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, motivating them to make long-term lifestyle changes to manage their diabetes successfully & reducing their risk of developing long-term complications. To date 480 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. 139 staff have received training so far along with 484 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.
Preliminary data analysis enabled interim evaluation results to be presented at the World Congress on Public Health in October 2020, with abstracts published in the European Journal of Public Health