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

Royal Hallamshire Hospital
Glossop Road
Sheffield
S10 2JF
United Kingdom

Email dafne.project@sth.nhs.uk

Study information

Study designMulticentre randomised interventional process of care and treatment trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titleDeveloping 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 acronymDRN 385 (DAFNE Pump Pilot study)
Study objectives1. 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) studiedTopic: Diabetes Research Network; Subtopic: Type 1; Disease: Diabetic Control, Education
InterventionIntervention: 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 typeMixed
Primary outcome measureChange in HbA1c %, measured at baseline and 6 months post-course
Secondary outcome measures1. 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 date16/09/2009
Completion date15/03/2010

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participantsPlanned sample size: 64; UK sample size: 64
Key inclusion criteria1. 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 criteria1. 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 enrolment16/09/2009
Date of final enrolment15/03/2010

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Royal Hallamshire Hospital
Sheffield
S10 2JF
United Kingdom

Sponsor information

Sheffield Teaching Hospitals NHS Foundation Trust (UK)
University/education

Research Department
1st Floor
11 Broomfield Road
Sheffield
S10 2SE
England
United Kingdom

Website http://www.sth.nhs.uk/
ROR logo "ROR" https://ror.org/018hjpz25

Funders

Funder type

Government

National Institute for Health Research
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 shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot 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.