Simon Heller, Julia Lawton, Stephanie A. Amiel, Debbie Cooke, Peter Mansell, Alan Brennan, Daisy Elliott, Jonathan Boote, Celia Emery, Wendy Baird, Hasan Basarir, Susan Beveridge, Rod Bond, Michael J. Campbell, Tim Chater, Pratik Choudhary, Marie Clark, Nicole de Zoysa, Simon Dixon, Carla Gianfrancesco, David Hopkins, Richard Jacques, Jen Kruger, Susan Moore, Lindsay Oliver, Tessa Peasgood, David Rankin, Sue Roberts, Helen Rogers, Carolin Taylor, Praveen Thokala, Gill Thompson, Candice Ward,
... RCT) by the Dose Adjustment For Normal Eating (DAFNE) group, published in 2002, structured training is recommended ... are not always improved or sustained when the DAFNE programme is delivered routinely, although improvements in psychosocial outcomes are maintained. DAFNE courses and follow-up support is needed to ... management practices such as regular diary/record keeping. DAFNE graduates need structured professional support following training. This ... life over the following year. We developed a DAFNE course delivered for 1 day per week over ...
Tópico(s): Diabetes Treatment and Management
2014 - NIHR Journals Library | Programme Grants for Applied Research
John McKnight, Andreas Ochs, Colette Mair, Obert C. Mcknight, R. J. Wright, Fraser W. Gibb, Scott Cunningham, Mark W. J. Strachan, Stuart A. Ritchie, Stuart J. McGurnaghan, Helen M. Colhoun,
Abstract Aim To investigate the effect of DAFNE and continuous subcutaneous insulin infusion in clinical practice. Methods Within NHS Lothian, continuous subcutaneous insulin infusion started in 2004 and DAFNE education began in 2006. We extracted anonymized data ... n = 4617). Results In total, 956 persons received DAFNE education, and 505 had received an insulin pump, 208 of whom had DAFNE education followed by insulin pump. Mean (SD) HbA 1c before DAFNE education was 68 (15) mmol/mol (8.4% [ ... continuous subcutaneous insulin infusion. In the year following DAFNE education, the mean fall in within‐person HbA ...
Tópico(s): Diabetes Treatment and Management
2019 - Wiley | Diabetic Medicine
Jen Kruger, Alan Brennan, Praveen Thokala, Hasan Basarir, Richard Jacques, Daisy Elliott, Simon Heller, Jane Speight,
... provided in the Dose Adjustment for Normal Eating (DAFNE) structured education programme] compared with no training for ... rate of 3.5%. The treatment effectiveness of DAFNE was modelled as a reduction in HbA1c that ... complications. Probabilistic and structural sensitivity analyses were conducted.DAFNE resulted in greater life expectancy and reduced incidence of some diabetes-related complications compared with no DAFNE. DAFNE was found to generate an average of 0. ... effectiveness ratio of £14 400 compared with no DAFNE. There was a 54% probability that DAFNE would ...
Tópico(s): Diabetes and associated disorders
2013 - Wiley | Diabetic Medicine
Daisy Elliott, Julia Lawton, David Rankin, Celia Emery, Michael J. Campbell, Simon Dixon, Simon Heller,
... 1 diabetes, the Dose Adjustment For Normal Eating (DAFNE) programme improves both glycaemic control and quality of ... over five consecutive days.We aim to compare DAFNE delivered over five consecutive days (1 week course) with DAFNE delivered one day a week over five weeks ( ... effectiveness. Generalisability was optimised by recruiting patients from DAFNE waiting lists at each centre, and by mailing ... to those used to recruit to a standard DAFNE course (e.g., HbA1c <12%, with no lower ... both inform the design and delivery of future DAFNE courses, and the development of structured education programmes ...
Tópico(s): Diabetes Treatment and Management
2012 - BioMed Central | BMC Endocrine Disorders
Dalal Alsaeed, Jumana Alkandari, Ebaa Al‐Ozairi,
... explore how the Dose Adjustment for Normal Eating (DAFNE) course affected people with type 1 diabetes' fasting ... diabetes.Semi-structured interviews were conducted with 40 DAFNE graduates who fasted Ramadan. The purposive sample was selected from the DAFNE registry at Dasman Diabetes Institute in Kuwait. The ... discussed included fasting experiences prior to attending the DAFNE course, fasting experiences this year, and how DAFNE affected their fasting.Five themes emerged; (1) Reduction ... findings have provided insight into the impact of DAFNE structured education on the fasting experiences of people ...
