Building Wellbeing Through Local Communities: A Mixed Methods Study Using Psychophysiology, Structural Equation Modelling and Ripple Effects Mapping

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Abstract

Local communities offer many opportunities for building wellbeing. Here we report on the impact of Local Area Coordination (LAC) – a positive, person-centred, and community-based approach – on wellbeing using a rigorous mixed-methods design including data from psychophysiological synchrony, a quantitative survey, and qualitative ripple effects mapping. Interactions between coordinators and community members were associated with in-phase cardiac synchrony, suggesting that the coordinators use emotional co-regulation to facilitate autonomic safety and thus build community members’ capacity for self-regulation. Survey data analysed using SEM PLS modelling found that the quality of the coordinator-community member relationship significantly predicted community integration, which in turn, predicted wellbeing. Qualitative feedback further indicated that LAC’s personalised approach to build rapport with coordinators was a key mechanism underpinning its success. Overall, findings support the application of LAC to promote overall wellbeing, providing a much-needed and evidence-based opportunity to reduce the burden on statutory services.

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europepmc
last seen: 2026-05-19T01:45:01.086888+00:00