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

Researcher: Liam Knox (PhD student-Completed);

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.

Relevant Publications: 

Knox, L., Norris, G., Lewis, K. & Rahman, R. (2021). Using self-determination theory to predict self-Management and HRQoL in moderate-to-severe COPD. Health Psychology and Behavioral Medicine, 9(1), 527-546.

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, Gregory, N, Cheung, W-Y, Dunseath, G, Parsons, S, Goodwin, M & Luzio, S 2022, ‘Brief Lifestyle Interventions for Prediabetes in Primary Care: A Service Evaluation’, BMC Primary Care, vol. 23, no. 1, 45. 10.1186/s12875-022-01658-2

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.

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.