Well-being Wheel Feasibility Study, v1
Research type
Research Study
Full title
Care UK 'Well-Being Wheel' Feasibility Study
IRAS ID
180099
Contact name
Karen Windle
Contact email
Sponsor organisation
University of Lincoln
Duration of Study in the UK
0 years, 5 months, 29 days
Research summary
Prisoners have poor health in comparison to the general population, being likely to report at least one long-term condition at an earlier age than members of the general population and experiencing a high level of mental health needs and substance misuse problems. Those aged 60 and over are the fastest growing age group in the prison population. Thus, many prisoners demonstrate complex health and social care needs.
If long-term conditions and multimorbidity (having more than one health problem at once) are to be effectively and cost-effectively managed, care must be proactive, holistic and preventative. This means that clinicians and patients need to share decision-making, mutually agree goals, identify support needs, develop and implement action plans, and monitor progress. In particular, patients need to be ‘activated’ or supported to effectively self-manage long-term conditions.
This is difficult to achieve in prison environments. To begin the process of supporting prisoner 'self-managment' of longterm conditions, Care UK have developed and are in the early stages of implementing a new care process – the ‘Well-being Wheel’. Based on the recovery model, this is being used as a tool to enable shared decision-making with prisoners around five areas: physical health and well-being; mental health and well-being; resettlement and reoffending; and substance misuse. Whilst the primary goal of the Well-being Wheel is patient self-management, it is likely that it may also help to improve prisoners’ health.
We want to undertake a feasibility study in one prison to test methodology for evaluating this approach. We aim to provide Care UK with an initial understanding of the early implementation process and (limited) outcomes. Data from this study will feed into (the research design for) a full research bid to evaluate the approach across more prisons, which will be submitted at a later date.REC name
East of England - Essex Research Ethics Committee
REC reference
15/EE/0249
Date of REC Opinion
29 Sep 2015
REC opinion
Further Information Favourable Opinion