Group follow-up compared to individual clinic visits after structured education for type 1 diabetes: a cluster randomised controlled trial.

Hdl Handle:
http://hdl.handle.net/10147/322574
Title:
Group follow-up compared to individual clinic visits after structured education for type 1 diabetes: a cluster randomised controlled trial.
Authors:
Dinneen, Sean F; O'Hara, Mary Clare; Byrne, Molly; Smith, Diarmuid; Courtney, Christopher H; McGurk, Colm; Heller, Simon R; Newell, John; Coffey, Norma; Breen, Cathy; O'Scannail, Mary; O'Shea, Donal
Affiliation:
School of Medicine, NUI Galway, Galway, Ireland. sean.dinneen@nuigalway.ie
Citation:
Group follow-up compared to individual clinic visits after structured education for type 1 diabetes: a cluster randomised controlled trial. 2013, 100 (1):29-38 Diabetes Res. Clin. Pract.
Publisher:
Diabetes research and clinical practice
Journal:
Diabetes research and clinical practice
Issue Date:
Apr-2013
URI:
http://hdl.handle.net/10147/322574
DOI:
10.1016/j.diabres.2013.01.017
PubMed ID:
23398978
Abstract:
To compare the effectiveness of group follow-up with individual follow-up after participation in the Dose Adjustment for Normal Eating (DAFNE) structured education programme.; Cluster randomised controlled trial involving 437 adults with type 1 diabetes attending hospital diabetes clinics in Ireland. All participants received DAFNE at baseline. Intervention arm participants received 2 group education sessions post-DAFNE and did not attend clinics. Control arm participants received 2 one-to-one clinic visits post-DAFNE.; We observed no significant difference in the primary outcome (change in HbA1c) at 18 months follow-up (mean difference 0.14%; 95% CI -0.33 to 0.61; p=0.47). Secondary outcomes, including rates of severe hypoglycaemia, anxiety, depression, the burden of living with diabetes and quality of life did not differ between groups. Mean level of HbA1c for the entire sample (regardless of treatment arm) did not change between baseline and 18 month follow-up (p=0.09), but rates of severe hypoglycaemia, diabetes related hospital attendance, levels of anxiety, depression, the burden of living with diabetes, quality of life and treatment satisfaction all significantly improved.; Our data suggest that group follow-up as the sole means of follow-up after structured education for individuals with type 1 diabetes is as effective as a return to one-to-one clinic visits.
Item Type:
Article
Language:
en
Description:
Aim To compare the effectiveness of group follow-up with individual follow-up after participation in the Dose Adjustment for Normal Eating (DAFNE) structured education programme. Methods Cluster randomised controlled trial involving 437 adults with type 1 diabetes attending hospital diabetes clinics in Ireland. All participants received DAFNE at baseline. Intervention arm participants received 2 group education sessions post-DAFNE and did not attend clinics. Control arm participants received 2 one-to-one clinic visits post-DAFNE. Results We observed no significant difference in the primary outcome (change in HbA1c) at 18 months follow-up (mean difference 0.14%; 95% CI -0.33 to 0.61; p=0.47). Secondary outcomes, including rates of severe hypoglycaemia, anxiety, depression, the burden of living with diabetes and quality of life did not differ between groups. Mean level of HbA1c for the entire sample (regardless of treatment arm) did not change between baseline and 18 month follow–up (p=0.09), but rates of severe hypoglycaemia, diabetes related hospital attendance, levels of anxiety, depression, the burden of living with diabetes, quality of life and treatment satisfaction all significantly improved. Conclusions Our data suggest that group follow-up as the sole means of follow-up after structured education for individuals with type 1 diabetes is as effective as a return to one-to-one clinic visits.
MeSH:
Adult; Ambulatory Care; Anxiety; Cluster Analysis; Cost-Benefit Analysis; Delivery of Health Care; Depression; Diabetes Mellitus, Type 1; Female; Follow-Up Studies; Humans; Ireland; Male; Middle Aged; Outcome Assessment (Health Care); Patient Education as Topic; Quality Assurance, Health Care; Quality of Life; Questionnaires
ISSN:
1872-8227

