Developing a Dose Adjustment For Normal Eating (DAFNE) structured education course for adults with Type 1 diabetes incorporating insulin infusion pump start
ISRCTN | ISRCTN04179596 |
---|---|
DOI | https://doi.org/10.1186/ISRCTN04179596 |
Secondary identifying numbers | 7480 |
- Submission date
- 21/05/2010
- Registration date
- 21/05/2010
- Last edited
- 12/09/2016
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Plain English summary of protocol
Not provided at time of registration
Contact information
Dr Celia Emery
Scientific
Scientific
Royal Hallamshire Hospital
Glossop Road
Sheffield
S10 2JF
United Kingdom
dafne.project@sth.nhs.uk |
Study information
Study design | Multicentre randomised interventional process of care and treatment trial |
---|---|
Primary study design | Interventional |
Secondary study design | Randomised controlled trial |
Study setting(s) | Hospital |
Study type | Treatment |
Participant information sheet | Not available in web format, please use contact details to request a participant information sheet |
Scientific title | Developing a Dose Adjustment For Normal Eating (DAFNE) structured education course for adults with Type 1 diabetes delivering the skills to undertake both DAFNE insulin adjustment and continuous subcutaneous insulin infusion: pilot study |
Study acronym | DRN 385 (DAFNE Pump Pilot study) |
Study objectives | 1. To establish that both the skills of DAFNE insulin dose adjustment, and use of an insulin infusion pump can be taught during a 5-day outpatient course 2. To ensure that the proposed outcome measures (biomedical, psychosocial, additional measures for a health economic analysis) can be collected during the 5 day course 3. To establish the proportion of patients on established DAFNE waiting lists who would be prepared to be randomised to either a standard course or one in which pump training is given 4. To obtain data on change in the primary outcome measure (HbA1c) to confirm power calculations for the main randomised controlled trial (RCT) 5. To validate the algorithms in the DAFNE programme which have been modified to exploit the facilities of continuous subcutaneous insulin infusion |
Ethics approval(s) | Sheffield REC, 24/04/2009, ref: 09/H1398/39 |
Health condition(s) or problem(s) studied | Topic: Diabetes Research Network; Subtopic: Type 1; Disease: Diabetic Control, Education |
Intervention | Intervention: a DAFNE educational course, 5 day, outpatient, skills training course, incorporating the additional training necessary to teach participants to use an insulin infusion pump (CSII) as therapy for diabetes. Comparator: standard DAFNE education course (DAFNE course plus multiple injections of insulin as therapy for diabetes). The standard DAFNE educational course is held over 5 consecutive days (full day) with a 2 hour visit at 6 weeks for a recap of course core details. Both arms: Follow-up length: 6 months post-course Study entry: single randomisation only |
Intervention type | Mixed |
Primary outcome measure | Change in HbA1c %, measured at baseline and 6 months post-course |
Secondary outcome measures | 1. Change in psychological outcome, specifically reduction in anxiety and depression scores on Hospital Anxiety and Depression Scale (HADS), measured at baseline and 6 months 2. Changes in weight, measured at baseline and 6 months 3. Diet related behaviours, measured at baseline and 6 months 4. Number and severity of hypoglycaemic episodes, measured at baseline, 6 weeks post-course and 6 months post-course |
Overall study start date | 16/09/2009 |
Completion date | 15/03/2010 |
Eligibility
Participant type(s) | Patient |
---|---|
Age group | Adult |
Lower age limit | 18 Years |
Sex | Both |
Target number of participants | Planned sample size: 64; UK sample size: 64 |
Key inclusion criteria | 1. T1DM of at least 1 year's duration 2. Waiting to attend a standard DAFNE skills 5 day course 3. Aged 18 - 80 years, either sex 4. Not been treated by continuous subcutaneous insulin infusion pump for the last four years |
Key exclusion criteria | 1. Factors which will impair participation in group education, i.e., non-English speaking 2. Evidence of an eating disorder 3. Previous significant experience of pump therapy (greater than 6 months in the last 4 years) |
Date of first enrolment | 16/09/2009 |
Date of final enrolment | 15/03/2010 |
Locations
Countries of recruitment
- England
- United Kingdom
Study participating centre
Royal Hallamshire Hospital
Sheffield
S10 2JF
United Kingdom
S10 2JF
United Kingdom
Sponsor information
Sheffield Teaching Hospitals NHS Foundation Trust (UK)
University/education
University/education
Research Department
1st Floor
11 Broomfield Road
Sheffield
S10 2SE
England
United Kingdom
Website | http://www.sth.nhs.uk/ |
---|---|
https://ror.org/018hjpz25 |
Funders
Funder type
Government
National Institute for Health Research
Government organisation / National government
Government organisation / National government
- Alternative name(s)
- National Institute for Health Research, NIHR Research, NIHRresearch, NIHR - National Institute for Health Research, NIHR (The National Institute for Health and Care Research), NIHR
- Location
- United Kingdom
Results and Publications
Intention to publish date | |
---|---|
Individual participant data (IPD) Intention to share | No |
IPD sharing plan summary | Not provided at time of registration |
Publication and dissemination plan | Not provided at time of registration |
IPD sharing plan |
Study outputs
Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
---|---|---|---|---|---|
Results article | results | 01/12/2014 | Yes | No |
Editorial Notes
12/09/2016: Publication reference added.