Compassionate Communities Neighbourhood Program

Aging Clinical Trial

— WECCC-NHB  

Official title:

Compassionate Communities Neighbourhood Program: Cluster Randomized Trial

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT03634163
• Other study ID #: 001-WECCC
• Status: Not yet recruiting
• Phase: N/A
• Start date: September 1, 2018
• Est. completion date: March 31, 2021

Study information

• Verified date: August 2018
• Source: McMaster University
• Contact: Michelle Howard, PhD
• Phone: 905-525-9140
• Email: mhoward[@]mcmaster.ca
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 1000
• Est. completion date: March 31, 2021
• Est. primary completion date: March 31, 2020
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

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

Related Conditions & MeSH terms

• Aging
• Chronic Disease

Intervention

Behavioral:
• Neighbourhood exchange
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
• Quality of Life Assessment
Completion of baseline measures

Locations

Country	Name	City	State
Canada	Hospice of Windsor-Essex	Windsor	Ontario

Sponsors (6)

Lead Sponsor	Collaborator
McMaster University	Erie-St. Clair Local Health Integration Network, Hospice of Windsor and Essex County, Ontario Trillium Foundation, University of Windsor, Windsor-Essex Compassionate Care Community

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Cost-effectiveness	Cost-effectiveness ratio measured as difference between groups in total health care utilization costs (measured from administrative data) divided by quality adjusted life years gained from the intervention	7 months
Primary	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	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
Secondary	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
Secondary	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
Secondary	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
Secondary	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
Secondary	Number of emergency department visits	Number of emergency department visits measured from health administrative data	7 months
Secondary	Number of hospital admissions	Number of hospital admissions measured from health administrative data	7 months