Tópico(s): Optimism, Hope, and Well-being
2019 - Elsevier BV | Diabetes Research and Clinical Practice
G. Walker, J. Y. Chen, Helen Hopkinson, Christopher Sainsbury, Gregory C. Jones,
... participation in the Dose Adjustment for Normal Eating (DAFNE) education programme can reduce HbA1c and severe hypoglycaemia ... People with Type 1 diabetes who had attended DAFNE were identified for inclusion from the Scottish Care ... as coefficient of variation (CV) before and after DAFNE was calculated.Some 1061 individuals participated in DAFNE education and 687 met the inclusion criteria. A ... by CV was significantly lower during the post-DAFNE period: 0.08 (IQR 0.05-0.12) ... 10); P = 0.002.The data confirm that DAFNE participation improves glycaemic control in Type 1 diabetes ...
Tópico(s): Cardiovascular Function and Risk Factors
2018 - Wiley | Diabetic Medicine
Daniel Pollard, Alan Brennan, Simon Dixon, Norman Waugh, Daisy Elliott, Simon Heller, Ellen Lee, Michael J. Campbell, Hasan Basarir, David White,
... pumps and Dose Adjustment for Normal Eating (pumps+DAFNE) compared with multiple daily insulin injections and DAFNE (MDI+DAFNE) for adults with type 1 diabetes mellitus (T1DM) ... or a preference for a pump. Intervention Pumps+DAFNE. Comparator MDI+DAFNE. Main outcome measures Incremental costs, incremental QALYs gained ... cost-effectiveness ratios (ICERs). Results Compared with MDI+DAFNE, pumps+DAFNE was associated with an incremental discounted lifetime cost ... 195 per QALY gained. The probability of pump+DAFNE being cost-effective using a cost-effectiveness threshold ...
Tópico(s): Adolescent and Pediatric Healthcare
2018 - BMJ | BMJ Open
Elizabeth Coates, Stephanie A. Amiel, Wendy Baird, Mohammed Benaissa, Alan Brennan, Michael J. Campbell, Paul Chadwick, Tim Chater, Pratik Choudhary, Debbie Cooke, Cindy Cooper, Elizabeth Cross, Nicole de Zoysa, Mohammad R. Eissa, Daisy Elliott, Carla Gianfrancesco, Tim Good, David Hopkins, Hui Zheng, Julia Lawton, Fabiana Lorencatto, Susan Michie, Daniel Pollard, David Rankin, José Schutter, Elaine Scott, Jane Speight, Stephanie H. Fay, Carolin Taylor, Gillian Thompson, Nikki Totton, Lucy Yardley, Aleksandr Zaitcev, Simon Heller,
... long-term. The Dose Adjustment For Normal Eating (DAFNE) intervention is a group education course designed to ... glucose levels remain well above national targets. The DAFNE plus intervention is a development of DAFNE designed to incorporate behavioural change techniques, technology and ... randomised on a 1:1 basis to standard DAFNE or DAFNE plus . Primary clinical outcome is the change in ...
Tópico(s): Diabetes Treatment and Management
2021 - BMJ | BMJ Open
Dympna Casey, Kathy Murphy, Julia Lawton, Florence Findlay White, Seán Dineen,
... literature reveals that structured education programmes, such as DAFNE, result in many positive outcomes for people with ... to assimilate the Dose Adjustment For Normal Eating (DAFNE) DAFNE principles into their daily lives and how these ... were undertaken with 40 participants who had attended DAFNE in one of 5 study sites across the ... Four themes that influenced participants' ability to assimilate DAFNE into their daily lives over time were identified. ... factors that influence people's ability to assimilate DAFNE principles over time into their daily lives can ...
Tópico(s): Chronic Disease Management Strategies
2011 - BioMed Central | BMC Public Health
... period following the Dose Adjustment For Normal Eating (DAFNE) structured education course.We obtained annual HbA(1c) ... 111 patients who attended the initial series of DAFNE courses in our centre from June 2002 to ... period who had not undergone structured education.With DAFNE structured education, the mean (± sd) HbA(1c) fell ... and 2.8 ± 6.6 kg in the DAFNE and comparator group, respectively, during follow-up (not significant).DAFNE structured education is associated with an improvement in ... 7 years. The improvement in glycaemic control after DAFNE is achieved without excess weight gain.
Tópico(s): Diabetes and associated disorders
2011 - Wiley | Diabetic Medicine
Seán F. Dinneen, Mary Clare O' Hara, Molly Byrne, John Newell, Lisa Daly, Donal O’ Shea, Diarmuid Smith,
... the condition. The Dose Adjustment for Normal Eating (DAFNE) programme has been shown to improve biomedical (HbA( ... following course delivery. The optimal way to support DAFNE graduates and maintain the benefits of the programme ... compare 2 different methods of follow-up of DAFNE graduates in a pragmatic clinical trial delivered in ... was delivered at 6 and 12 months post DAFNE training according to a curriculum developed for the ... was maximised by recruiting study participants from existing DAFNE waiting lists in each centre, by using broad ...
