Alternative Delivery of Dose Adjustment For Normal Eating (DAFNE) Trial in Patients With Type 1 Diabetes

NCT ID: NCT01069393

Last Updated: 2014-11-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

170 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-06-30

Study Completion Date

2012-06-30

Brief Summary

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The best format for the delivery of structured education for adults with Type 1 diabetes is unclear. Currently some hospitals invite their patients to attend a 5 day outpatient course run over one week (Dose Adjustment For Normal Eating (DAFNE)). Other centres offer 1 day a week for 3 to 5 weeks. We aim to find out whether or not the benefit of benefits are the same then it would mean that the course could routinely be offered to patients in either format, thus allowing more patient choice and flexibility.

Detailed Description

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The DAFNE (Dose Adjustment for Normal Eating) course is a 1-week structured education course teaching skills in insulin use and dietary freedom to individuals with Type 1 diabetes. At the moment, we do not understand enough about why some people get more out of the DAFNE programmes than others. Currently DAFNE is always taught over 1 week. We aim to find out whether or not the benefit of DAFNE is the same whether it is delivered over 5 consecutive days, or one day a week for 5 consecutive weeks. If the benefits are the same then it would mean that the course could routinely be offered to patients in either format, thus allowing more patient choice and flexibility. At present there have been no RCTs to address

Approximately 170 people will take part in this study over the next 2 years. Half the people who participate will be allocated to attend a DAFNE course over 5 consecutive days, and the other halfwill attend one day a week for 5 consecutive weeks. We will perform routine biomedical assessments as part of the DAFNE programme and normal diabetes care (e.g. HbA1c (a measure of long-term blood glucose control), weight, blood pressure, blood biochemistry), and ask patients to recall hypoglycaemic (low blood sugar) events. We will also ask participants to fill in some research questionnaires, they will take 45-60 minutes to fill in each time. They will include questions about their diabetes, quality of life, well-being and diabetes knowledge. These assessments will be made at 3 time points; baseline, 6 and 12 months.

The main outcome measure is change in HbA1c, with the other biomedical and psychosocial parameters being of secondary importance. These evaluations will help us develop the DAFNE programme further and inform us how best to deliver the course in the future.

Conditions

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Type 1 Diabetes Mellitus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Standard DAFNE

Usual DAFNE course taught over 5 consecutive days in one week

Group Type ACTIVE_COMPARATOR

DAFNE course (Timing of delivery of education)

Intervention Type OTHER

Education delivered over one day a week for 5 consecutive weeks, as opposed to 5 consecutive days over 1 week.

DAFNE 5x1 day

DAFNE course taught 1 day a week for 5 consecutive weeks

Group Type EXPERIMENTAL

DAFNE course (Timing of delivery of education)

Intervention Type OTHER

Education delivered over one day a week for 5 consecutive weeks, as opposed to 5 consecutive days over 1 week.

Interventions

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DAFNE course (Timing of delivery of education)

Education delivered over one day a week for 5 consecutive weeks, as opposed to 5 consecutive days over 1 week.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* adults with Type 1 diabetes for at least 6 months
* HbA1c \<12%
* willing to undertake intensive insulin therapy

Exclusion Criteria

* severe diabetic complications (making group education difficult)
* inability to communicate in English
* strong preference for on attending a one week course or one day a week for 5 consecutive weeks
* inability to give informed consent
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospitals, Leicester

OTHER

Sponsor Role collaborator

Cambridge University Hospitals NHS Foundation Trust

OTHER

Sponsor Role collaborator

University College London Hospitals

OTHER

Sponsor Role collaborator

Northumbria Healthcare NHS Foundation Trust

OTHER

Sponsor Role collaborator

NHS Greater Glasgow and Clyde

OTHER

Sponsor Role collaborator

Norfolk and Norwich University Hospitals NHS Foundation Trust

OTHER

Sponsor Role collaborator

East Lancashire Hospitals NHS Trust

OTHER

Sponsor Role collaborator

Sheffield Teaching Hospitals NHS Foundation Trust

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Simon Heller, MD

Role: PRINCIPAL_INVESTIGATOR

Sheffield Teaching Hospitals NHS Foundation Trust

Locations

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Cambridge University Hospitals NHS Foundation Trust

Cambridge, , United Kingdom

Site Status

NHS Greater Glasgow & Clyde

Glasgow, , United Kingdom

Site Status

East Lancashire Hospitals NHS Trust

Lancashire, , United Kingdom

Site Status

University Hospitals, Leicester

Leicester, , United Kingdom

Site Status

University College London

London, , United Kingdom

Site Status

Norfolk and Norwich University Hospitals NHS Foundation Trust

Norfolk, , United Kingdom

Site Status

Northumbria Healthcare NHS Foundation Trust

Northumbria, , United Kingdom

Site Status

Countries

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United Kingdom

References

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Elliott J, Lawton J, Rankin D, Emery C, Campbell M, Dixon S, Heller S; NIHR DAFNE Research Study Group. The 5x1 DAFNE study protocol: a cluster randomised trial comparing a standard 5 day DAFNE course delivered over 1 week against DAFNE training delivered over 1 day a week for 5 consecutive weeks. BMC Endocr Disord. 2012 Nov 8;12:28. doi: 10.1186/1472-6823-12-28.

Reference Type DERIVED
PMID: 23136929 (View on PubMed)

Other Identifiers

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STH15581

Identifier Type: -

Identifier Source: org_study_id