CompletedInterventional

Implementing the concepts of mindfulness and community engagement to self-manage chronic diseases in four European cities

Long-term health conditions like heart disease and type 2 diabetes can be tough to manage alone. The SEFAC study looks at how community support and mindfulness can help people take charge of their own health. Researchers set up local pilot schemes across Europe, including in Cornwall in the UK. Participants take part in mindfulness workshops, have the option to join local social activities, and can use a smartphone app designed to support healthy habits. The goal is to help people feel more connected, improve their self-confidence, and learn practical tools to prevent or manage chronic illnesses. The programme does not involve any medical drugs or invasive procedures. It focuses entirely on lifestyle, emotional wellbeing, and community connection over at least six months to see if this grass-roots approach makes a lasting difference.

At a glance

Status

Completed

Sponsor

Erasmus MC university medical center, department of Public Health

Enrolment target

360

Start

01 Jun 2018

Estimated completion

30 Sep 2019

Citizens at risk of or has coronary heart disease and/or type 2 diabetes mellitus

What is this study about?

Long-term health conditions such as coronary heart disease and type 2 diabetes affect millions of people across the UK and Europe. Managing these conditions often requires major lifestyle changes, which can feel overwhelming. Many people struggle with low confidence or feel isolated, making it harder to look after their physical health. The SEFAC project was created to test whether community-based support and mindfulness can empower people to manage their illnesses more effectively.

SEFAC stands for 'Social Engagement Framework for Addressing the Chronic Disease Challenge'. Instead of relying only on traditional medical appointments, this project brings healthcare workers, local volunteers, and patients together. The idea is to create a strong, local support network that helps people set personal goals, reduce stress, and build healthy daily habits that last.

By taking part, people learn mindfulness techniques to manage stress and gain access to community groups and a helpful mobile phone app. If proven successful, this type of supportive community programme could be rolled out more widely across the NHS and Europe, helping people live happier, healthier, and more independent lives alongside their chronic conditions.

Key takeaways

SEFAC is a community-focused study helping people manage chronic conditions like heart disease and diabetes.
The programme includes 3 to 7 mindfulness workshops, local social activities, and a dedicated mobile app.
It is aimed at adults aged 18 and over who have had a long-term condition for at least six months.
There are no medications or physical procedures involved, and there are no known risks.
Taking part lasts for at least six months and is completely voluntary.

Who may be eligible?

This study is open to adults aged 18 and older who have been living with a diagnosed long-term health condition (such as heart problems or type 2 diabetes) for at least six months. It is particularly designed for people who feel they have low confidence in managing their condition and who have a caregiver or family member supporting them. Participants need to be able to commit to the programme for at least six months.

To ensure participants can take part safely and comfortably, the study is not suitable for everyone. People currently going through severe life crises, such as homelessness or domestic abuse, cannot join. It is also not suitable for those with severe, unstable mental health conditions (like active psychosis), active alcohol or substance addictions, or conditions that affect memory and thinking, such as Alzheimer's disease. Finally, participants need to understand the local language well enough to follow the workshops.

Could this study suit you?

Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.

I am aged 18 or older.
I have had a diagnosed long-term health condition (like diabetes or heart disease) for at least 6 months.
I have a family member, friend, or caregiver who supports me.
I sometimes find it hard or feel unconfident managing my health on my own.
I can commit to taking part in workshops and activities over a 6-month period.
I am not currently dealing with active addiction, severe memory problems, or a major housing crisis.

Answer every question to see your result.

What does participation involve?

Taking part in the SEFAC study lasts for at least six months. During this time, you will attend between three and seven interactive workshops focused on mindfulness, which teach practical ways to handle stress and stay present. You do not need to take any new medications or undergo medical tests for this study.

Alongside the workshops, you can choose to join local social activities and community groups led by trained volunteers. You will also be given access to a specially designed smartphone app that helps you track your goals and stay engaged. Throughout the project, researchers will check in to see how your confidence, wellbeing, and daily habits have changed over time.

Potential risks and benefits

There are no known physical risks or side effects from taking part in this programme, as it does not involve any medical treatments. Potential benefits include learning stress-busting mindfulness skills, boosting your confidence, meeting new people in your area, and getting better at managing your health. However, taking part does require your time and commitment. Remember, participation is entirely voluntary, and you are free to leave the study at any time without giving a reason and without it affecting your standard NHS care.

Locations (4)

Some site locations are approximate. We're improving this — please verify with the trial team before travelling.

Age Concern in Cornwall and the Isles of Scilly
City only
Truro, England
SVEUCILISTE U RIJECI, MEDICINSKI FAKULTET
City only
RIJEKA, Croatia
Istituto per Servizi di Ricovero e Assistenza agli Anziani
City only
TREVISO, Italy
Erasmus MC university medical center, Department of Public Health
City only
Rotterdam, Netherlands

Common questions

Will taking part replace my usual NHS medical care?

No. The SEFAC programme runs alongside your normal medical treatment. You should continue to see your GP and take all prescribed medicines as usual.

Do I have to pay anything to take part?

No, joining the study and using the workshops and mobile app is completely free.

What if I do not own a smartphone?

The app is an optional support tool. You can discuss your technology options with the local study team to see how you can best participate.

Do I need previous experience with mindfulness?

Not at all. The workshops are designed for beginners and will guide you gently through the techniques step by step.

Can my family or caregiver get involved?

Yes. Having a caregiver is part of the entry criteria, and the community approach welcomes their involvement and support.

How to find out more

Demi Cheng

d.cheng.1@erasmusmc.nl - Official trial record

Always speak to your GP or specialist before deciding to take part in a study.