Tópico(s): Chronic Disease Management Strategies
2009 - Springer Science+Business Media | Trials
... design with participants either attending training immediately (immediate DAFNE) or acting as waiting list controls and attending “delayed DAFNE” training 6 months later. Setting: Secondary care diabetes ... months, HbA 1c was significantly better in immediate DAFNE patients (mean 8.4%) than in delayed DAFNE patients (9.4%) ( t =6.1, P<0. ... on dietary freedom was significantly improved in immediate DAFNE patients compared with delayed DAFNE patients ( t =−5.4, P<0.0001), as ...
Tópico(s): Diabetes and associated disorders
2002 - BMJ | BMJ
Stephanie H. Fay, Kathryn Hamilton, Paul Chadwick, Fabiana Lorencatto, Carla Gianfrancesco, Nicole de Zoysa, Elizabeth Coates, Debbie Cooke, Hayley McBain, Simon Heller, Susan Michie,
... the UK's Dose Adjustment for Normal Eating (DAFNE), improve short-term clinical outcomes but difficulties maintaining ... Behaviour Change Wheel (BCW) framework to revise the DAFNE intervention to support sustained behaviour change.A four- ... Specifying behaviour change techniques (BCTs) in the existing DAFNE intervention using the Behaviour Change Techniques Taxonomy (BCTTv1). ( ... and 5 enablers to sustaining self-management post-DAFNE were identified. The existing DAFNE intervention contained 24 BCTs, which partially addressed the ...
Tópico(s): Mobile Health and mHealth Applications
2021 - Wiley | Diabetic Medicine
David McIntyre, Brigid A. Knight, Dianne M. Harvey, Marina Noud, Virginia Hagger, Kristen Gilshenan,
... participation in the Dose Adjustment for Normal Eating (DAFNE) course on clinical outcomes in people with type ... of clinical outcomes before and 1 year after DAFNE training for 145 people with T1DM who participated ... 0.012). Severe hypoglycaemia was less frequent after DAFNE training (P = 0.0001). Quality of life improved ( ... scales). Conclusions: One year after participation in the DAFNE program of structured education, people with T1DM showed ... reduced weight and improved quality of life. The DAFNE course offers one means of improving clinical outcomes ...
Tópico(s): Diabetes Treatment and Management
2010 - Wiley | The Medical Journal of Australia
... Type 1 diabetes: dose adjustment for normal eating (DAFNE) randomized controlled trial DAFNE Study Group, DAFNE Study GroupSearch for more papers by this author DAFNE Study Group, DAFNE Study GroupSearch for more papers by this author ...
Tópico(s): Diabetes Management and Education
2003 - Wiley | Diabetic Medicine
Stephanie A. Amiel, S. Beveridge, Clare Bradley, Carla Gianfrancesco, Simon Heller, Peter James, N. McKeown, Douglas F. Newton, Lynn D. Newton, Lindsay Oliver, Helen Reid, Sue Roberts, Susan Robson, J. Rollingson, V. Scott, Jane Speight, Carolin Taylor, Gillian Thompson, Eileen Turner, Frances Wright,
... design with participants either attending training immediately (immediate DAFNE) or acting as waiting list controls and attending “delayed DAFNE” training 6 months later. Setting: Secondary care diabetes ... 6 months, HbA1c was significantly better in immediate DAFNE patients (mean 8.4%) than in delayed DAFNE patients (9.4%) (t=6.1, P Conclusion: ...
Tópico(s): Diabetes and associated disorders
2002 - BMJ | BMJ
Emma Shuttlewood, Nicole de Zoysa, David Rankin, Stephanie A. Amiel,
... risk of severe hypoglycaemia.A new psychoeducational programme, DAFNE-HART, has been specifically designed to address persistent ... to describe the development and qualitative evaluation of DAFNE-HART from participant interviews.Methods: DAFNE-HART incorporates diabetes education with two psychological approaches ... support over a six-week period facilitated by DAFNE educators, trained and supervised by a clinical psychologist. ...
Tópico(s): Diabetes and associated disorders
2015 - Elsevier BV | Diabetes Research and Clinical Practice
A. D’Addabbo, Alberto Refice, Francesco Lovergine, G. Pasquariello,
... heterogeneous information sources. In this paper, we introduce DAFNE, a Matlab®-based, open source toolbox, conceived to ... other ancillary information, through a data fusion approach. DAFNE is based on Bayesian Networks, and is composed ... event through multi-temporal output flood maps. Each DAFNE module can be easily modified or upgraded to meet different user needs. The DAFNE suite is presented together with an example of ...
