ACOMPANYEM: A COMmunity Program Accessing Lonely, Disabled Neighbors (Young, Elder, and Midlife)

NCT ID: NCT06606431

Last Updated: 2024-09-23

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 8 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-10-01
• Study Completion Date: 2026-12-31

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.

Conditions

Social Isolation or Loneliness; Homebound Persons; Disabled Persons

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: SUPPORTIVE_CARE
• Blinding Strategy: NONE

Study Groups

Participant Group

The intervention is multilevel and is based on bringing together two population groups in the community with complementary needs:

1. People over 16 years of age isolated at home due to mobility problems or chronic mental illness.

2. Volunteers from the neighborhood, especially people with interested in improving their emotional well-being.

REBEC will conduct a first individual interview to confirm that the volunteers are emotionally and vitally stable at the time of the intervention.

A personalized relational dynamic of help will be set up in each case (one-to-one interaction, relational level). This interaction can consist of listening at home or going with the person on the street to bring them closer to the different proposals for community social activities.

The group of social isolation and/or unwanted loneliness will also receive support from the community team, to provide a personalized response to the physical, health, social or psychological needs detected by the v

Group Type: EXPERIMENTAL

Multileveled-community approach

Intervention Type: BEHAVIORAL

One-to-one delivered interaction at relational level (Interpersonal Relations, Volunteers) Socio-health interaction at personalized level (Social Work) Group delivered interaction for volunteers (Group Dynamics) Community-level interactions (Social Cohesion, Community Networks)

Control Group

In-waiting list for intervention in future rounds; habitual care

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Multileveled-community approach

One-to-one delivered interaction at relational level (Interpersonal Relations, Volunteers) Socio-health interaction at personalized level (Social Work) Group delivered interaction for volunteers (Group Dynamics) Community-level interactions (Social Cohesion, Community Networks)

Intervention Type: BEHAVIORAL

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.

• Minimum Eligible Age: 16 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Institut Catala de Salut

OTHER_GOV

Sponsor Role: collaborator

Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina

OTHER

Sponsor Role: lead

Responsible Party

Sara Martínez Torres

Research Technician

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Centre Atenció Primària Bonavista-La Canonja. Gerència Territorial Camp de Tarragona, Institut Català de la Salut, Barcelona, Spain

Tarragona, , Spain

Countries

Spain

Central Contacts

Paloma Camós-Guijosa, Doctor

Role: CONTACT

pcamos.tgn.ics@gencat.cat

977 778 518 ext. +34

Other Identifiers

24/095-P (Ethics Committee nº)

Identifier Type: -

Identifier Source: org_study_id