The impact of volunteer befriending services for older people at the end of life: Mechanisms supporting wellbeing

Introduction: Older people at the end of life are particularly vulnerable to social isolation and loneliness, the associated health effects of which are significant. Increasingly, charitable organizations are offering befriending services for people at the end of life. However, there is little research evidence around the mechanisms by which befriending facilitates wellbeing at the end of life. The aim of the study was to explore the mechanisms by which befriending facilitates wellbeing in older people at the end of life. Methods: Semi-structured interviews were held with 12 recipients and family of a UK befriending service for older people at the end of life. Interviews explored experience of the befriending service, and the impact on wellbeing. Interviews were analysed using a process of thematic analysis. Results: The data indicate that the befriending service had a multi-dimensional impact on a range of outcomes including emotional and psychological wellbeing, and reduced social isolation. Other outcomes included practical support, and family carer support. Discussion: The mechanisms by which befriending facilitates wellbeing in older people at the end of life are complex. The unique issues faced by people approaching the end of life mean further research is required to explore dimensions of befriending in more depth and further develop theory.