The Compassionate Communities Connectors model for end-of-life care: implementation and evaluation

Objectives: This pilot project aimed to develop, implement and evaluate a model of care delivered by community volunteers, called Compassionate Communities Connectors. The Connectors’ principal task was to support people living with advanced life-limiting illnesses or palliative care needs by enhanc...

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Main Authors: Samar M. Aoun, Robyn Richmond, Kerry Gunton, Kerrie Noonan, Julian Abel, Bruce Rumbold
Format: Article
Language:English
Published: SAGE Publishing 2022-11-01
Series:Palliative Care and Social Practice
Online Access:https://doi.org/10.1177/26323524221139655
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author Samar M. Aoun
Robyn Richmond
Kerry Gunton
Kerrie Noonan
Julian Abel
Bruce Rumbold
author_facet Samar M. Aoun
Robyn Richmond
Kerry Gunton
Kerrie Noonan
Julian Abel
Bruce Rumbold
author_sort Samar M. Aoun
collection DOAJ
description Objectives: This pilot project aimed to develop, implement and evaluate a model of care delivered by community volunteers, called Compassionate Communities Connectors. The Connectors’ principal task was to support people living with advanced life-limiting illnesses or palliative care needs by enhancing their supportive networks with Caring Helpers enlisted from the local community. Methods: The project was undertaken in Western Australia, 2020–2022. A mixed methods research design incorporated a prospective cohort longitudinal design with two cross-sectional measurements, pre- and post-intervention. The primary outcome was the effect of the intervention on social connectedness. Secondary outcomes were the effect of the intervention on unmet practical or social needs and support from social networks, and the self-reported impact of the programme on social wellbeing such as coping with daily activities, access to formal services, community links, social activity and reducing social isolation. Results: Twenty Connectors were trained but 13 participated; 43 patients participated but 30 completed the study. Over half of these patients lived alone and 80% of their needs were in the social domain. There were significant improvements in social connectedness, reflected in reduced social isolation, better coping with daily activities and a two-fold increase in supportive networks. The programme was able to address gaps that formal services could not, particularly for people who lived alone, or were socially isolated in more rural communities that are out of the frequent reach of formal services. Conclusions: This project led to an ongoing programme that has been incorporated by the health service as ‘business as usual’, demonstrating rapid translation into practice. It has laid solid grounds for community capacity building with successful measurable outcomes in line with reports on similar programmes. Ongoing work is focused on replication in other communities to help them establish a similar model of care that better integrates formal and informal networks.
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spelling doaj.art-e2e57995e9b743a6b5752af1178989382022-12-22T04:35:57ZengSAGE PublishingPalliative Care and Social Practice2632-35242022-11-011610.1177/26323524221139655The Compassionate Communities Connectors model for end-of-life care: implementation and evaluationSamar M. AounRobyn RichmondKerry GuntonKerrie NoonanJulian AbelBruce RumboldObjectives: This pilot project aimed to develop, implement and evaluate a model of care delivered by community volunteers, called Compassionate Communities Connectors. The Connectors’ principal task was to support people living with advanced life-limiting illnesses or palliative care needs by enhancing their supportive networks with Caring Helpers enlisted from the local community. Methods: The project was undertaken in Western Australia, 2020–2022. A mixed methods research design incorporated a prospective cohort longitudinal design with two cross-sectional measurements, pre- and post-intervention. The primary outcome was the effect of the intervention on social connectedness. Secondary outcomes were the effect of the intervention on unmet practical or social needs and support from social networks, and the self-reported impact of the programme on social wellbeing such as coping with daily activities, access to formal services, community links, social activity and reducing social isolation. Results: Twenty Connectors were trained but 13 participated; 43 patients participated but 30 completed the study. Over half of these patients lived alone and 80% of their needs were in the social domain. There were significant improvements in social connectedness, reflected in reduced social isolation, better coping with daily activities and a two-fold increase in supportive networks. The programme was able to address gaps that formal services could not, particularly for people who lived alone, or were socially isolated in more rural communities that are out of the frequent reach of formal services. Conclusions: This project led to an ongoing programme that has been incorporated by the health service as ‘business as usual’, demonstrating rapid translation into practice. It has laid solid grounds for community capacity building with successful measurable outcomes in line with reports on similar programmes. Ongoing work is focused on replication in other communities to help them establish a similar model of care that better integrates formal and informal networks.https://doi.org/10.1177/26323524221139655
spellingShingle Samar M. Aoun
Robyn Richmond
Kerry Gunton
Kerrie Noonan
Julian Abel
Bruce Rumbold
The Compassionate Communities Connectors model for end-of-life care: implementation and evaluation
Palliative Care and Social Practice
title The Compassionate Communities Connectors model for end-of-life care: implementation and evaluation
title_full The Compassionate Communities Connectors model for end-of-life care: implementation and evaluation
title_fullStr The Compassionate Communities Connectors model for end-of-life care: implementation and evaluation
title_full_unstemmed The Compassionate Communities Connectors model for end-of-life care: implementation and evaluation
title_short The Compassionate Communities Connectors model for end-of-life care: implementation and evaluation
title_sort compassionate communities connectors model for end of life care implementation and evaluation
url https://doi.org/10.1177/26323524221139655
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