|The acceptability and feasibility of WICKED plus in diabetes centres in Yorkshire|
We continue to run WICKED in Sheffield Teaching Hospitals. Leeds, Harrogate and Addenbrookes hospital teams have all observed a full WICKED course and were both very enthusiastic to take it to their centres . Other hospitals are also very interested in having WICKED.
Leeds and Harrogate have run the courses and evaluation of the young peoples experience was undertaken by the work funded by the NIHR CLAHRC YH. Participants completed pre- and post-course questionnaires assessing diabetes-related distress, self-efficacy, outcome expectancies, attitudes to diabetes, fear of hypoglycaemia, perceived knowledge, and frequency of self-management behaviours. Semi-structured interviews, focusing on YP’s experiences during and since the course, were also conducted three months after the course and were analysed using Thematic Analysis.
32 young people (17 Females, mean age: 19 yrs) participated across six courses in two centres in the North of England. Self-efficacy (p<.001), Negative Outcome Expectancy (p=.030) Perceived Knowledge (p<.001) and Self-Reported Self-Management Behaviours (p=.008) increased over the WICKED course. There were no significant changes in other assessed outcomes.
18 participants were interviewed. We identified three overarching themes; positive group identity (e.g. modelling others’ self-management behaviours), WICKED as a safe place (e.g. to make changes to regimen) and transformative perspectives (e.g. feeling more empowered in their interactions with health professionals).
We will publish the qualitative and quantitative results over the next few months and explore the unique challenges of taking this innovative course to different hospital settings through the TK2A theme's work.