Table 1. Core Elements of the Peer-to-Peer Community Support Intervention.

Element	Description
Goal	To promote successful aging in place among frail older adults
Duration of peer-to-peer relationship	From enrollment until patient transitioned to more advanced care, left the area, or died
Target population	Older adults at risk for a decline in health or placement in long-term care
Referral process	Self-referral or referral by case managers from the community organization or local health care organizations
Volunteer selection	Adults aged >65 y who were able to dedicate 20 h/wk to peer support Needed to commit for a minimum of 1 y
Volunteer training	Initial training: 10-20 h Training modules Developing a peer-to-peer support relationship Importance of companionship Basic health and emotional health needs of at-risk older adults How to provide emotional support An overview of services provided by the organization and by the community and how to access them Trouble-shooting particular issues that might arise in a relationship Monthly in-service training: 1-2 h on a relevant topic
Expectations of volunteers	Attend all trainings Attend at least 60% of monthly in-service trainings Provide a minimum of 20 h of peer support/mo Contact assigned peers on a regular basis
Peer client load per volunteer	Minimum of 2 to a maximum of 10 peer clients
Shaped to meet the local community needs	Each program added training on particular issues or community resources unique to the community they serve