Use of clinical targets in diabetes patient education: Qualitative analysis of the expectations and impact of a structured self-management programme in type 1 diabetes

Diabetic Medicine

Volumn 31, Issue 6, 2014, Pages 733-738

  Snow, R ^a   Sandall, J ^a   Humphrey, C ^a  

^a KING'S COLLEGE LONDON   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

HEMOGLOBIN A1C; GLYCOSYLATED HEMOGLOBIN;

ARTICLE; DATA ANALYSIS; DIABETIC PATIENT; DOSE ADJUSTMENT FOR NORMAL EATING PROGRAMME; GLUCOSE BLOOD LEVEL; HUMAN; INSULIN DEPENDENT DIABETES MELLITUS; NARRATIVE; PATIENT EDUCATION; PSYCHOLOGICAL ASPECT; QUALITATIVE ANALYSIS; QUALITY OF LIFE; SELF CARE; SELF CONCEPT; SEMI STRUCTURED INTERVIEW; UNITED KINGDOM; BLOOD; CLINICAL TRIAL; DIABETES MELLITUS, TYPE 1; EVALUATION STUDY; METABOLISM; MULTICENTER STUDY; PROCEDURES;

DIABETES MELLITUS, TYPE 1; HEMOGLOBIN A, GLYCOSYLATED; HUMANS; PATIENT EDUCATION AS TOPIC; SELF CARE; SELF EFFICACY;

EID: 84900828207     PISSN: 07423071     EISSN: 14645491     Source Type: Journal    
DOI: 10.1111/dme.12401     Document Type: Article

References (30)

