Evidence map›Paper›PMID 32469922›Full record

Trial reportPloS one2020

The Community Navigator Study: Results from a feasibility randomised controlled trial of a programme to reduce loneliness for people with complex anxiety or depression.

Brynmor Lloyd-Evans, Johanna Frerichs, Theodora Stefanidou, Jessica Bone, Vanessa Pinfold, Glyn Lewis, Jo Billings, Nick Barber, Anjie Chhapia, Beverley Chipp and 7 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07123064 (Alleviating Loneliness in Older Adults Living in Poverty), which is not on this map. Cited by 28 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07123064 narecruitingnot on this mapstarted 2026, after this paper: background citation

Alleviating Loneliness in Older Adults Living in Poverty: A Multi-level Intervention

TypeinterventionalSponsorEducation University of Hong KongRan2026 to 2029Enrolled1,344ConditionsLoneliness, PovertyArmsIndividual Level, Interpersonal Level, Community Level, Education Control
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  16. A Thematic Synthesis of the Experiences of Social Prescribing Among Patients in the UK.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Brynmor Lloyd-EvansDivision of Psychiatry, University College London, London, United Kingdom.ORCID 0000-0001-9866-788X
Johanna FrerichsThe McPin Foundation, London, United Kingdom.
Theodora StefanidouDivision of Psychiatry, University College London, London, United Kingdom.
Jessica BoneDivision of Psychiatry, University College London, London, United Kingdom.
Vanessa PinfoldThe McPin Foundation, London, United Kingdom.
Glyn LewisDivision of Psychiatry, University College London, London, United Kingdom.
Jo BillingsDivision of Psychiatry, University College London, London, United Kingdom.
Nick BarberDivision of Psychiatry, University College London, London, United Kingdom.
Anjie ChhapiaDivision of Psychiatry, University College London, London, United Kingdom.
Beverley ChippDivision of Psychiatry, University College London, London, United Kingdom.
Rob HendersonCamden and Islington NHS Foundation Trust, St Pancras Hospital, London, United Kingdom.
Prisha ShahDivision of Psychiatry, University College London, London, United Kingdom.
Anna ShortenCamden and Islington NHS Foundation Trust, St Pancras Hospital, London, United Kingdom.
Maria GiorgalliDivision of Psychiatry, University College London, London, United Kingdom.
James TerhuneDivision of Psychiatry, University College London, London, United Kingdom.
Rebecca JonesDivision of Psychiatry, University College London, London, United Kingdom.
Sonia JohnsonDivision of Psychiatry, University College London, London, United Kingdom.

Funding

Department of Health
6 · The paper itself

Abstract

backgroundLoneliness is common among people with mental health problems and predicts poorer recovery from depression and anxiety. Needs for support with loneliness and social relationships are often under-addressed in mental health services. The Community Navigator programme was designed to reduce loneliness for adults (aged 18 and above) with complex depression or anxiety who were using secondary mental health services. Acceptability and feasibility of the programme and a trial evaluation were tested in a feasibility randomised controlled trial with qualitative evaluation.

methodsForty participants with depression or anxiety using secondary mental health services were recruited from mental health services in two London sites and randomised to receive: the Community Navigator programme over six months in addition to routine care (n = 30); or routine care (n = 10). Measures of loneliness, depression, other clinical and social outcomes and service use were collected at baseline and six-months follow-up. Levels of engagement in the programme and rates of trial recruitment and retention were assessed. Programme delivery was assessed through session logs completed by Community Navigators. The acceptability of the programme was explored through qualitative interviews (n = 32) with intervention group participants, their family and friends, programme providers and other involved staff.

resultsForty participants were recruited in four months from 65 eligible potential participants asked. No one withdrew from the trial. Follow-up interviews were completed with 35 participants (88%). Process records indicated the programme was delivered as intended: there was a median of seven meetings with their Community Navigator (of a maximum ten) per treatment group participant. Qualitative interviews indicated good acceptability of the programme to stakeholders, and potential utility in reducing loneliness and depression and anxiety.

conclusionsA definitive, multi-site randomised controlled trial is recommended to evaluate the effectiveness and cost-effectiveness of the Community Navigator programme for people with complex anxiety and depression in secondary mental health services.

Indexed as

LonelinessMental Health ServicesAdultAnxietyCost-Benefit AnalysisDepressionFeasibility StudiesFemaleHumansLondonMaleMiddle AgedQuality of LifeTreatment OutcomeYoung Adult

Identifiers

PMID32469922
PMCPMC7259554

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.