Participant experiences of the DWELL programme: focus group findings on motivation, experiences, facilitators and barriers

Autor:	A. Best, S. Manship, N. Belmas, R. Morris, J. Webster, Eleni Hatzidimitriadou, S. Hulbert
Rok vydání:	2020
Předmět:	Medical education Facilitator media_common.quotation_subject Public Health Environmental and Occupational Health Motivational interviewing Health literacy Thematic analysis Peer support Psychology Empowerment Mental health Focus group media_common
Zdroj:	European Journal of Public Health. 30
ISSN:	1464-360X 1101-1262
Popis:	Initiatives to increase effective, low-cost self-management are essential to the sustainability of care for type 2 diabetes (T2D), however research shows that there is currently no standard approach. The DWELL programme seeks to motivate and empower people with T2D to better self-manage their condition through focussed content underpinned by motivational interviewing. As part of the DWELL evaluation study, end-of-programme focus groups were conducted to elicit participant experiences. 33 focus groups with 153 participants (including a small number of partners) took place in the two UK DWELL delivery sites. The focus group data was subjected to thematic content analysis to elicit key themes. Findings indicate that DWELL participants are motivated through a desire for better knowledge and management of their diabetes. Facilitating factors of the programme include: facilitator and peer support; the holistic and autonomous approach which provides participants with the opportunity to better understand the condition and its impact on their whole lives; and a tailored individual approach. Barriers and suggested improvements include content and operational changes, which are fed back to DWELL facilitators as part of the process evaluation in order that they can continually update the programme. Participants report positive outcomes in terms of wellbeing, social and mental health, enhanced knowledge and positive lifestyle changes. These themes align with quantitative outcome measures for participants, including weight loss, reduced BMI and glycated haemoglobin (HbA1c), enhanced empowerment and improved eating behaviours and illness perceptions and control. Interim findings suggest that DWELL outcomes include improved health literacy, participant empowerment and self-management. These findings underscore the need to incorporate a holistic, tailored approach to structured patient education for T2D.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::a0510c6a499bcc92e9f6b9dd6638f7e8 https://doi.org/10.1093/eurpub/ckaa165.1390 Zobrazit plný text záznamu