Tópico(s): Automated Road and Building Extraction
2017 - Elsevier BV | Computers & Geosciences
Rosamund Snow, Jane Sandall, Clinton D. Humphrey,
... in the Dose Adjustment for Normal Eating programme (DAFNE). Methods Qualitative, semi‐structured interviews were conducted before and after DAFNE courses to elicit narrative accounts from participants at ... review of evidence from other studies shows that DAFNE‐recommended blood glucose results are in fact out ... informed patients. This information was not shared with DAFNE attendees, who were expected to aim for near‐ ... are not attainable or realistic even for most DAFNE graduates. It is suggested that setting goals without ...
Tópico(s): Chronic Disease Management Strategies
2014 - Wiley | Diabetic Medicine
... information. In this context, the Data Food Networking (DAFNE) project has been developing a cost-effective food ... of food availability within and between countries.The DAFNE project has developed a common classification system for ... depict the nutritional habits of the populations.The DAFNE databank is freely accessible through DafneSoft (www.nut. ... selected to indicatively present the potential of the DAFNE data in order to monitor changes in the ... related to nutrition surveillance. The application of the DAFNE methodology in developing a databank of standardized dietary ...
Tópico(s): Consumer Attitudes and Food Labeling
2003 - Oxford University Press | European Journal of Public Health
A. Trichopoulou, Androniki Naska,
... information. In this context, the Data Food Networking (DAFNE) project has been developing a cost-effective food ... food availability within and between countries. Methods: The DAFNE project has developed a common classification system for ... the nutritional habits of the populations. Results: The DAFNE databank is freely accessible through DafneSoft (www.nut. ... selected to indicatively present the potential of the DAFNE data in order to monitor changes in the ... related to nutrition surveillance. The application of the DAFNE methodology in developing a databank of standardized dietary ...
Tópico(s): Nutritional Studies and Diet
2003 - Oxford University Press | European Journal of Public Health
Nikita Afonin, Elena Kozlovskaya, Ilmo Kukkonen,
... and ambient seismic noise recorded by the temporary DAFNE array in the northern Fennoscandian Shield. The main purpose of the DAFNE/FINLAND passive seismic array experiment was to characterize ... was proposed as one potential target for the DAFNE (Drilling Active Faults in Northern Europe) project. The DAFNE/FINLAND array comprised an area of about 20 ...
Tópico(s): earthquake and tectonic studies
2017 - Copernicus Publications | Solid Earth
Helen Hopkinson, Richard Jacques, Kelly Gardner, Stephanie A. Amiel, Peter Mansell,
... in the UK Dose Adjustment for Normal Eating (DAFNE) programme for Type 1 diabetes mellitus.Retrospective analysis of data from 892 DAFNE participants from 11 UK centres.Mean HbA1c 12 months after DAFNE was lower in those using twice- rather than ... 76% and ketoacidosis by 63% 12 months after DAFNE. The rate of severe hypoglycaemia fell from 0. ...
Tópico(s): Hyperglycemia and glycemic control in critically ill and hospitalized patients
2015 - Wiley | Diabetic Medicine
The Dose Adjustment for Normal Eating (DAFNE) programme of intensive insulin therapy for type 1 diabetes provides a structured educational intervention to improve glycemic control, reduce hypoglycemia and improve ... self-management skills is a key element of DAFNE and patients acquire detailed skills in insulin dose adjustment. Following DAFNE training, patients report improved confidence in their ability ... making substantial changes to their insulin regimens. Some DAFNE trained patients may be able to assist their ...
Tópico(s): Diabetes Treatment and Management
2014 - Korean Diabetes Association | Diabetes & Metabolism Journal
Séan F. Dinneen, Mary Clare O’Hara, Molly Byrne, Diarmuid Smith, Christopher H. Courtney, C. McGurk, Simon Heller, John Newell, Norma Coffey, Cathy Breen, Mary O'Scannail, Donal O’Shea,
... participation in the Dose Adjustment for Normal Eating (DAFNE) structured education programme. MethodsCluster randomised controlled trial involving ... 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. ResultsWe observed no significant difference in the primary ...
Tópico(s): Diabetes Treatment and Management
2013 - Elsevier BV | Diabetes Research and Clinical Practice
... evidence base behind Dose Adjustment for Normal Eating (DAFNE), an educational programme for the self-management of ... meet the review criteria. These provide evidence that DAFNE can help people with type 1 diabetes to ... control and improve their quality of life. However, DAFNE-induced improvements in glycaemic control tend to reduce ...
Tópico(s): Diabetes and associated disorders
2012 - Mark Allen Group | British Journal of Nursing