Clinical trial NCT03634163: Compassionate Communities Neighbourhood Program
Official title: Compassionate Communities Neighbourhood Program: Cluster Randomized Trial
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Chronic Disease
Aging
Keywords: disability
Lead sponsor: McMaster University
Sponsor class: OTHER
Collaborators: name: Windsor-Essex Compassionate Care Community
name: University of Windsor
name: Hospice of Windsor and Essex County
name: Erie St. Clair Local Health Integration Network (LHIN)
name: Ontario Trillium Foundation
First posted: 2018-08-16
Enrollment: 1000
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Cluster randomization with stepped wedge
Primary purpose: OTHER

Brief summary: 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: 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.

Eligibility criteria: 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

Primary outcomes:
measure: Perception of social disconnectedness
timeFrame: change from baseline at 7 months
Secondary outcomes:
measure: Perception of personal well-being
timeFrame: change from baseline at 7 months
measure: Perceived loneliness scale
timeFrame: change from baseline at 7 months
measure: Attainment of personal goals
timeFrame: Change from baseline at 7 months
measure: Health related quality of life
timeFrame: change from baseline at 7 months
measure: Perceived provisions of social relationships
timeFrame: change from baseline at 7 months
measure: Number of emergency department visits
timeFrame: 7 months
measure: Number of hospital admissions
timeFrame: 7 months
Other outcomes:
measure: Cost-effectiveness
timeFrame: 7 months
Locations:
city: Windsor
country: Canada
facility: Hospice of Windsor-Essex
state: Ontario
Study officials:
affiliation: McMaster University
name: Michelle Howard, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: McMaster University
name: Lisa Dolovich, PharmD
role: PRINCIPAL_INVESTIGATOR
affiliation: University of Windsor
name: Kathryn Pfaff, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: Western University
name: Merrick Zwarenstein, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: McMaster University
name: Denise Marshall
role: PRINCIPAL_INVESTIGATOR
affiliation: Sinai Health Systems
name: Ross Upshur
role: PRINCIPAL_INVESTIGATOR
affiliation: Ottawa Hospital Research Institute
name: Carol Bennett
role: PRINCIPAL_INVESTIGATOR
References: