Patient empowerment, eating behaviours and illness control: pre-post outcomes from DWELL delivery in UK and France

Journal article

Morris, R., Hatzidimitriadou, E., Manship, S., Hulbert, S., Webster, J., Teke, J., Belmas, N., Best, A., Averous, V. and Cazier. J. 2020. Patient empowerment, eating behaviours and illness control: pre-post outcomes from DWELL delivery in UK and France. European Journal of Public Health. 30 (Supplement 5), p. v509. https://doi.org/10.1093/eurpub/ckaa165.1389
AuthorsMorris, R., Hatzidimitriadou, E., Manship, S., Hulbert, S., Webster, J., Teke, J., Belmas, N., Best, A., Averous, V. and Cazier. J.
Abstract

Diabetes self-management programmes can improve clinical and healthy lifestyle outcomes. Research has demonstrated that improved engagement with type 2 diabetes (T2D) care is associated with greater empowerment beliefs and a perceived internal control over their illness. As part of the DWELL evaluation study, an interim subset of 139 participants in the UK and 53 participants in France were assessed pre- and post-intervention on measures of weight, BMI, waist circumference and glycated haemoglobin (HbA1c), as well as self-efficacy beliefs (DES-SF), healthy eating behaviours (DEBQ) and perceptions of illness (IPQ-R).

Pre-post comparisons in both countries demonstrated statistically significant decreases in weight (UK: Z = 6.71, p<.001, FR: Z = 3.33, p<.05), BMI (UK: Z = 6.70, p<.001, FR: Z = 3.21, p<.05), waist circumference (UK: Z = 6.71, p<.001, FR: Z = 3.24, p<.05) ,and HbA1c (UK: Z = 6.29, p<.001, FR: Z = 4.18, p <.001). Importantly, participation in the DWELL programme was associated with increased self-efficacy beliefs (UK: Z = 5.63, p<.001, FR: Z = 5.54, p<.001), greater perceived personal control over their diabetes (UK: Z = 3.17, p<.05, FR: Z = 2.20, p<.05), reduced negative feelings about their illness (UK: Z = 3.01, p <.05, FR: Z = 2.19, p<.05) and decreased eating in response to external food cues (UK: Z = 3.79, p<.001, FR: Z = 2.34, p<.05). In the UK, participants also reported an increased optimism for treatment control of their diabetes (Z = 3.06, p <.05) and for their long-term prognosis (Z = 1.99, p<.05).

These preliminary findings support the efficacy of the DWELL programme in improving diabetes-related biomedical outcomes, as well as improvements in patient empowerment, healthy eating habits and increased perceived illness control. Further analysis, available at a later date, will include a larger sample of participants, including longitudinal data with follow-ups six- and 12- months post participation in the DWELL programme.

