Evidence map›Paper›PMID 34895200›Full record

ArticleBMC public health2021

The little things are big: evaluation of a compassionate community approach for promoting the health of vulnerable persons.

Kathryn Pfaff, Heather Krohn, Jamie Crawley, Michelle Howard, Pooya Moradian Zadeh, Felicia Varacalli, Padma Ravi, Deborah Sattler

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
5.8field-weighted citation impact, top 4% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Key considerations for applying intersectionality theory to partner and stakeholder engagement in public health.Canadian journal of public health = Revue canadienne de sante publique · 2025
    Article
  4. Article
  5. Article
  6. The Art of Compassion in Mental Healthcare for All: Back to the Basics.Indian journal of psychological medicine · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
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

8 authors at 2 institutions in 1 country.

Kathryn PfaffFaculty of Nursing, University of Windsor, Windsor, Canada. kpfaff@uwindsor.ca.ORCID 0000-0001-9124-0365
Heather KrohnFaculty of Nursing, University of Windsor, Windsor, Canada.
Jamie CrawleyFaculty of Nursing, University of Windsor, Windsor, Canada.
Michelle HowardDepartment of Family Medicine, McMaster University, Hamilton, Canada.
Pooya Moradian ZadehSchool of Computer Science, University of Windsor, Windsor, Canada.
Felicia VaracalliFaculty of Nursing, University of Windsor, Windsor, Canada.
Padma RaviFaculty of Nursing, University of Windsor, Windsor, Canada.
Deborah SattlerWindsor-Essex Compassion Care Community, Windsor, Canada.
University of Windsor · CAMcMaster University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVulnerable persons are individuals whose life situations create or exacerbate vulnerabilities, such as low income, housing insecurity and social isolation. Vulnerable people often receive a patchwork of health and social care services that does not appropriately address their needs. The cost of health and social care services escalate when these individuals live without appropriate supports. Compassionate Communities apply a population health theory of practice wherein citizens are mobilized along with health and social care supports to holistically address the needs of persons experiencing vulnerabilities.

aimThe purpose of this study was to evaluate the implementation of a compassionate community intervention for vulnerable persons in Windsor Ontario, Canada.

methodsThis applied qualitative study was informed by the Consolidated Framework for Implementation Research. We collected and analyzed focus group and interview data from 16 program stakeholders: eight program clients, three program coordinators, two case managers from the regional health authority, one administrator from a partnering community program, and two nursing student volunteers in March through June 2018. An iterative analytic process was applied to understand what aspects of the program work where and why.

resultsThe findings suggest that the program acts as a safety net that supports people who are falling through the cracks of the formal care system. The 'little things' often had the biggest impact on client well-being and care delivery. The big and little things were achieved through three key processes: taking time, advocating for services and resources, and empowering clients to set personal health goals and make authentic community connections.

conclusionCompassionate Communities can address the holistic, personalized, and client-centred needs of people experiencing homelessness and/or low income and social isolation. Volunteers are often untapped health and social care capital that can be mobilized to promote the health of vulnerable persons. Student volunteers may benefit from experiencing and responding to the needs of a community's most vulnerable members.

Indexed as

Ill-Housed PersonsHumansOntarioQualitative ResearchSocial SupportSocial WorkCommunity participationCompassionate communitiesHealth services researchHomeless personsImplementation scienceProgram evaluationQualitative researchVulnerable populations

Identifiers

PMID34895200
PMCPMC8665321
OpenAlexW4200027640

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.