Individuals from different backgrounds have needs that have to be assessed and considered when creating such programs. Programs have to be adjusted according to specific needs such as poor literary skills or religious beliefs (Rothman, 2004). Research in how to create those programs cost effectively can help health care providers and policy makers to implement such intervention programs on a communal basis that is suitable for the population group (Saha et al, 2013). In the UK the Diabetes Education and Self-Management for Ongoing and Newly Diagnosed, a product of the NHS, offers such culturally and communal driven prevention and intervention programs ("What is DESMOND", 2016), using National Service Framework (NSF) and the National Institute for Health and Clinical Excellence (NICE) guidelines, that were created by a range of health care professionals including health …show more content…
A study of the UK diabetes member survey revealed that 42% of members would have liked emotional support to cope within 12 months prior the study (Diabetes UK, n.d.). Especially diabetics that feel stressed, anxious and depressed are in greater risk to suffer from further health complications, often as a result of adherence to treatment regimens and bad glycaemic control, as well as a reduction in the quality of life (Lustman & Clouse, 2005). Additionally, schizophrenics have more complex needs and need interventions that can accommodate them. To find out if a schizophrenia specific diabetes lifestyle intervention would be feasible McKibbin et al. (2006) conducted a study. 70 schizophrenics who were also suffering from diabetes mellitus type 2 underwent a 24 weeks long, group based intervention, concentrating on the diabetes education, nutrition and exercise. The intervention was successful in reducing the participants BMI and improving the participant self-management of glucose control. The study found a high interest rate for interventions for individuals with a comorbid disease. Instead of sending chronically ill people to different health care professionals, health psychologist work on collaborative and integrated care