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Examining the optimal factors that promote implementation and sustainability of a network intervention to alleviate loneliness in community contexts

Examining the optimal factors that promote implementation and sustainability of a network intervention to alleviate loneliness in community contexts
Examining the optimal factors that promote implementation and sustainability of a network intervention to alleviate loneliness in community contexts
Community environments have the potential to alleviate loneliness and social isolation as they offer opportunity for sociality and to expand personal social network connections. Implementing a social network intervention in community environments to connect people to who are at risk of loneliness or social isolation could help alleviate these concerns. However, implementing interventions in community environments is made difficult by the interplay between the community context and intervention. Thus, to support implementation a detailed understanding of the types of community contexts is required. To examine the optimal factors that promote the implementation of a social network designed to alleviate loneliness and social isolation intervention in the community observations, interviews and documentary analysis were conducted. The Consolidated Framework for Implementation Research and a typology of community contexts were used to inform the data analysis and interpret the findings. Key factors were found to affect the implementation of the intervention in the different community contexts. These inter-related factors operated across three domains. Service User Needs affected intervention take up as its suitability varied. The stability of the workforce and nature of everyday work also impacted on implementation. Finally, the fluctuating capacity of organisations and the organisational culture were also influential. No single community environment was found to have all of the optimal factors required for implementation and sustainably. The UK policy agenda of austerity had negatively affected community environments’ capacity to deliver such intervention through increasing service user needs and reducing available resources. Trial registration: ISRCTN19193075.
community, context, implementation, loneliness, network intervention, social isolation, sustainability
0966-0410
e4144-e4154
Ellis, Jaimie
eb60a3a4-281b-4895-9583-4d5cf1e65b4d
Kinsella, Karina
264515b4-c453-4f54-84e7-79913d343adb
James, Elizabeth
b7e90b5a-da45-4459-ae84-150adc07e988
Cheetham‐blake, Tara
99ea7608-7d19-4e78-bd98-5ca3ca1c46f1
Lambrou, Madeleine
5b8ffafa-7026-4fcd-a77b-38cb3653b470
Ciccognani, Alexandra
3dc08a66-7680-422e-915c-6adb73aee023
Rogers, Anne
105eeebc-1899-4850-950e-385a51738eb7
Band, Rebecca
be8901bb-bb1b-4131-8e19-c1d4a3bdfb8d
Ellis, Jaimie
eb60a3a4-281b-4895-9583-4d5cf1e65b4d
Kinsella, Karina
264515b4-c453-4f54-84e7-79913d343adb
James, Elizabeth
b7e90b5a-da45-4459-ae84-150adc07e988
Cheetham‐blake, Tara
99ea7608-7d19-4e78-bd98-5ca3ca1c46f1
Lambrou, Madeleine
5b8ffafa-7026-4fcd-a77b-38cb3653b470
Ciccognani, Alexandra
3dc08a66-7680-422e-915c-6adb73aee023
Rogers, Anne
105eeebc-1899-4850-950e-385a51738eb7
Band, Rebecca
be8901bb-bb1b-4131-8e19-c1d4a3bdfb8d

Ellis, Jaimie, Kinsella, Karina, James, Elizabeth, Cheetham‐blake, Tara, Lambrou, Madeleine, Ciccognani, Alexandra, Rogers, Anne and Band, Rebecca (2022) Examining the optimal factors that promote implementation and sustainability of a network intervention to alleviate loneliness in community contexts. Health & Social Care in the Community, 30 (6), e4144-e4154. (doi:10.1111/hsc.13808).

Record type: Article

Abstract

Community environments have the potential to alleviate loneliness and social isolation as they offer opportunity for sociality and to expand personal social network connections. Implementing a social network intervention in community environments to connect people to who are at risk of loneliness or social isolation could help alleviate these concerns. However, implementing interventions in community environments is made difficult by the interplay between the community context and intervention. Thus, to support implementation a detailed understanding of the types of community contexts is required. To examine the optimal factors that promote the implementation of a social network designed to alleviate loneliness and social isolation intervention in the community observations, interviews and documentary analysis were conducted. The Consolidated Framework for Implementation Research and a typology of community contexts were used to inform the data analysis and interpret the findings. Key factors were found to affect the implementation of the intervention in the different community contexts. These inter-related factors operated across three domains. Service User Needs affected intervention take up as its suitability varied. The stability of the workforce and nature of everyday work also impacted on implementation. Finally, the fluctuating capacity of organisations and the organisational culture were also influential. No single community environment was found to have all of the optimal factors required for implementation and sustainably. The UK policy agenda of austerity had negatively affected community environments’ capacity to deliver such intervention through increasing service user needs and reducing available resources. Trial registration: ISRCTN19193075.

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Examining the optimal factors that promote implementation and sustainability of a network intervention to alleviate loneliness in community contexts - Accepted Manuscript
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Accepted/In Press date: 2 March 2022
e-pub ahead of print date: 26 April 2022
Additional Information: Funding Information: This paper summarises independent research funded by the National Institute for Health Research (NIHR) under its Public Health Research Programme (Grant Reference Number 16/08/41). The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care.
Keywords: community, context, implementation, loneliness, network intervention, social isolation, sustainability

Identifiers

Local EPrints ID: 467359
URI: http://eprints.soton.ac.uk/id/eprint/467359
ISSN: 0966-0410
PURE UUID: 61780def-cc1b-4a4c-8387-f19bd153974f
ORCID for Jaimie Ellis: ORCID iD orcid.org/0000-0003-0068-3318
ORCID for Elizabeth James: ORCID iD orcid.org/0000-0001-9355-0295
ORCID for Rebecca Band: ORCID iD orcid.org/0000-0001-5403-1708

Catalogue record

Date deposited: 07 Jul 2022 16:33
Last modified: 07 Jan 2023 02:48

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Contributors

Author: Jaimie Ellis ORCID iD
Author: Karina Kinsella
Author: Elizabeth James ORCID iD
Author: Tara Cheetham‐blake
Author: Madeleine Lambrou
Author: Alexandra Ciccognani
Author: Anne Rogers
Author: Rebecca Band ORCID iD

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