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Elevated blood glucose levels — the hallmark of diabetes — is estimated by the World Health Organization to be the third leading cause of premature death globally. Around 4 million people in the UK have been diagnosed with diabetes; their treatment accounts for 10% (£10 billion) of NHS expenditure. Self-management strategies and the promotion of a healthy lifestyle are fundamental to the treatment and prevention of type 2 diabetes (T2DM). Since 2008, Leicester's Diabetes Research Centre has developed, evaluated, disseminated and implemented a range of programmes based on a technique called structured education. The flagship DESMOND programme is run in over half of all clinical commissioning groups (CCGs), affecting thousands of people with newly diagnosed T2DM. The Walking Away prevention programme has been widely implemented in the UK, Ireland and Australia. These programmes are the only nationally available evidence-based structured education programmes for the prevention and management of T2DM.
Research at Strathclyde has led to a significant increase in the delivery of school-based counselling in the UK, with services established in all secondary schools in Northern Ireland and Wales since 2007 and 2008, respectively. It is estimated that there are approximately 70-90,000 service users per year across UK secondary schools. School-based counselling significantly reduces young people's psychological distress, and helps them gain self-confidence, achieve their goals, and concentrate more in class. Strathclyde's research has led the way in demonstrating the effectiveness of this type of intervention, and has played a pivotal role in supporting its roll-out and development, thereby improving the well-being of large numbers of young people across the UK.
Dr Lloyd's research examines the relationship between diabetes and mental health, particularly in under-served or marginalised communities. Through extensive international collaborations research findings have been disseminated to a wide audience. Locally, service users have been involved in the development of alternative ways of obtaining informed consent, to allow greater research inclusivity. Culturally appropriate tools, for identifying depressive symptoms as well as knowledge deficits in diabetes self-care, have been designed and tested. As a result, a psychotherapy service for people with co-morbid diabetes and psychological problems has been successfully established in a diabetes centre attended by more than 6,000 individuals.
A health informatics platform supporting chronic disease management nationally and internationally creating impact upon:
The work of IDOP has resulted in:
Around 2.5 million people in the UK have Type 2 diabetes, with many more in a pre-diabetic state, Both conditions are hard to detect and frequently remain undiagnosed and untreated for years. The cost burden to the NHS of eventual treatment is estimated at £10 billion; 80% of which is spent on complications that are, with good care, avoidable. Targeted diabetes prevention programmes could aid in prevalence reduction and associated costs. Leicester's Diabetes Research Centre has developed two risk scores, both suitable for use with an ethnically diverse UK population, to detect these conditions: a self-assessment questionnaire and a general practice database tool. Recommended by NICE, they have been used successfully in varied settings. Since July 2011, around 260,000 people have completed the self-assessment score online and more than 40,000 through other means.
The Lecturer Self-efficacy Project is a national and international collaboration led by Professor John Sharp at Bishop Grosseteste University (UK) and Dr Brian Hemmings at Charles Sturt University (Australia). The project was initiated to develop a diagnostic instrument or resource to measure confidence in core academic function (research, teaching, other) with a view to enhancing professional practice across the UK Higher Education sector. The Project claims reach and significance in impact on practitioners and the development of professional services at organisational and departmental levels. This was achieved by stimulating debate and challenging conventional wisdom, thereby influencing the management of professional standards and guidelines on recruitment and training and by using research findings to define best practice and formulate policy towards research capacity building and strategic decision-making.