WICKED (Wolverhampton Interface Care, Knowledge Empowered Diabetes) uses personalised diabetes information to improve self-care. The initiative began by recruiting all local people with diabetes and randomising them into two groups: the active group was mailed a structured personalised report containing information on all 9 of their diabetes care processes while the control group received standard care. Differences in their Failed Process Score (FPS) were compared at three months, where the change was significantly better in those mailed. Patients found this report useful (89%), a source of knowledge (78%) and confidence (74%) and it helped them in understanding their diabetes (78%). Non-responders were at significantly higher risk of developing micro and macro vascular complications.
Diabetes care providers target patient activation through the provision of education programmes but these have a very poor uptake: despite NICE guidance only 3% of people with diabetes in the UK have had a structured education programme - and even the best-developed programmes have variable and often disappointing outcomes.
To use structured and personalised diabetes information as a tool to activate patients to self-care. To prove that a centrally integrated and validated electronic database to generate person-specific reports was possible in fragmented NHS systems.
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