Delivering Inclusive Cultural Offers for Social Prescribing: A Realist Evaluation Involving Older People From Global Majority Backgrounds and Cultural Sector Providers in the UK.

Introduction: Research shows cultural activities benefit older people's wellbeing, but little is known about why individuals from global majority (minority ethnic) groups engage less with the mainstream cultural sector, or how it could adapt to meet their needs and encourage engagement. The TOUS stu...

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Published in:Health Expectations Vol. 29; no. 1; pp. 1 - 15
Main Authors: Westlake, Debra, Mahtani, Kamal R., Wong, Geoffrey, Gorenberg, Jordan, Santillo, Marta, Husk, Kerryn, Vougioukalou, Sofia, Baxter, Ruthanne, Dawson, Shoba, Potter, Caroline M., Warburton, Harriet, McDougall, Beth, Tierney, Stephanie
Format: glossary pictorial research tables/charts Journal Article
Published: Wiley-Blackwell Feb2026
Online Access:View this record in EBSCOhost
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        atl: Delivering Inclusive Cultural Offers for Social Prescribing: A Realist Evaluation Involving Older People From Global Majority Backgrounds and Cultural Sector Providers in the UK.
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          Westlake, Debra
          Mahtani, Kamal R.
          Wong, Geoffrey
          Gorenberg, Jordan
          Santillo, Marta
          Husk, Kerryn
          Vougioukalou, Sofia
          Baxter, Ruthanne
          Dawson, Shoba
          Potter, Caroline M.
          Warburton, Harriet
          McDougall, Beth
          Tierney, Stephanie
        affil: Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
      sug:
        subj:
          Culture In Middle Age
          Leisure Activities In Old Age
          Psychological Well-Being
          Ethnic Groups
          Health Services Needs and Demand
          Patient Centered Care
          Referral and Consultation United Kingdom
          Attitude of Health Personnel
          Human
          Male
          Female
          Middle Age
          Aged
          Aged, 80 and Over
          United Kingdom
          Ethnographic Research
          Storytelling
          Descriptive Statistics
          Funding Source
          Minority Groups
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Introduction: Research shows cultural activities benefit older people's wellbeing, but little is known about why individuals from global majority (minority ethnic) groups engage less with the mainstream cultural sector, or how it could adapt to meet their needs and encourage engagement. The TOUS study (Tailoring cultural Offers with and for diverse older Users of Social prescribing) investigated the question: What tailoring is needed, how, when and for whom, to optimise cultural offers as part of social prescribing for older people (aged 60+) from global majority groups? Methods: The TOUS study involved focused ethnographies with six cultural‐sector organisations throughout the United Kingdom and 11 key informant interviews with cultural providers. A realist approach was adopted, resulting in the development of a programme theory. Results: The programme theory has three pillars: (1) broker, hook, and opportunity, which support entry into cultural spaces to provide immediate benefits; (2) safety and trust, power‐sharing, and meaning, which sustain engagement; and (3) transformative outcomes, including lasting relationships, confidence, and exploring identities. Conclusions: With intentional engagement and relational practices, organisations can foster inclusive cultural participation and support well‐being in later life. Patient or Public Contribution: The TOUS study was guided by a public involvement group of six contributors (aged 60+ from global majority/minority ethnic backgrounds) who shared experiences of creative practice, and advised on data collection, analysis, model development, and dissemination. The study also involved collaborative analysis of data at case sites.
      pubtype: Academic Journal
      doctype:
        glossary
        pictorial
        research
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        Journal Article
      ougenre: Article
    language: English
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