protocol for a randomized controlled trial
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1186/s40359-025-03465-7
Publisher version: https://doi.org/10.1186/s40359-025-03465-7
Language: English
Additional information: Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/.
Keywords: Child and youth mental health, Randomized control trial, Social prescribing, Humans, Child, Adolescent, Resilience, Psychological, Social Support, Male, Female, Randomized Controlled Trials as Topic, Ontario, Feasibility Studies
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health
URI: https://discovery.ucl.ac.uk/id/eprint/10216258
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