Chronic disease management and health education

Promoting Self-Management and Pulmonary Rehabilitation Attendance through a Digital Film Intervention using Self-Determination Theory.

Researcher: Liam Knox (PhD student);

Supervisors Dr Rachel Rahman & Dr Gareth Norris;   Aberystwyth University

External Collaborators: Professor Keir Lewis, Dr Sam Rice, Ms Carol-Anne Davies, Ms Claire Hurlin, & Ms Sarah Hicks;  Hywel DDa UHB and Ms Kimberly Littlewood;  E-Health Digital Media

This research investigates whether prescribing short online digital films, designed to improve patient knowledge and understanding of chronic obstructive pulmonary disease as well as incorporating principles of a motivational theory can increase patients’ ability to self-manage their condition and improve attendance at pulmonary rehabilitation. The research examines the impact on patients’ health status, disease knowledge and quality of life.


Reduction in the Prevalence of Pre-Diabetes Following One-to-One Consultation Delivered Through General Practice

Researcher: Dr Rhys Thatcher, Mr Nicholas Gregory; Aberystwyth University

External Collaborators: North Ceredigion GP Cluster (Church, Ystwyth, Padarn, Borth, Tanyfron, Tregaron and Llanilar Surgeries); National Exercise Referral Scheme; Food wise for Life.

The Project evaluated the efficacy of a 30-minute one-to-one consultation for those identified as pre-diabetic. The consultation took place with a practice nurse based in the GP surgery and targeted patient education and lifestyle modification. Outcome measures include glycated haemoglobin (HbA1c), body mass, BMI, waist circumference and blood pressure.

Relevant Publications: Thatcher, R and Gregory, N. (2017). Reduction in the Prevalence of Pre-Diabetes Following One-to-One Consultation Delivered Through General Practice. Welsh Endocrine and Diabetes Society, spring meeting, Cardiff.

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Evaluation of a Diabetes Self-Management Program: A Feasibility Study

Researcher: Dr Rhys Thatcher, Dr Ffion Curtis; Aberystwyth University

External Collaborators: Dr Sam Rice, Ms Claire Hurlin; Hywel Dda UHB

This was a six-month feasibility study and process evaluation of the Stanford Diabetes Self-Management Program (DSMP). DSMP is layperson led and is delivered in one 2.5-hour session per week for six-weeks in a community setting. Outcome measures include glycated haemoglobin (HbA1c), CVD Risk, Rena function, Lipid profile and questionnaires to assess Health belief, Quality of Life, Self-efficacy, Depression, Empowerment and Health status.

Relevant Publications: Curtis, F., Tomlison, S., Hurlin, C., Rice, S., Thatcher, R. and Rice, S. (2016). Can Patients Educate Patients? A Feasibility Study. Welsh Endocrine and Diabetes Society, spring meeting, Cardiff.

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PUBLICATIONS: Chronic Disease Management and Health Education

Curtis, F., Oliver, E.J., Jones, A.W., Rice, S. and Thatcher, R. (2013). Iechyd a newidiadau ffordd o fyw sy’n gysylltiedig ag oedran mewn ardaloedd gwledig: y pwyslais ar bryderon cyfredol yng Nghymru. Gwerddon, 16, 28-39.

Thatcher, R and Gregory, N. (2017). Reduction in the Prevalence of Pre-Diabetes Following One-to-One Consultation Delivered Through General Practice. Welsh Endocrine and Diabetes Society, spring meeting, Cardiff.

Curtis, F., Tomlison, S., Hurlin, C., Rice, S., Thatcher, R. and Rice, S. (2016). Can Patients Educate Patients? A Feasibility Study. Welsh Endocrine and Diabetes Society, spring meeting, Cardiff.

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Image Creative Commons - British Red Cross - Care in the Home. Credit: Jonathan Banks[modified by extension/blur]