Background and Rationale ,Chronic diseases have no known cure, are long-term and progressive (diabetes, chronic obstructive pulmonary disease, arthritis, heart disease, stroke, hypertension and cancer). Forty-one million people die each year from chronic diseases (71% of global deaths). In England 1 in 4 people live with two or more chronic long-term conditions with an unequal burden of disease in deprived areas and in black and minority ethnic populations. Chronic disease leads to debilitating physical and psychological comorbidity and social and emotional difficulties in adjusting to life. Chronic disease impairs wellbeing. Yet, patterns of wellbeing and chronic disease vary by disease condition, age, comorbidity and sociocultural factors. Evidence shows positive effects of interventions fostering resilience, cohesion and coping (employment, peer and group support and self-management). The precise individual factors and intervention mechanisms which enhance wellbeing for diverse people living with chronic disease are less well known. Wellbeing may have a protective role in reducing risk of chronic disease and enhancing quality of life. Understanding and addressing the complex individual, sociocultural, political and environmental factors influencing the enhancement of wellbeing for those living with chronic disease is significant for effective decision making in health policy, health systems, and professional practice in the wellbeing and health sectors as well as for supporting those living with chronic disease.
The What Works Centre of Wellbeing is an independent collaborating company on wellbeing. The WWCW develops and shares robust, accessible and useful evidence that Governments, businesses, communities and people can use to improve wellbeing across the UK. This project reflects the shared interests of Brunel University London scholars and colleagues at the WWCW for advancing understanding of wellbeing, improving wellbeing and addressing wellbeing inequalities. Broadly, the role of the WWCW within the proposed project will include:
- Provision of supervisory support by in-house expertise in:
- wellbeing evidence, frameworks and measurement,
- the interests of policy makers and practitioners seeking to improve wellbeing outcomes in the UK,
- relevant data sets and analysis
- and policy and practice focused communication of research findings
- Provision a collaborative working environment and inclusive working space at the WWCW (London) (COVID-19 managed) to enable the Doctoral Researcher to have access to training, key meetings and knowledge exchange opportunities.