Evaluating the social prescribing pilot project’s effect on depression and loneliness among rural elderly in Korea

Objectives: This study aimed to confirm the effectiveness of the social prescribing pilot project for the elderly aged 65 and above in rural areas. In particular, the study aimed to measure the elderly’s depression, cognitive function, and loneliness before and after the social prescribing pilot project. Method: To this end, a non-equality control group pretest-posttest design was used, with 131 individuals aged 65 and above, living in Wonju, Gangwon-do (75 in the experimental group and 56 in the control group). SGDS-K was used as a measurement tool for depression, MMSE-K was used as a cognitive function measurement tool, and ULS-8 was used as a measurement tool for loneliness. Music Story Telling, a social prescribing intervention program, was conducted once a week for a total of eight weeks. For statistical analysis, T-test and DiD (Difference in Differences) analysis were conducted to confirm the significant difference in scores before and after intervention, and the effectiveness of intervention. Results: It was confirmed that depression significantly decreased after the implementation of the Music Story Telling program compared to the control group, who participated in the social prescribing pilot project (p<.05). Loneliness also significantly reduced (p<.05), while cognitive function was found to be slightly improved, but was not statistically significant. Conclusion: This study confirmed the effectiveness of the social prescribing pilot project in reducing depression and loneliness among the elderly in rural areas. It can hence be used as a new model to reduce elderly depression and improve their mental health. Additionally, it can be used as a basis to develop ways to revitalize Korea"s social prescribing for the promotion of elderly mental health.