Structured Type 1 Diabetes Education Delivered Within Routine Care Impact on glycemic control and diabetes-specific quality of life

被引：102

作者：

Cooke, Debbie ^{[1
]}

Bond, Rod ^{[2
]}

Lawton, Julia ^{[3
]}

Rankin, David ^{[3
]}

Heller, Simon ^{[4
]}

Clark, Marie ^{[5
]}

Speight, Jane ^{[6
,7
,8
]}

机构：

[1] Univ Surrey, Sch Hlth & Social Care, Guildford GU2 5XH, Surrey, England

[2] Univ Sussex, Sch Psychol, Brighton, E Sussex, England

[3] Univ Edinburgh, Ctr Populat Hlth Sci, Edinburgh, Midlothian, Scotland

[4] Univ Sheffield, Acad Unit Diabet, Sheffield, S Yorkshire, England

[5] UCL, London, England

[6] AHP Res, Hornchurch, England

[7] Australian Ctr Behav Res Diabet, Melbourne, Vic, Australia

[8] Deakin Univ, Sch Psychol, Ctr Mental Hlth & Wellbeing Res, Burwood, Vic, Australia

来源：

DIABETES CARE | 2013年 / 36卷 / 02期

关键词：

INSULIN THERAPY; DAFNE; OUTCOMES; PROGRAM; PEOPLE;

D O I：

10.2337/dc12-0080

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

OBJECTIVE-To determine whether improvements in glycemic control and diabetes-specific quality of life (QoL) scores reported in research studies for the type 1 diabetes structured education program Dose Adjustment For Normal Eating (DAFNE) are also found when the intervention is delivered within routine U. K. health care. RESEARCH DESIGN AND METHODS-Before and after evaluation of DAFNE to assess impact on glycemic control and QoL among 262 adults with type 1 diabetes. RESULTS-There were significant improvements in HbA(1c) from baseline to 6 and 12 months (from 9.1 to 8.6 and 8.8%, respectively) in a subgroup with suboptimal control. QoL was significantly improved by 3 months and maintained at both follow-up points. CONCLUSIONS-Longer-term improved glycemic control and QoL is achievable among adults with type 1 diabetes through delivery of structured education in routine care, albeit with smaller effect sizes than reported in trials. Diabetes Care 36:270-272, 2013

引用

页码：270 / 272

页数：3

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