Group follow-up compared to individual clinic visits after structured education for type 1 diabetes: a cluster randomised controlled trial.
AuthorsDinneen, Sean F
O'Hara, Mary Clare
Courtney, Christopher H
Heller, Simon R
AffiliationSchool of Medicine, NUI Galway, Galway, Ireland. firstname.lastname@example.org
Delivery of Health Care
Diabetes Mellitus, Type 1
Outcome Assessment (Health Care)
Patient Education as Topic
Quality Assurance, Health Care
Quality of Life
MetadataShow full item record
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.
PublisherDiabetes research and clinical practice
JournalDiabetes research and clinical practice
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.
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.
- The Irish DAFNE study protocol: a cluster randomised trial of group versus individual follow-up after structured education for type 1 diabetes.
- Authors: Dinneen SF, O' Hara MC, Byrne M, Newell J, Daly L, O' Shea D, Smith D, Irish DAFNE Study Group.
- Issue date: 2009 Sep 23
- Cost effectiveness of group follow-up after structured education for type 1 diabetes: a cluster randomised controlled trial.
- Authors: Gillespie P, O'Shea E, O'Hara MC, Dinneen SF, Irish DAFNE Study Group.
- Issue date: 2014 Jun 14
- The effect of the Talking Diabetes consulting skills intervention on glycaemic control and quality of life in children with type 1 diabetes: cluster randomised controlled trial (DEPICTED study).
- Authors: Robling M, McNamara R, Bennert K, Butler CC, Channon S, Cohen D, Crowne E, Hambly H, Hawthorne K, Hood K, Longo M, Lowes L, Pickles T, Playle R, Rollnick S, Thomas-Jones E, Gregory JW
- Issue date: 2012 Apr 26
- Long-term biomedical and psychosocial outcomes following DAFNE (Dose Adjustment For Normal Eating) structured education to promote intensive insulin therapy in adults with sub-optimally controlled Type 1 diabetes.
- Authors: Speight J, Amiel SA, Bradley C, Heller S, Oliver L, Roberts S, Rogers H, Taylor C, Thompson G
- Issue date: 2010 Jul
- Predictors of quality of life gains among people with type 1 diabetes participating in the Dose Adjustment for Normal Eating (DAFNE) structured education programme.
- Authors: Byrne M, Newell J, Coffey N, O' Hara MC, Cooke D, Dinneen SF
- Issue date: 2012 Nov