Full metadata record

DC FieldValue Language
dc.contributor.authorDinneen, Sean Fen_GB
dc.contributor.authorO'Hara, Mary Clareen_GB
dc.contributor.authorByrne, Mollyen_GB
dc.contributor.authorSmith, Diarmuiden_GB
dc.contributor.authorCourtney, Christopher Hen_GB
dc.contributor.authorMcGurk, Colmen_GB
dc.contributor.authorHeller, Simon Ren_GB
dc.contributor.authorNewell, Johnen_GB
dc.contributor.authorCoffey, Normaen_GB
dc.contributor.authorBreen, Cathyen_GB
dc.contributor.authorO'Scannail, Maryen_GB
dc.contributor.authorO'Shea, Donalen_GB
dc.date.accessioned2014-07-08T10:12:29Z-
dc.date.available2014-07-08T10:12:29Z-
dc.date.issued2013-04-
dc.identifier.citationGroup follow-up compared to individual clinic visits after structured education for type 1 diabetes: a cluster randomised controlled trial. 2013, 100 (1):29-38 Diabetes Res. Clin. Pract.en_GB
dc.identifier.issn1872-8227-
dc.identifier.pmid23398978-
dc.identifier.doi10.1016/j.diabres.2013.01.017-
dc.identifier.urihttp://hdl.handle.net/10147/322574-
dc.descriptionAim To compare the effectiveness of group follow-up with individual follow-up after participation in the Dose Adjustment for Normal Eating (DAFNE) structured education programme. Methods Cluster randomised controlled trial involving 437 adults with type 1 diabetes attending hospital diabetes clinics in Ireland. All participants received DAFNE at baseline. Intervention arm participants received 2 group education sessions post-DAFNE and did not attend clinics. Control arm participants received 2 one-to-one clinic visits post-DAFNE. Results We observed no significant difference in the primary outcome (change in HbA1c) at 18 months follow-up (mean difference 0.14%; 95% CI -0.33 to 0.61; p=0.47). Secondary outcomes, including rates of severe hypoglycaemia, anxiety, depression, the burden of living with diabetes and quality of life did not differ between groups. Mean level of HbA1c for the entire sample (regardless of treatment arm) did not change between baseline and 18 month follow–up (p=0.09), but rates of severe hypoglycaemia, diabetes related hospital attendance, levels of anxiety, depression, the burden of living with diabetes, quality of life and treatment satisfaction all significantly improved. Conclusions Our data suggest that group follow-up as the sole means of follow-up after structured education for individuals with type 1 diabetes is as effective as a return to one-to-one clinic visits.en_GB
dc.description.abstractTo compare the effectiveness of group follow-up with individual follow-up after participation in the Dose Adjustment for Normal Eating (DAFNE) structured education programme.-
dc.description.abstractCluster randomised controlled trial involving 437 adults with type 1 diabetes attending hospital diabetes clinics in Ireland. All participants received DAFNE at baseline. Intervention arm participants received 2 group education sessions post-DAFNE and did not attend clinics. Control arm participants received 2 one-to-one clinic visits post-DAFNE.-
dc.description.abstractWe observed no significant difference in the primary outcome (change in HbA1c) at 18 months follow-up (mean difference 0.14%; 95% CI -0.33 to 0.61; p=0.47). Secondary outcomes, including rates of severe hypoglycaemia, anxiety, depression, the burden of living with diabetes and quality of life did not differ between groups. Mean level of HbA1c for the entire sample (regardless of treatment arm) did not change between baseline and 18 month follow-up (p=0.09), but rates of severe hypoglycaemia, diabetes related hospital attendance, levels of anxiety, depression, the burden of living with diabetes, quality of life and treatment satisfaction all significantly improved.-
dc.description.abstractOur data suggest that group follow-up as the sole means of follow-up after structured education for individuals with type 1 diabetes is as effective as a return to one-to-one clinic visits.-
dc.language.isoenen
dc.publisherDiabetes research and clinical practiceen_GB
dc.rightsArchived with thanks to Diabetes research and clinical practiceen_GB
dc.subject.meshAdult-
dc.subject.meshAmbulatory Care-
dc.subject.meshAnxiety-
dc.subject.meshCluster Analysis-
dc.subject.meshCost-Benefit Analysis-
dc.subject.meshDelivery of Health Care-
dc.subject.meshDepression-
dc.subject.meshDiabetes Mellitus, Type 1-
dc.subject.meshFemale-
dc.subject.meshFollow-Up Studies-
dc.subject.meshHumans-
dc.subject.meshIreland-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshOutcome Assessment (Health Care)-
dc.subject.meshPatient Education as Topic-
dc.subject.meshQuality Assurance, Health Care-
dc.subject.meshQuality of Life-
dc.subject.meshQuestionnaires-
dc.titleGroup follow-up compared to individual clinic visits after structured education for type 1 diabetes: a cluster randomised controlled trial.en_GB
dc.typeArticleen
dc.contributor.departmentSchool of Medicine, NUI Galway, Galway, Ireland. sean.dinneen@nuigalway.ieen_GB
dc.identifier.journalDiabetes research and clinical practiceen_GB

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