DIMPLE - Peer led Prevention and Self management Programmes

 

DIMPLE - Peer led Prevention and Self management Programmes
NHS Hammersmith and Fulham
Christine Mead and Nicola Kingston

 

Updated 19-06-2013

 

The project used co-production and developed from a diabetes service user group who wanted to provide more support and education for people with diabetes, and to raise awareness of diabetes in the local community. Volunteers were recruited to undertake champion, peer educator or peer mentor roles in Hammersmith and Fulham and Harrow. BME communities with a high prevalence of diabetes were specifically targeted at the request of Local Involvement Network (LINK) members.

Since the start of the project in April 2011, 366 community champion events reached over 9000 people; an impact evaluation with attendees one month after an event showed 95% understood and were able to say what the symptoms and risk factors of diabetes were. 75% made changes to their diet and activity levels. 60% of those eligible for testing did ask for a test.

Social return on investment analysis demonstrated for every £1 invested there is a return of £11.36 for the champions programme. Peer educators now work alongside dieticians to deliver X-pert achieved 97% acceptability from participants. Mentors work alongside GP's and practice nurses at consultations and offer ongoing support. They also provide support in the community where English is not the first language and mentors speak Somali, Arabic, Tigrigna, French, Kurdish, Portuguese, Russian, Cantonese, Hindi and Punjabi.

 

Project aims

1. to find more evidence about the effectiveness and value of patient-led self management programmes for diabetes

2. to understand better how self management programmes can be more effectively tailored to different people

3. Compliance with treatment is poor and therefore self-management needs to improve.

The project aimed to improve the management of type 2 diabetes, through more effective self-management by studying the impact of:

  • Training patients to deliver education and mentoring
  • Using a pre-existing segmentation model that identifies different groups of people according to their health attitudes and behaviours and tailor interventions to them
  • Using patient educators to support clinicians to improve self-management

The project measured the following indicators to gauge improvement:

  • Patients' ability & confidence to self manage
  • Emotional and psychological wellbeing of patients
  • Compliance with medication regimes
  • Hba1c levels

What changes can we make that will result in an improvement?

For patients:

  • More patients involved in delivering support to other patients
  • More patients taking self-management education courses
  • Patients using mentors
  • Better knowledge of what support is available

For clinicians:

  • straightforward referrals processes for patient education
  • co-working with patients to support self management
  • confidence in self management strategy