Improving Wellbeing Through Local Communities: A Mixed Methods Study on the Role of Relationship Building

Abstract

Given the rising demands of chronic conditions and mental health challenges, there is an urgent need to reduce burden on formal, statutory services. Local communities are under-utilised yet offer many opportunities to facilitate the key determinants of health and wellbeing. Local Area Coordination (LAC) provides a practical, asset-based approach in which purposefully recruited coordinators meet and build relationships with community members, use their strengths and leverage community assets to help them build their version of ‘the good life’. Here we report on the impact of LAC on wellbeing outcomes and explore potential mechanisms underpinning the approach. A rigorous mixed-methods design was implemented including data from psychophysiological synchrony, a quantitative survey, and qualitative ripple effects mapping. The presence of in-phase cardiac synchrony was found during conversations between coordinators and community members, suggesting physiological attunement during interaction. Survey data analysed using partial least squares structural equation modelling found that relationship rapport significantly predicted community integration, which in turn, predicted the wellbeing of community members. Longer meeting durations predicted improved relationship rapport, whilst the frequency of meetings did not. Qualitative feedback indicated that the person-centred approach was a key mechanism underpinning its success and that fostering a safe, trusting relationship is crucial for bridging people into the community. Overall, Local Area Coordination’s community-led approach is a promising opportunity to harness community assets, empower individuals, and contribute to a more inclusive and connected society.