Clinical trial NCT06606431: ACOMPANYEM: A COMmunity Program Accessing Lonely, Disabled Neighbors (Young, Elder, and Midlife)
Official title: Accompaniment of Isolated People by Volunteers From the Neighborhood: a Community Mixed Quasi-experimental/Qualitative Clinical Trial
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Social Isolation or Loneliness
Homebound Persons
Disabled Persons
Lead sponsor: Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina
Sponsor class: OTHER
Collaborators: name: Institut Catala de Salut
First posted: 2024-09-23
Enrollment: 8
Sex: ALL
Minimum age (years): 16
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Parallel Assignment, Pre-Post Intervention
Primary purpose: SUPPORTIVE_CARE

Brief summary: Social prescription prioritizes interventions for people at risk of social isolation or unwanted loneliness based on community assets and offers them a series of activities that can contribute to their emotional well-being as a healthy alternative to medicalized healthcare. Disabled homebound people deal with more difficulty accessing the social health assets available in the community. Volunteers from the same neighborhood may accomplish the social function of accompaniment and listening accessing them at home or walking them out to attain social prescription goals. The Community Emotional Well-Being Referent (REBEC) may enhance all of this by conducting emotional counseling and management groups for volunteers.

OBJECTIVE: To evaluate the effectiveness of a community intervention of accompaniment and emotional management with volunteers on the unwanted loneliness of people with social isolation, their emotional well-being, and their quality of life.

METHODOLOGY: a community-based quasi-experimental non-randomized pre-post intervention study with control group, and a qualitative study. Candidate detection by the Driving Group, composed of neighborhood organizations and the community health team, was conducted opportunistically. Recruitment of isolated individuals and volunteers was carried out, with registration based on inclusion criteria. Implementation of the multi-level intervention for volunteers and isolated individuals took place at home or by participating in community resources on the street, with parallel support groups for volunteers using REBEC. Each round of participants was followed for three months, continuing until the sample was complete. Qualitative analysis was conducted upon reaching information saturation. In cases where architectural barriers were detected, technical aids (such as portable stairlifts) were proposed, and their impact was studied.


Eligibility criteria: Inclusion Criteria:

Previously detected by community and professional assets among people over 16 years of age with the following criteria:

* Disabled physical or mental homebound persons.
* Unwanted loneliness, with difficulty in accessing other assets of the social prescription program.
* less than 8 on the Oslo Social Support Scale or less than 20 on the LSNS-R scale or less than 2 on the LSNR-6 scale in people over 65 years of age.

Exclusion Criteria:

* Impossibility of communication
* End-of-life situations.

Primary outcomes:
measure: Social Support/Isolation
timeFrame: 3 months for each round
measure: Emotional Well-Being
timeFrame: 3 months for each round
measure: Loneliness
timeFrame: 3 months
measure: Health-Related Quality of Life (HRQoL)
timeFrame: 3 months for each round
measure: Social Support/Isolation for aged more than 65
timeFrame: 3 months for each round
Secondary outcomes:
Other outcomes:
Locations:
city: Tarragona
country: Spain
facility: Centre Atenció Primària Bonavista-La Canonja. Gerència Territorial Camp de Tarragona, Institut Català de la Salut, Barcelona, Spain
Study officials:
References: