社区联系项目实施后生活质量和孤独感的改善：南澳大利亚州一项基于社区的试点干预措施
Improvement in quality of life and loneliness after the community connections program: a community-based pilot intervention in South Australia.
作者信息
Jardine Bryony, Tan Pei Jie, Powell Ashleigh, Eyers-White Diana, Mackenzie Catherine, Goodwin-Smith Ian, Robinson Sandra, Baldock Penny, Zaccardo Mia, Valente Celina, Trenerry Camilla, Bogomolova Svetlana
机构信息
College of Business, Government and Law, Centre for Social Impact, Flinders University, Sturt Road, 5042, Flinders, Adelaide, Bedford Park, SA, South Australia.
Department of Human Services, Riverside Centre, North Terrace, 5000, Adelaide, SA, South Australia.
出版信息
BMC Psychol. 2025 Apr 7;13(1):346. doi: 10.1186/s40359-025-02674-4.
BACKGROUND
Reducing loneliness and enhancing quality of life (QoL) are key public health priorities. However, limited empirical research examines the impact of community-based interventions on both loneliness and QoL. This study employed a single-group pre-post design to evaluate the South Australian pilot intervention, the Community Connections Program (CCP), assessing its effects on participants' self-reported QoL and loneliness.
METHODS
Individuals referred to the CCP pilot completed an interviewer-led survey at both intervention intake and completion. QoL was assessed with the Assessment of Quality of Life - 6 dimensions tool (AQoL-6D). Loneliness was assessed with the Campaign to End Loneliness Tool - 3-item measure (CtELT). Data were analyzed using descriptive statistics and paired sample t-tests.
RESULTS
Data from 195 adults who completed both data collection points were evaluated. AQoL-6D improved from intervention intake (M = 57; SD = 16) to completion (M = 66; SD = 13) (t(194) = -9.73, p <.05; d = 0.62). All six dimensions of AQoL improved, with the greatest increase in scores occurring for mental health, relationships and coping (results were statistically significant at p <.05). The largest within-group effect size was found for the dimension of mental health (d = 0.8). Participants' overall feelings of loneliness significantly decreased between pre- (M = 6.7; SD = 2.99) and post- (M = 4.4; SD = 2.00) intervention measurement (t(186) = 10.50, p <.05; d = 0.90).
CONCLUSIONS
Participants of the CCP pilot intervention reported significantly improved QoL and reduced loneliness at program completion. The CCP shows promise for the ability of community-based interventions to reduce loneliness and improve QoL for individuals disconnected from their communities and local health and support care services. These findings have implications for the development of programs that facilitate place-based, person-centered connections as important drivers of public health and wellbeing.
背景
减少孤独感和提高生活质量（QoL）是公共卫生的关键优先事项。然而，实证研究有限，难以考察基于社区的干预措施对孤独感和生活质量的影响。本研究采用单组前后测设计，对南澳大利亚的试点干预措施“社区联系计划”（CCP）进行评估，以评估其对参与者自我报告的生活质量和孤独感的影响。
方法
被转介到CCP试点的个体在干预开始时和结束时完成了由访谈员主导的调查。生活质量采用生活质量评估-6维度工具（AQoL-6D）进行评估。孤独感采用“终结孤独运动工具-3项量表”（CtELT）进行评估。使用描述性统计和配对样本t检验对数据进行分析。
结果
对195名完成了两个数据收集点的成年人的数据进行了评估。AQoL-6D从干预开始时（M = 57；SD = 16）提高到结束时（M = 66；SD = 13）（t(194) = -9.73，p <.05；d = 0.62）。AQoL的所有六个维度都有所改善，心理健康、人际关系和应对方面的得分增幅最大（结果在p <.05时具有统计学意义）。心理健康维度的组内效应量最大（d = 0.8）。参与者在干预前（M = 6.7；SD = 2.99）和干预后（M = 4.4；SD = 2.00）测量的总体孤独感显著降低（t(186) = 10.50，p <.05；d = 0.90）。
结论
CCP试点干预的参与者报告称，在项目结束时生活质量显著提高，孤独感降低。CCP显示出基于社区的干预措施有能力减少孤独感，并为那些与社区以及当地健康和支持护理服务脱节的个人改善生活质量。这些发现对促进以地点为基础、以人为本的联系作为公共卫生和福祉的重要驱动力的项目发展具有启示意义。
Zotero 插件