FROM ISOLATION TO COMMUNITY: EXPLORATORY STUDY OF A SENSE-OF-COMMUNITY INTERVENTION

The role of sense of community in improving the health-related quality of life among Black Americans

Black Americans have the lowest life expectancy and health-related quality of life (HRQoL; a strong predictor of premature mortality) of any racial/ethnic group in the United States. Low rates of physical activity and engagement in healthy eating are two known contributors to low HRQoL. Black Americans are more likely to live in environments that inhibit engagement in these two contributors. The present study examined sense of community as a buffer against the adverse effects of low physical activity and healthy eating on HRQoL among Black Americans. A sample of 290 Black American adults were recruited for the present study. Results indicate that sense of community buffers against the adverse effects of low physical activity on HRQoL. The results of the present study can be used by health promotion interventionists and policy-makers to improve HRQoL and reduce premature mortality among Black Americans.

Overcoming the liability of distance? An exploratory study of the associations between social networks, sense of community and spatial colocation

Purpose

This study aims to examine the associations of social networks with the sense of community (SOC) construct and spatial colocation or having an office. The study site was an institute for health-care policy research formed in 2011 by bringing together scientists from more than 20 different university units. Only 30% of the scientists were had an office or physical presence at the institute. Therefore, the institute was an ideal site to examine whether SOC was correlated with different dimensions of network position – connectedness, reachability and brokerage – even when the authors account for the lack of spatial colocation for the off-site scientists.

Design/methodology/approach

A two-part (sociometric and workplace) internet survey instrument was administered in 2014 to the institute’s population of 411 individuals. The sociometric data were used to create an undirected interaction network and the following dependent variables (DVs) or network centralities: normalized degree to measure connectedness; average reciprocal distance to capture reachability; and normalized betweenness to proxy brokerage. Separate node-level network regressions were then run with random permutations (N = 10,000) and listwise deletion for each of the DVs with SOC and spatial colocation as the independent variables, and variables that controlled for gender, organizational affiliation and job category.

Findings

SOC and spatial colocation are both positively and significantly correlated with network connectedness and reachability. The results suggest that both SOC and spatial colocation have a larger impact on reachability than connectedness. However, neither SOC nor spatial colocation are significantly associated with network brokerage. Finally, the findings show that SOC and spatial colocation are more reliable predictors of network connectedness and reachability than are key individual- and unit-level control variables, specifically the individual’s sex, job category and organizational affiliation. The controls were not significantly associated with any of the three network centralities, namely, connectedness, reachability and brokerage.

Originality/value

This exploratory study used social network analysis and node-level network regressions to examine the associations from SOC and spatial colocation to dimensions of network position. SOC is positively and significantly associated with network connectedness and reachability, suggesting that SOC is an important consideration when individuals are disadvantaged from the absence of spatial colocation. The findings have implications for work in the context of the COVID-19 pandemic as they imply that interventions based on the SOC construct could potentially lessen the negative effects of remote work on workplace social networks due to factors such as the reduction of social contacts.

Estimating intervention dose of the multilevel multisite children's healthy living program intervention

Increased community collective efficacy (CE), defined as social cohesion among neighbors and their willingness to intervene for common good, is associated with improved community health outcomes. However, processes to increase CE and estimate its dose within an intervention are not well understood. The 2 year Children's Healthy Living (CHL) intervention aimed to improve child behaviors known to affect obesity. We used data from CHL to estimate CE dose and examine its association with a successful outcome from CHL-reduction in children's recreational screen time. Monthly reports from nine intervention communities were quantified, and CE dose was calculated for each community overall, at 4 time intervals (6, 12, 18, and 24 months), and for each CE building block-social bonding, social bridging, social leveraging, empowerment, and civic engagement. CE dose at each time interval and change in screen time was correlated using Spearman's rho. Next, communities were categorized as having a high CE dose or a low CE dose, and differences between four high-dose and five low-dose communities were compared using a two-tailed t-test. The correlation between change in screen time and CE dose was significant (rs = 0.83, p = .003). Significantly more activities facilitating empowerment and civic engagement were conducted in high-dose communities, which were more likely to show improvements in screen time, than in low-dose communities. This method of estimating an intervention's CE dose and examining change over time and effect of CE and its building blocks on intervention outcomes shows promise.

