Evidence map›Paper›PMID 41754023›Full record

ArticleHealthcare (Basel, Switzerland)2026

Community as Medicine: A Qualitative Study of How Group Health Coaching and Social Connection Improve Mental Well-Being in Older Adults.

Sally C Duplantier, Michaela G Hayes, Noriah Sanchez-Zaragoza, Angelina I Londoño, Erykah Hamilton, Elizabeth A Markle, Benjamin Emmert-Aronson

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

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

1 citing paper in PubMed.

  1. 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

7 authors.

Sally C DuplantierFairbanks School of Public Health, Indiana University, Indianapolis, IN 46202, USA.ORCID 0009-0006-8218-3657
Michaela G HayesOpen Source Wellness, 6921 Snowdon Avenue, El Cerrito, CA 94530, USA.
Noriah Sanchez-ZaragozaThe USC Leonard School of Gerontology, University of Southern California, Los Angeles, CA 90089, USA.
Angelina I LondoñoOpen Source Wellness, 6921 Snowdon Avenue, El Cerrito, CA 94530, USA.
Erykah HamiltonOpen Source Wellness, 6921 Snowdon Avenue, El Cerrito, CA 94530, USA.
Elizabeth A MarkleOpen Source Wellness, 6921 Snowdon Avenue, El Cerrito, CA 94530, USA.ORCID 0009-0007-2701-9173
Benjamin Emmert-AronsonOpen Source Wellness, 6921 Snowdon Avenue, El Cerrito, CA 94530, USA.ORCID 0000-0002-2287-6287

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesOlder adults in under-resourced communities experience high levels of social isolation, chronic illness, and reduced access to healthcare, which can undermine mental well-being. Open Source Wellness's Community As Medicine

methodsSemi-structured interviews were conducted with participants who completed CAM. Transcripts were analyzed using reflexive thematic analysis to explore relational and experiential processes associated with improved well-being.

findingsParticipants entered CAM with internalized ageist beliefs and low expectations for personal change. As they engaged in new behaviors, experienced successes, and observed similar progress among peers, they gained motivation, confidence, and a sense of control. Four interconnected themes appear to explain the mechanisms through which CAM supports mental well-being: (1) belonging and inclusion through trust and safety; (2) personal accountability through relational accountability; (3) self-efficacy through social learning and reciprocal support; and (4) agency through positive actions.

conclusionsFindings suggest that CAM supports mental well-being by creating conditions that help older adults overcome internalized ageism and feel connected, capable, and in control of their lives. These results identify actionable strategies that community organizations and health systems can adapt to support mental well-being for older adults in under-resourced communities.

Indexed as

Community As Medicine®internalized ageismmental healthmental well-beingolder adultsqualitative researchsocial isolationsocial learning

Identifiers

PMID41754023
PMCPMC12940478

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.