KeywordsBody mass index procedure; Diabetes mellitus; Diabetes mellitus, type 2; Haemoglobin; Feeding behaviours; Self efficacy; Eating; Waist circumference; Healthy diet; Self-management; Positive attitude; Patient empowerment; Healthy lifestyle; BMI; Type 2 diabetes
Year2020
JournalEuropean Journal of Public Health
Journal citation30 (Supplement 5), p. v509
PublisherOxford Academic
ISSN1101-1262
1464-360X
Digital Object Identifier (DOI)https://doi.org/10.1093/eurpub/ckaa165.1389
Official URLhttps://doi.org/10.1093/eurpub/ckaa165.1389
Funder2 Seas Interreg
Publication dates
Online30 Sep 2020
Publication process dates
Deposited14 Oct 2020
Accepted20 May 2020
Accepted author manuscript
Output statusPublished
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Hatzidimitriadou, E. and Cakir, S. 2009. Community activism and empowerment of Turkish-speaking migrant women in London. International Journal of Migration, Health and Social Care. 5 (1), pp. 34-46. https://doi.org/10.1108/17479894200900005
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Hatzidimitriadou, E. 2010. Migration and ageing: settlement experiences and emerging care needs of older refugees in developed countries. Hellenic Journal of Psychology. 7 (1), pp. 1-20.
Intimate partner violence in Europe: design and methods of a multinational study
Costa, D., Soares, J., Lindert, J., Hatzidimitriadou, E., Karlsson, A., Sundin, O., Toth, O., Ioannidi-Kapolou, E., Degomme, O., Cervilla, J. and Barros, H. 2013. Intimate partner violence in Europe: design and methods of a multinational study. Gaceta Sanitaria. 27 (6), pp. 558-561. https://doi.org/10.1016/j.gaceta.2013.03.001
From the asylum to the community: a longitudinal study of staff involved in the transition from Tone Vale Hospital to community-based services
Carpenter, J., Ring, C., Sangster, A., Cambridge, P. and Hatzidimitriadou, E. 2000. From the asylum to the community: a longitudinal study of staff involved in the transition from Tone Vale Hospital to community-based services. Journal of Mental Health. 9 (2), pp. 211-230. https://doi.org/10.1080/09638230050009203
Early diagnosis of dementia by GPs: an exploratory study of attitudes
Milne, A., Woolford, H., Mason, J. and Hatzidimitriadou, E. 2000. Early diagnosis of dementia by GPs: an exploratory study of attitudes. Aging & Mental Health. 4 (4), pp. 292-300. https://doi.org/10.1080/713649958
Caring in later life: reviewing the role of older carers
Milne, A., Hatzidimitriadou, E., Chryssanthopoulou, C. and Owen, T. 2001. Caring in later life: reviewing the role of older carers. London Help the Aged.
Political ideology, helping mechanisms and empowerment of mental health self-help/mutual aid groups
Hatzidimitriadou, E. 2002. Political ideology, helping mechanisms and empowerment of mental health self-help/mutual aid groups. Journal of Community & Applied Social Psychology. 12 (4), pp. 271-285. https://doi.org/10.1002/casp.681
The caring in later life report: a secondary analysis of the 1995 General Household Survey
Milne, A. and Hatzidimitriadou, E. 2002. The caring in later life report: a secondary analysis of the 1995 General Household Survey. Quality in Ageing and Older Adults. 3 (3), pp. 3-15. https://doi.org/10.1108/14717794200200017
Gaining access to and working with self-help groups in mental health
Hatzidimitriadou, E. 2003. Gaining access to and working with self-help groups in mental health. in: Cochrane, S. (ed.) Where You Stand Affects Your Point of View: Emancipatory Approaches to Mental Health Research: Notes from SPN Study Day 12 June 2003 UK Social Perspectives Network.
Intimate partner violence and health-related quality of life in European men and women: findings from the DOVE study
Costa, D., Hatzidimitriadou, E., Ioannidi-Kapolou, E., Lindert, J., Soares, J., Sundin, O., Toth, O. and Barros, H. 2015. Intimate partner violence and health-related quality of life in European men and women: findings from the DOVE study. Quality of Life Research. 24 (2), pp. 463-471.
Exploring information technology (IT) strategy and processual alignment: an exploratory case study in higher education (HE)
Bowden, L., Fearon, C., Manship, S., Dee, T. and McLaughlin, H. 2014. Exploring information technology (IT) strategy and processual alignment: an exploratory case study in higher education (HE).
A retrospective observational study of the effectiveness of paliperidone palmitate on acute inpatient hospitalization rates
Bressington, D., Stock, J., Hulbert, S. and MacInnes, D. 2015. A retrospective observational study of the effectiveness of paliperidone palmitate on acute inpatient hospitalization rates. International Clinical Psychopharmacology. 30 (4), pp. 230-236. https://doi.org/10.1097/YIC.0000000000000077
Viewing art on a tablet computer: a wellbeing intervention for people with dementia and their caregivers
Tyack, C., Camic, P., Herron, A. and Hulbert, S. 2015. Viewing art on a tablet computer: a wellbeing intervention for people with dementia and their caregivers. Journal of Applied Gerontology. https://doi.org/10.1177/0733464815617287
Museum activities in dementia care: using visual analog scales to measure subjective wellbeing
Johnson, J., Culverwell, A., Hulbert, S., Roberton, M. and Camic, P. 2015. Museum activities in dementia care: using visual analog scales to measure subjective wellbeing. Dementia: The International Journal for Social Research and Practice. https://doi.org/10.1177/1471301215611763
The impact of viewing and making art on verbal fluency and memory in people with dementia in an art gallery setting
