CONTEXT	MECHANISMS		OUTCOMES
	RESOURCES	REASONING
Existing training (including supervisions) to enhance case manager’s skills	The case manager has the skills to recognise the signs of social isolation, based on the multidimensional geriatric assessment and clinical judgment during regular home visits.	The older people and their informal caregivers feel recognized in their needs of meaningful social contacts	The older person experiences social support
Physical accessibility of adequate day care centres	The case manager encourages meaningful activities to the older person, such as weekly visits to day care centres	The proposed activities make sense to the frail older people and their informal caregivers
Physical accessibility of adequate day care centres		The proposed activities induce a feeling of social utility because of the reciprocity of the social interaction.
Financial and geographical accessibility to services	The case manager identifies barriers to access the meaningful activities and proposes services to address them (financial, geographical)	The older people feel they are able to access these activities and anticipate they can benefit from them
Financial and geographical accessibility to services		Observing peers with similar conditions strengthen the older people’s and their informal caregivers’ belief that they can succeed in remaining at home
Adequate caseload of the case manager (< 40 frail older person/FTE case manager) allows for sufficient time spent to identify significant others	The case manager identifies significant others who can support meaningful social interactions with the frail older persons	The older people and their informal caregivers feel socially and emotionally supported by significant others	The older person does not feel supported socially