1. Oliver L, Thompson G. The DAFNE Collaborative: Experiences of developing a nationally delivered evidence-based, quality-assured programme for people with type 1 diabetes. Pract Diab Int 2009; 26: 371-377.
2. DCCT. Diabetes Control and Complications Trial Research Group: The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin dependent diabetes mellitus. New Engl J Med 1993; 329: 977-985.
3. White N, Sun W, Cleary P, Danis R, Davis M, Hainsworth D et al. Prolonged effect of intensive therapy on the risk of retinopathy complications in patients with type 1 diabetes mellitus: 10 years after the Diabetes Control and Complications Trial. Arch Ophthalmol 2008; 126: 1707.
4. Plank J, Köhler G, Rakovac I, Semlitsch B, Horvath K, Bock G et al. Long-term evaluation of a structured outpatient education programme for intensified insulin therapy in patients with type 1 diabetes: a 12-year follow-up. Diabetologia 2004; 47: 1370-1375.
5. 1c still apparent and quality of life benefits well-maintained at 4-year follow-up. Diabet Med 2007; 24:(Suppl. 1) P224.
6. Lawrence IG, Phillips S, Jarvis J, Stribling MB, Turrell E, Sathiskumar P et al. Long-term improved glycaemic control following attendance on a Dose Adjustment For Normal Eating (DAFNE) course. Diabet Med 2008; 25(Suppl. 1): 72.
7. Speight J, Amiel S, Bradley C, Heller S, Oliver L, Roberts S et al. 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. Diabetes Res Clin Pract 2010; 89: 22-29.
8. Bate P, Robert G. Experience-based design: from redesigning the system around the patient to co-designing services with the patient. Qual Saf Health Care 2006; 15: 307-310.
9. Frankfort-Nachmias C, Nachmias D. Research methods in the social sciences. London: Edward Arnold/Hodder & Stoughton, 1992.
10. Gubrium JF, Holstein JA. At the border of narrative and ethnography. J Contemp Ethnography 1999; 28: 561-573.
11. Bauer M, Gaskell G. Qualitative researching with text, image and sound: a practical handbook: Sage Publications Ltd, 2000.
12. Doran GT. There's a SMART way to write management's goals and objectives. Manage Rev 1981; 70: 35-36.
13. NHS. National Diabetes Audit 2010-2012. Leeds: NHS Information Centre, 2012.
14. Lorig K. Patient education: a practical approach, 2nd ed. London: Sage, 1996.
15. DAFNE Study Group. Training in flexible, intensive insulin management to enable dietary freedom in people with type 1 diabetes: dose adjustment for normal eating (DAFNE) randomised controlled trial. BMJ 2002; 325: 746-749.
16. Lawton J, Rankin D, Cooke D, Elliott J, Amiel S, Heller S. Patients' experiences of adjusting insulin doses when implementing flexible intensive insulin therapy: A longitudinal, qualitative investigation. Diabetes Res Clin Pract 2012; 98: 236-242.
17. Gill G, Wallymahmed M, Wallymahmed A, MacFarlane I, Woodward A. Glycaemic streaming in type 1 diabetes: implications for intervention? Pract Diabetes 2013; 30: 229-232.
18. 1c maintained for two years. Diabet Med 2005; 22(Suppl. 2) 7.
19. Boocock RC, McErlean U, Courtney CH. Dose adjustment for normal eating - Belfast data. Diabet Med 2008; 25(Suppl 1).
20. Rogers H, Turner E, Thompson G, Hopkins D, Amiel SA. Hub-and-spoke model for a 5-day structured patient education programme for people with Type 1 diabetes. Diabet Med 2009; 26: 915-920.
21. Lawton J, Rankin D. How do structured education programmes work? An ethnographic investigation of the Dose Adjustment For Normal Eating (DAFNE) programme for type 1 diabetes patients in the UK. Soc Sci Med 2010; 71: 486-493.
22. Gunn D, Mansell P. Glycaemic control and weight 7 years after Dose Adjustment For Normal Eating (DAFNE) structured education in Type 1 diabetes. Diabet Med 2011; 29: 807-812.
23. Hopkins D, Lawrence I, Mansell P, Thompson G, Amiel S, Campbell M et al. Improved Biomedical and Psychological Outcomes 1 year after structured education in flexible insulin therapy for people with type 1 diabetes. Diabetes Care 2012; 35: 1638-1642.
24. Rankin D, Cooke D, Heller S, Elliott J, Amiel S, Lawton J. Experiences of using blood glucose targets when following an intensive insulin regimen: a qualitative longitudinal investigation involving patients with Type 1 diabetes. Diabet Med 2012; 29: 1079-1084.
25. Keen A, Duncan E, McKillop-Smith A, Evans N, Gold A. Dose Adjustment for Normal Eating (DAFNE) in routine clinical practice: who benefits? Diabet Med 2012; 29: 670-676.
26. Cooke D, Bond R, Lawton J, Rankin D, Heller S, Clark M et al. Structured type 1 diabetes education delivered within routine care impact on glycemic control and diabetes-specific quality of life. Diabetes Care 2013; 36: 270-272.
27. Dinneen SF, O'Hara MC, Byrne M, Smith D, Courtney CH, McGurk C et al. Group follow-up compared to individual clinic visits after structured education for type 1 diabetes: a cluster randomised controlled trial. Diabetes Res Clin Pract 2013; 100: 29-38.
28. Elliott J, Kruger J, Jacques R, Heller SR. Substantial savings in emergency treatment costs following structured education in patients with Type 1 diabetes. Diabetic Medicine special issue: Diabetes UK Education and Self-Management Award 2013; 30: 6-7.
29. Elliott J, Khalid S, Emery C, Heller SR. Improvements in both glycaemic control and quality of life following structured education in patients with type 1 diabetes of black and minority ethnic origin. Diabetic Medicine special issue: Diabetes UK Education and Self-Management Award 2013; 30: 7.
30. Ray T, Choudhary P, Mansell P, Heller S, Amiel S, Hopkins D. Dose Adjustment for Normal Eating (DAFNE) structured education reduces progression to continuous subcutaneous insulin infusion (CSII) among patients being considered for insulin pump therapy at enrolment. Diabetic Medicine special issue: Diabetes UK Education and Self-Management Award 2013; 30: 7-8.