Young, R., Tischler, V., Hulbert, S. and Camic, P. 2015. The impact of viewing and making art on verbal fluency and memory in people with dementia in an art gallery setting. Psychology of Aesthetics, Creativity, and the Arts. https://doi.org/10.1037/aca0000030
The unitary ability of IQ and indexes in WAIS-IV
Orsini, A., Pezzuti, L. and Hulbert, S. 2015. The unitary ability of IQ and indexes in WAIS-IV. European Journal of Psychological Assessment. https://doi.org/10.1027/1015-5759/a000306
Physical intimate partner violence in Europe: results from a population-based multi-center study in six countries
Costa, D., Hatzidimitriadou, E., Ioannidi-Kapolou, E., Lindert, J., Soares, J., Sundin, O., Toth, O. and Barros, H. 2015. Physical intimate partner violence in Europe: results from a population-based multi-center study in six countries. International Journal of Epidemiology. 44 (S1), p. 264. https://doi.org/10.1093/ije/dyv096.500
Group singing and young people’s psychological well-being
Hinshaw, T., Clift, S., Hulbert, S. and Camic, P. 2015. Group singing and young people’s psychological well-being. International Journal of Mental Health Promotion. https://doi.org/10.1080/14623730.2014.999454
Phase 1 Research Report on the IMPRESS Health 2 (Interreg IVA Channel Programme) Project 4282: Understanding the factors behind the late testing and diagnosis of HIV
O'Connor, S., Manship, S., Hart, M., Tudor, F. and Clift, S. 2014. Phase 1 Research Report on the IMPRESS Health 2 (Interreg IVA Channel Programme) Project 4282: Understanding the factors behind the late testing and diagnosis of HIV. Canterbury, UK. Canterbury Christ Church University.
"Tangled wires in the head": older migrant Chinese's perception of mental illness in Britain
Li, S., Hatzidimitriadou, E. and Psoinos, M. 2014. "Tangled wires in the head": older migrant Chinese's perception of mental illness in Britain. Journal of Aging Studies. 30 (1), pp. 73-86. https://doi.org/10.1016/j.jaging.2014.04.001
Cultural health capital and professional experiences of overseas doctors and nurses in the UK
Hatzidimitriadou, E. and Psoinos, M. 2014. Cultural health capital and professional experiences of overseas doctors and nurses in the UK. Diversity and Equality in Health and Care. 11 (1), pp. 35-47.
Examining the effectiveness of the Theory of Planned Behaviour in predicting exercise intention and behaviour during pregnancy: Preliminary findings from a random effects meta-analysis
De Vivo, M., Hulbert, S., Mills, H. and Uphill, M. 2014. Examining the effectiveness of the Theory of Planned Behaviour in predicting exercise intention and behaviour during pregnancy: Preliminary findings from a random effects meta-analysis.
The unitary ability of IQ in the WISC-IV and its computation
Orsini, A., Pezzuti, L., Hulbert, S., Sapienza University of Rome and Canterbury Christ Church University 2014. The unitary ability of IQ in the WISC-IV and its computation. Personality and Individual Differences. 69, pp. 173-175. https://doi.org/10.1016/j.paid.2014.05.023
Enhanced physical health screening for people with severe mental illness in Hong Kong: results from a one-year prospective case series study
Bressington, D., Mui, J., Hulbert, S., Cheung, E., Bradford, S. and Gray, Richard 2014. Enhanced physical health screening for people with severe mental illness in Hong Kong: results from a one-year prospective case series study. BMC Psychiatry. 14 (57). https://doi.org/10.1186/1471-244X-14-57
The influence of parents' education in the Italian standardization sample of the WISC-III
Cianci, L., Orsini, A., Hulbert, S. and Pezzuti, L. 2013. The influence of parents' education in the Italian standardization sample of the WISC-III. Learning and Individual Differences. 28, pp. 47-53. https://doi.org/10.1016/j.lindif.2013.09.009
Making the case for ‘techno-change alignment’: a processual approach for understanding technology enabled organisational change
Fearon, C., Manship, S., McLaughlin, H. and Jackson, S. 2013. Making the case for ‘techno-change alignment’: a processual approach for understanding technology enabled organisational change. European Business Review. 25 (2), pp. 147-162. https://doi.org/10.1108/09555341311302648
Evaluation of co-production processes in a community-based mental health project in Wandsworth
Hatzidimitriadou, E., Mantovani, N. and Keating, F. 2012. Evaluation of co-production processes in a community-based mental health project in Wandsworth. Kingston upon Thames Kingston University and St George's, University of London.
Ageing in the English countryside: is it good for your health?
Milne, A., Hatzidimitriadou, E. and Wiseman, J. 2004. Ageing in the English countryside: is it good for your health?
Health and quality of life among older people in rural England: exploring the impact and efficacy of policy
Milne, A., Hatzidimitriadou, E. and Wiseman, J. 2007. Health and quality of life among older people in rural England: exploring the impact and efficacy of policy. Journal of Social Policy. 36 (3), pp. 477-495. https://doi.org/10.1017/S0047279407001055
ADAPT: European research project on a smart electric wheelchair, development of training on new assisting technologies (ADAPT : projet de recherche européen sur un fauteuil roulant électrique intelligent, développement de formations sur les nouvelles technologies d'assistance)
Menard, L., Laval, D., Petit, A., Achille-Fauveau, S., Laforest, C., Gallien, P., Surmont, T., Khemmar, R., Hatzidimitriadou, E., Stein, M., Manship, S. and Morris, R. 2000. ADAPT: European research project on a smart electric wheelchair, development of training on new assisting technologies (ADAPT : projet de recherche européen sur un fauteuil roulant électrique intelligent, développement de formations sur les nouvelles technologies d'assistance).