Diabetes and WELLbeing
Priority AxisTechnological and Social Innovation
Lead partnerThe Health and Europe Centre
Date de début01/08/2016
Date de fin31/03/2023
Project budget3 211 641 €
ERDF amount1 926 984 €
Diabetes is a long term non communicable disease of huge societal & economic concern not just a clinical issue. Type 2 diabetes (90% of those with the disease) is acquired in later life & can be successfully controlled through healthy lifestyle choices. In 2012, approx 32m people in the EU had diabetes. On average 10% of state healthcare expenditure is on treating it & related complications. Research shows that intensive self-management is required with currently no standard approach. Initiatives to increase effective, low cost self-management are essential to the sustainability of treatment.
DWELL is an empowerment programme enabling patients with type 2 diabetes to access tailored support giving them mechanisms to control their condition & improve their wellbeing. Ultimately they will successfully self-manage their diabetes. This empowerment will increase adherence to treatment &improve health & wellbeing measures, giving economic benefits to health services. All activities will be co-created by users. The principles of co-creation & co-design will be used & the quadruple helix approached will be applied. Patients will be healthier for longer, reducing costs to state healthcare.
Patient support programme that will empower type 2 diabetes sufferers to self manage their condition. Training programme for staff to ensure they are able to deliver the patient support programme effectively. A review of existing free online diabetes support tools & creation of a new platform/app. A patient led support network & community directory to provide patient benefit after the project ends. Evaluation reports to show clear economic, service & patient benefits.
Cross border approach
Prevalence of diabetes is increasing in all ages across the 2 Seas region (11% of deaths in 20-79 year olds). Health services will be overwhelmed by diabetes and its complications if whole society strategies are not put in place. According to the International Diabetes Federation, countries need a stronger strategic approach; Belgium and France have no national diabetes plan. There is inconsistent diabetes self-management education with different approaches taken across the 2 Seas region and shared learning does not take place. DWELL will ensure this becomes standard practice in the future.
Diabetes is a long term non-communicable disease with high costs to patients, health services & society, & for which there is currently no standardised approach to self-management. DWELL is a holistic programme that encourages & motivates people with Type 2 Diabetes to manage their condition better. The DWELL partners have worked together to design & develop the DWELL 12 week patient support programme, staff training programme & support tools.
The DWELL 12 week patient support programme consists of 4 core modules: Education, Nutrition, Physical activity & Wellbeing, & at the heart of all of these is peer support, motivational interviewing & self management. These key elements all help to put the patient back in the driving seat of their condition, motivationing them to make long-term lifestyle changes to manage their diabetes successfully & reducing their risk of developing long-term complications. To date 396 people have been recruited to the DWELL 12 week programme.
The staff training programme consists of 5 modules: The DWELL approach, Understanding diabetes - common language, Facilitation skills, Motivational interviewing & Evaluation tools. As DWELL is a holistic programme, it does require a change in thinking of the way to treat type 2 diabetes...a change from a medical approach to a holistic approach. 133 staff have received training so far along with 263 students receiving the DWELL approach training as part of their curriculum.
There are also support tools:
- the directory of services & online support which contains over 300 entries of local services, groups & activities which contribute to a healthier way of living, as well as information on helpful apps, healthy recipes & diabetes education
- the Ambassadors! A key element to the DWELL programme. They helped develop & pilot the 12 week programme, promote DWELL within the community, support the programme & participants, & help to sustain DWELL beyond the end of the project.
Three cross-border Ambassdor network meetings have taken place, all of which have been a great success. The November 2019 meeting saw Ambassadors from each of the 4 participating countries come together & exchange sessions they deliver as part of the DWELL programme. These sessions included Thai-Chi, crafting & cookery.
In October 2019, preliminary data analysis enabled interim evaluation results to be presented for the first time at the Diabetes Professional Care Conference at Olympia, in London.