Community-Enhanced Social Prescribing: Integrating Community in Policy and Practice

The NHS Plan is introducing social prescribing link workers into GP surgeries in England. The link workers connect people to non-health resources in the community and voluntary sector, with the aim of meeting individual needs beyond the capacity of the NHS. Social prescribing models focus on enhancing individual wellbeing, guided by the policy of universal personalised care. However, they largely neglect the capacity of communities to meet individual need, particularly in the wake of a decade of austerity. We propose a model of community enhanced social prescribing (CESP) which has the potential to improve both individual and community wellbeing. CESP combines two evidence-informed models - Connected Communities and Connecting People - to address both community capacity and individual need. CESP requires a literacy of community which recognises the importance of communities to individuals and the importance of engaging with, and investing in, communities. When fully implemented the theory of change for CESP is hypothesised to improve both individual and community wellbeing.

Sense of Community Mediating Between Age-Friendly Characteristics and Life Satisfaction of Community-Dwelling Older Adults

The growth of age-friendly community initiatives underscores a paradigmatic shift from the individual to the community, addressing dynamic transactions between people and the environment they are living in. The purpose of the present study is to address the gap in existing research by examining the psycho-social effects of the sense of community in mediating between WHO domains of age-friendliness and the life satisfaction of older adults. Data were obtained from 898 participants in Hong Kong. Path analysis was conducted. Two AFC domains, Social Participation as well as Community Support and Health Services, were found to be associated with life satisfaction. Sense of community was found to mediate between these two domains and life satisfaction. The implications of these findings are discussed with reference to developing opportunities in social participation of older adults and enhancing community/health support services in the context of developing sustainability in the community.

The Role of Collective Efficacy in Reducing Health Disparities: A Systematic Review

Many improvements in health equity are spearheaded by community collaborations working to change policy and social norms. But how can collective efficacy (CE), defined as the willingness and ability of a group to work toward a common good, be increased? Eight articles reporting on interventions aiming to reduce health disparities by improving CE were found for this systematic literature review. All studies showed improvements in CE and most found reduction in disparities, but operationalization of CE varied. Findings support a model of how CE can address health disparities, which can guide standardization of CE interventions and measures.

Sense of Community and Its Impact on the Life Satisfaction of Adults With Brain Injury

Sense of community (SOC) refers to feelings of belonging and attachment one has for a community. Despite a growing focus on adjustment and community outcomes following disability, this construct has received little attention in the rehabilitation literature. The primary aim of this study was to examine the extent to which SOC and social identification with one’s town contribute to life satisfaction outcomes among adults with brain injury, controlling for demographic, disability, and other related social constructs (e.g., social support and social integration). Members from brain injury associations across the United States ( N = 177) participated in a survey-based study. Results from hierarchical regression analysis indicated that the final model accounted for 45% of the variance in life satisfaction, with SOC variables contributing 11%. Symptom severity, perceived emotional support, and the SOC dimension reinforcement of needs were significant independent predictors of life satisfaction. Findings from this study highlight the importance of examining SOC variables among clients with brain injury to enhance subjective well-being.

Factorial Invariance of an Integrated Measure of Classroom Sense of Community in Face-to-Face and Online Courses

The aim of the present study was to develop a more integrated measure of classroom sense of community (SOC) while testing factorial invariance of the measurement structure across face-to-face and online courses. We incorporated two existing SOC measures to capture both context-specific and context-general characteristics of SOC and developed an integrated scale of classroom SOC with a four-factor structure. Tests of measurement invariance indicated that the new measure of classroom SOC has equivalent patterns of factor loadings, strength of factor loadings, and intercepts across the two course delivery modes, thus making this a viable measure to examine potential differences across these contexts. Latent mean analysis indicated that students in an online course perceived a lower level of SOC.