The Irish DAFNE Study Protocol: A cluster randomised trial of group versus individual follow-up after structured education for Type 1 diabetes

Dinneen, Séan F.; Hara, Mary Clare O'; Byrne, Molly; Newell, John; Daly, Lisa; Shea, Donal O'; Smith, Diarmuid

doi:10.1186/1745-6215-10-88

Cited by 22 publications

(30 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The DSQOLS was designed to evaluate the Düsseldorf STTP, on which DAFNE is based. Psychometric validation of the scale in English used data from this study and two others (10,11) and will be reported elsewhere. The DSQOLS includes 57 items that form six subscales summed to gain a total score.…”

Section: Methodsmentioning

confidence: 99%

Structured Type 1 Diabetes Education Delivered Within Routine Care

et al. 2013

View full text Add to dashboard Cite

OBJECTIVETo determine whether improvements in glycemic control and diabetes-specific quality of life (QoL) scores reported in research studies for the type 1 diabetes structured education program Dose Adjustment For Normal Eating (DAFNE) are also found when the intervention is delivered within routine U.K. health care.RESEARCH DESIGN AND METHODSBefore and after evaluation of DAFNE to assess impact on glycemic control and QoL among 262 adults with type 1 diabetes.RESULTSThere were significant improvements in HbA1c from baseline to 6 and 12 months (from 9.1 to 8.6 and 8.8%, respectively) in a subgroup with suboptimal control. QoL was significantly improved by 3 months and maintained at both follow-up points.CONCLUSIONSLonger-term improved glycemic control and QoL is achievable among adults with type 1 diabetes through delivery of structured education in routine care, albeit with smaller effect sizes than reported in trials.

show abstract

Section: Methodsmentioning

confidence: 99%

Structured Type 1 Diabetes Education Delivered Within Routine Care

et al. 2013

View full text Add to dashboard Cite

show abstract

“…Detail of the study methodology for the Irish DAFNE Study has been published elsewhere 11 . Briefly, six outpatient hospital diabetes clinics delivering the DAFNE programme on the island of Ireland participated.…”

Section: Methodsmentioning

confidence: 99%

Predictors of quality of life gains among people with type 1 diabetes participating in the Dose Adjustment for Normal Eating (DAFNE) structured education programme

Byrne

Coffey

Hara

et al. 2012

Diabetes Research and Clinical Practice

View full text Add to dashboard Cite

Aims: To examine predictors of quality of life gains among people with type 1 diabetes following DAFNE (Dose Adjustment for Normal Eating) self-management training programme.Methods: Clinical and questionnaire data were collected from 437 patients from 6 hospital centres before, and at 18 month post, DAFNE intervention. Glycated haemoglobin (HbA 1c ), weight and height, and blood pressure levels were recorded by clinicians during clinic appointments. Questionnaires included the Diabetes-Specific Quality of Life Scale (DSQOLS), the Problem Areas in Diabetes Scale (PAID) and the Hospital Anxiety and Depression Scale (HADS). Basic demographics were recorded at baseline. Linear mixed models were fitted to identify predictors of change in quality of life at 18 month follow up.Results: Those with high levels of diabetes-related distress experienced greatest improvement in DSQOLS quality of life scores (p=0.001). Those with poor glycaemic control (higher levels of HbA 1c ; p=0.03) and those with high levels of anxiety (p=0.001) experienced greatest reductions in diabetes-related distress.Conclusions: Those with higher baseline levels of anxiety, higher levels of diabetes-related distress and higher baseline levels of HbA 1c are most likely to experience quality of life gain from participation in self-management programmes like DAFNE.

show abstract

“…This larger study is a cluster RCT evaluating the impact of two different methods of follow-up of DAFNE graduates on biomedical and psychosocial outcomes [5]. …”

Section: Methodsmentioning

confidence: 99%

A longitudinal qualitative study examining the factors impacting on the ability of persons with T1DM to assimilate the Dose Adjustment for Normal Eating (DAFNE) principles into daily living and how these factors change over time

et al. 2011

View full text Add to dashboard Cite

BackgroundThe literature reveals that structured education programmes, such as DAFNE, result in many positive outcomes for people with Type 1 diabetes including a decrease in HbA1c levels and reductions in hypoglycaemia. While there is evidence that some of these outcomes are maintained we do not know at present what factors are most important over time. The study aim was to identify the key factors impacting on persons with Type 1 diabetes ability to assimilate the Dose Adjustment For Normal Eating (DAFNE) DAFNE principles into their daily lives and how these factors change over time.MethodsThis is a longitudinal descriptive qualitative study. Interviews were undertaken with 40 participants who had attended DAFNE in one of 5 study sites across the Island of Ireland, at 6 weeks, 6 and 12 months after completion of the programme. The interviews lasted from 30 to 60 minutes and were transcribed verbatim. Data were analysed in three ways, a within time analysis, a cross sectional analysis for each participant and a thematic analysis which focused on examining changes over timeResultsFour themes that influenced participants' ability to assimilate DAFNE into their daily lives over time were identified. These were: embedded knowledge, continued responsive support, enduring motivation and being empowered. Support at the 6 month period was found to be crucial to continued motivation.ConclusionsUnderstanding the factors that influence people's ability to assimilate DAFNE principles over time into their daily lives can help health professionals give focused responsive support that helps people with diabetes become more empowered. Understanding that continued support matters, particularly around 6 months, is important as health professionals can influence good management by providing appropriate support and enhancing motivation.Trial registrationISRCTN79759174

show abstract

The Irish DAFNE Study Protocol: A cluster randomised trial of group versus individual follow-up after structured education for Type 1 diabetes

Cited by 22 publications

References 27 publications

Structured Type 1 Diabetes Education Delivered Within Routine Care

Structured Type 1 Diabetes Education Delivered Within Routine Care

Predictors of quality of life gains among people with type 1 diabetes participating in the Dose Adjustment for Normal Eating (DAFNE) structured education programme

A longitudinal qualitative study examining the factors impacting on the ability of persons with T1DM to assimilate the Dose Adjustment for Normal Eating (DAFNE) principles into daily living and how these factors change over time

Contact Info

Product

Resources

About