The overall aim of this study is to develop and test a self-management programme for people with severe mental illness and type-2 diabetes; and to explore its relevance to people with severe mental illness and chronic physical health conditions. Please click to view our Privacy Statement (PDF , 190kb)
This study has six work streams:
The DIAMONDS programme is supported by a wider programme of work on mental and physical multimorbidity, and draws on expertise from the Patient and Public Involvment Panel, DIAMONDS VOICE, the University of York, the University of Leeds, the University of Southampton, and Bradford District Care NHS Foundation Trust.
The study has a multi-disciplinary project team with representation from health economics, endocrinology, epidemiology, DIAMONDS VOICE, psychiatry, research methodology, health policy, general practice and statistics. In addition the study has an independent Study Steering Group that supervises the study team on behalf of the funder (National Institute for Health Research) and the sponsoring institution, the University of York.
Workstream one involves a literature review and an interview study (called DIAMONDS Quest). Three groups of people are being interviewed for DIAMONDS Quest: 32-42 people with severe mental illness and diabetes, 15-20 relatives or friends who provide support, and 15-20 healthcare staff who provide or commission services for this population.
Several NHS Mental Health Trusts and GP practices are collaborating in the study by identifying suitable people to be interviewed.
The findings from workstream one will be used to develop a diabetes self-management intervention for people with severe mental illness and type 2 diabetes. The effectiveness and cost-effectiveness of this intervention will then be explored. Following this we will explore the generalisability of our approach to other long-term conditions in people with severe mental illness, through design of a self-management intervention for another patient group, chronic obstructive pulmonary disease (COPD), and development of a framework to adapt the intervention for other long-term conditions.
If the diabetes self-management programme is shown to be worthwhile, we will develop a detailed plan for its implementation and uptake in the NHS. We will disseminate our findings to all those who are going to be involved in commissioning or using the programme, working closely with a wide range of stakeholders. This research will have the potential to improve self-management and outcomes for people with severe mental illness and diabetes, and for those living with other comorbid long-term conditions, helping to reduce health care costs and health inequalities.