"连接当地":对促进老年人社会联系的社区整体方法进行评估的协议

R. Ogrin, E. Robinson, K. Rendell, S. Alrababah, D. Fineberg, K. Fiddes, A. Yerolemou, M. H. Lim, L. Engel, J. A. Lowthian
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摘要

文献广泛承认,社会联系对孤独和抑郁具有保护作用。然而,还需要更多的研究来评估促进社会联系的干预措施。本协议文件概述了对澳大利亚墨尔本市一项社区范围内的社会联系计划 "连接当地 "的评估,该计划旨在为 65 岁及以上的老年人提供支持,以增加他们获得当地社区服务/活动的机会;并确定该计划对社会联系、孤独感、抑郁症状、身心健康以及医疗服务使用的影响。将邀请 88 名年龄≥ 65 岁、患有一种或多种慢性疾病、同时正在经历或有可能经历孤独、社会隔离和抑郁症状的参与者参与评估。评估结果将在基线、3 个月、6 个月和 12 个月时进行测量,包括孤独感、社交孤立感、抑郁症状、社交焦虑、目标实现情况、幸福感、生活质量和医疗保健利用率。此外,还将从干预地区以外的地方政府招募 88 名性别和年龄相匹配的比较者。干预措施对目标地区社区服务提供者的影响将采用混合方法进行评估,三角测量法将采用演绎-同步设计将定性和定量数据结合起来。此外,还将衡量社区志愿者的福祉和生活质量的变化。将对所有群体进行访谈,以确定他们对计划的体验和看法。经济评估将采用社会投资回报率 (SROI) 方法,包括个人、社区和系统层面的成果。实施结果将考虑干预措施的覆盖面、采用率、可行性、可接受性、适宜性、忠实性和可持续性。这项研究将使人们更好地了解全社区社会联系方法对老年人、社区和更广泛系统的影响。https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=385192; Identifier ACTRN12623000968673。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
“Connect Local”: protocol for the evaluation of a codesigned whole of community approach to promote social connection in older adults
There is wide acknowledgement in the literature that social connection is protective against loneliness and depression. More robust research, however, is needed to evaluate interventions that promote social connection. This protocol paper outlines the evaluation of a community-wide social connection program, Connect Local, in metropolitan Melbourne, Australia to support people 65 years and older to increase access to local community services/activities; and to ascertain impact on social connection, loneliness, depressive symptoms, physical and mental wellbeing, and use of health services.A Type 1 Hybrid design, including program effectiveness, cost-effectiveness, and implementation evaluation of the Connect Local program, will be undertaken. Eighty-eight participants aged ≥65 years with one or more chronic health condition, who are also either experiencing or at risk of loneliness, social isolation and depressive symptoms will be invited to participate in the evaluation. Outcomes, measured at baseline, 3, 6 and 12 months, include loneliness, social isolation, depressive symptoms, social anxiety, goal attainment, wellbeing, quality of life and health care utilisation. A gender and age matched comparator group of 88 individuals will be recruited from outside the intervention local government area. Impact of the intervention on community service providers in the target region will be evaluated using mixed methods, where triangulation will be used to combine the qualitative and quantitative data using a deductive-simultaneous design. Changes in wellbeing and quality of life of community volunteers will also be measured. All groups will be interviewed to ascertain their experience and perceptions of the program. The economic evaluation will use a Social Return on Investment (SROI) approach, to include outcomes at the individual, community, and system levels. Implementation outcomes will consider Reach, Adoption, Feasibility, Acceptability, Appropriateness, Fidelity, and Sustainability of the intervention.This study will provide a better understanding of the impacts of a community-wide social connection approach in older adults, the community and broader system.https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=385192; Identifier ACTRN12623000968673.
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