Diabetes and WELLbeing
Priority AxisTechnological and Social Innovation
Lead partnerThe Health and Europe Centre
Project budget3 169 850 €
ERDF amount1 901 910 €
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.
DWELL is a holistic programme encouraging & motivating patients with Type2 Diabetes to manage their condition better. The DWELL partners have worked together to design and develop the DWELL 12 week patient support programme, staff training programme and support tools. 2018 has seen the implementation of the above. The DWELL 12 week programme has had 183 people participate and initial results are very positive.
The staff training programme consists of five modules: The DWELL approach, Understanding Diabetes - common language, Facilitation skills, Motivational interviewing and Evaluation tools. As DWELL is a holistic programme, it does require a change in thinking of the way to treat type 2 diabetes. The staff training programme has a broader delivery strategy than initially thought & 3 groups have been identified to receive training:
1) those delivering the 12 week programme
2) professionals who could refer patients to DWELL
3) students in training (eg nurses)
85 staff from the above groups have received training.
The support tools are now available in most delivery sites:
- a directory lists over 300 entries that includes local support, groups and activities which contribute to a healthier way of living, empowering the individual to make lifestyle changes.
- an online support tool which contains the directory, diabetes education, healthy recipes, health and wellbeing apps, and a community section to encourage 'chat' between DWELL participants.
- Patient Ambassadors: These are people that have been through the DWELL programme and want to provide first hand experience of their DWELL journey to new cohorts. They also spread the word about DWELL within their local communities. Those that have already been recruited are very enthusiastic and passionate about DWELL. They have already started to form support groups.
The first cross border Ambassador network meeting took place in November 2018. It was the opportunity for the English and French ambassadors to come together to exchange their experiences and hear first hand how DWELL has impacted their lives. The event was a great success and language was certainly not a barrier. Another is planned for May 2019 in the Netherlands.
Two round table events have also taken place with positive feedback. These events have started to engage the local stakeholders who are now monitoring DWELL closely and eagerly await the first set of published results!