Compassionate Communities Neighbourhood Program

Study Overview
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Brief Summary
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This study will evaluate a Compassionate Communities-based intervention aimed at reducing social isolation by mobilizing individuals to act on their health and social needs individually, and in collaboration with fellow members of their community. The intervention program includes facilitated building of neighbourhood networks (member benefits include access to practical help, the opportunity to develop meaningful relationships, and community mobilization), and coaching support to work on individualized goal setting and more detailed navigation support and planning.

Detailed Description
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The Compassionate Communities intervention is catalyzed by professional facilitators who visit communities with high concentrations of elderly and vulnerable residents, and recruit those who are interested in a project to identify their own health and social needs, assets and priorities; to collectively work to support each other in achieving these; and to implement a neighbourhood exchange to more easily match offers of help to people who need help. The mobilization work starts with the facilitator, who is employed by a community or social service organization, but increasingly draws on the energies of the mobilized initial participants as volunteers who conduct further community outreach in their community, attracting and mobilizing other residents, peers, and neighbouring resources in the work. Participants also plan and implement a broad range of activities identified by the residents as their priorities for neighbourhood building. Participants and their caregivers have the option of receiving more in-depth 1:1 coaching support to work on individualized goal setting, more detailed navigation support or advanced care planning following the sessions.

Official Title
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Compassionate Communities Neighbourhood Program: Cluster Randomized Trial

Conditions
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Chronic Disease, Aging

Intervention / Treatment
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* Behavioral: Neighbourhood exchange
* Behavioral: Quality of Life Assessment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Seniors (65 years of age and older) people with disabilities caregivers of seniors or people with disabilities residing in identified buildings/ neighbourhoods where the WECCC Compassionate Communities Neighbourhood program is being launched able to communicate in English or interpreter can be arranged Exclusion Criteria: not able to communicate in English and interpreter cannot be arranged

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Cluster randomization with stepped wedge
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Immediate<br>Quality of Life Assessment plus facilitated implementation of neighbourhood exchange and personal care support | Behavioral: Neighbourhood exchange<br>* Facilitated coaching support to identify needs and priorities and link with resources - personal, community, friend and family, or from professional service providers; plan and implement a personalized care pathway through community exchange<br>Behavioral: Quality of Life Assessment<br>* Completion of baseline measures<br>|
| Active Comparator: Delayed<br>Quality of Life Assessment | Behavioral: Quality of Life Assessment<br>* Completion of baseline measures<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Perception of social disconnectedness | Social disconnectedness scale; 8-item validated scale (Cornwell and Waite, 2008), higher scores indicate greater social disconnectedness | change from baseline at 7 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Perception of personal well-being | Assessed by Personal Well-Being Index (PWI); 8-item scale (Personal well-being index 5th edition, 2013). Higher scores indicate greater well-being | change from baseline at 7 months | 
| Perceived loneliness scale | Assessed by Perceived loneliness scale; 9-item validated scale (Cornwell and Waite, 2009). Higher scores indicated greater perceived isolation | change from baseline at 7 months | 
| Attainment of personal goals | Assessed by Goal Attainment Scaling (GAS) instrument, measured on 5-point scale for each goal identified (Hurn et al, 2006), higher score indicates greater goal attainment | Change from baseline at 7 months | 
| Health related quality of life | Assessed by Euroqol 5 dimension 5 level (5D-5L) scale; 5 levels of response for each of 5 items, score is converted to a single index, standardized to scale of 0 to 1, 1 being perfect health | change from baseline at 7 months | 
| Perceived provisions of social relationships | Social provisions scale; 10-item validated scale consisting of 5 subscales (Caron, 2013). The SPS 10 measures the perception of social support and consists of 10 items expressed as statements with responses coded on a 4-point scale from strongly disagree (= 1) to strongly agree (= 4). The total SPS-10 score is formed by the summation of raw scores, with high score indicating a higher degree of social provisions (maximum score of 40) | change from baseline at 7 months | 
| Number of emergency department visits | Number of emergency department visits measured from health administrative data | 7 months | 
| Number of hospital admissions | Number of hospital admissions measured from health administrative data | 7 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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disability