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
Authors | Morris, 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. |
Keywords | Body 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 |
Year | 2020 |
Journal | European Journal of Public Health |
Journal citation | 30 (Supplement 5), p. v509 |
Publisher | Oxford Academic |
ISSN | 1101-1262 |
1464-360X | |
Digital Object Identifier (DOI) | https://doi.org/10.1093/eurpub/ckaa165.1389 |
Official URL | https://doi.org/10.1093/eurpub/ckaa165.1389 |
Funder | 2 Seas Interreg |
Publication dates | |
Online | 30 Sep 2020 |
Publication process dates | |
Deposited | 14 Oct 2020 |
Accepted | 20 May 2020 |
Output status | Published |
https://repository.canterbury.ac.uk/item/8w7xy/patient-empowerment-eating-behaviours-and-illness-control-pre-post-outcomes-from-dwell-delivery-in-uk-and-france
Restricted files
Accepted author manuscript
14
total views1
total downloads3
views this month0
downloads this month
Export as
Related outputs
Faith in the nexus: Church schools and children’s exploration of faith in the home: A NICER research study of twenty church primary schools in England
Casson, A., Hulbert, S., Woolley, M. and Bowie, B. 2020. Faith in the nexus: Church schools and children’s exploration of faith in the home: A NICER research study of twenty church primary schools in England. Canterbury Canterbury Christ Church University.The CASCADE project: exploring a ‘guest house’ concept
Smith, R., Wright, T., Martin, A. and Hatzidimitriadou, E. 2020. The CASCADE project: exploring a ‘guest house’ concept. Journal of Dementia Care. 28 (5), pp. 20-21.Contextual determinants of Intimate Partner Violence: a multi-level analysis in six European cities
Dias, N. G., Fraga, S., Soares, J., Hatzidimitriadou, E., Ioannidi-Kapolou, E., Lindert, J., Sundin, O., Toth, O., Barros, H. and Ribeiro, A. I. 2020. Contextual determinants of Intimate Partner Violence: a multi-level analysis in six European cities. International Journal of Public Health. https://doi.org/10.1007/s00038-020-01516-xMeasuring the effectiveness of virtuous pedagogy: a quantitative study of the What if Learning approach in Church of England schools
Hulbert, S., Cooling, T. and Bowie, B. 2020. Measuring the effectiveness of virtuous pedagogy: a quantitative study of the What if Learning approach in Church of England schools. Education Sciences. 10 (11), p. 315. https://doi.org/10.3390/educsci10110315Participant experiences of the DWELL programme: focus group findings on motivation, experiences, facilitators and barriers
Manship, S., Hatzidimitriadou, E., Morris, R., Hulbert, S., Webster, J., Belmas, N. and Best, A. 2020. Participant experiences of the DWELL programme: focus group findings on motivation, experiences, facilitators and barriers. European Journal of Public Health. 30 (Supplement 5), p. v509. https://doi.org/10.1093/eurpub/ckaa165.1390The Diabetes and WELLbeing programme: protocol of a multi-site European complex intervention study
Hatzidimitriadou, E., Manship, S., Morris, R., Hulbert, S., Webster, J., Belmas, N., Best, A., Averous, V., Vanbosseghem, R. and Gijssel, M. 2020. The Diabetes and WELLbeing programme: protocol of a multi-site European complex intervention study. European Journal of Public Health. 30 (Supplement 5), p. v509. https://doi.org/10.1093/eurpub/ckaa165.1388Physical fitness and activity levels among Chinese people with schizophrenia: A cross-sectional study with matched case-control comparison
Bressington, D., Li, Y., Hulbert, S. and Wah Mak, L. 2020. Physical fitness and activity levels among Chinese people with schizophrenia: A cross-sectional study with matched case-control comparison. International Journal of Environmental Research and Public Health. 17 (10), p. 3564. https://doi.org/10.3390/ijerph17103564The contribution of new technologies and robotics in assistive technology for disability: What training is required for healthcare professionals? (L'apport des Nouvelles Technologies et de la Robotique dans les Aides Techniques de Compensation du Handicap: Quelle formation pour les professionnels de santé?)
Menard, L., Petit, A., Leblong, E., Khemmar, R., Hatzidimitriadou, E., Manship, S., Stein, M., Morris, R., Ragot, N. and Gallien, P. 2020. The contribution of new technologies and robotics in assistive technology for disability: What training is required for healthcare professionals? (L'apport des Nouvelles Technologies et de la Robotique dans les Aides Techniques de Compensation du Handicap: Quelle formation pour les professionnels de santé?).Intimate partner violence and primary care and emergency use: the role of informal social support
Dias, N., Ribeiro, A., Henriques, A., Soares, J., Hatzidimitriadou, E., Ioannidi-Kapolou, E., Lindert, J., Sundin, O., Toth, O., Barros, H. and Fraga, S. 2020. Intimate partner violence and primary care and emergency use: the role of informal social support. Health and Social Work. 45 (2), pp. 91-100.