A Mixed Methods Study Exploring the Factors and Behaviors That Affect Glycemic Control Following a Structured Education Program: The Irish DAFNE Study. (April 2016)

• Record Type: Journal Article
• Authors: Casey, Dympna; O'Hara, Mary Clare; Meehan, Ben; Byrne, Molly; Dinneen, Sean F.; Murphy, Kathy
• Is Part Of: Journal of mixed methods research. Volume 10:Number 2(2016:Apr.)
• Page Start: 182
• Page End: 203
• Publication Date: 2016-04
• Subjects: Type 1 diabetes mellitus -- Dose Adjustment for Normal Eating (DAFNE) -- self-management -- glycemic control (HbA1c) -- structured education programs; Mixed methods research -- Periodicals; Social sciences -- Research -- Methodology -- Periodicals; Research -- Evaluation -- Periodicals; 507.21
• DOI: 10.1177/1558689814547579
• Languages: English
• ISSNs: 1558-6898

Abstract

Aim: To explain the factors affecting glycemic control (measured by HbA1c) following the Dose Adjustment for Normal Eating (DAFNE) program.Background: DAFNE is a structured education program designed to assist persons with type 1 diabetes mellitus achieve optimal glycemic control. However, not all participants reach this goal. Few studies comprehensively explain why this is the case.Research Design: A concurrent mixed methods design. Data were collected from participants ( n = 34) at three time points post DAFNE in five participating sites. Each data set was analyzed separately and then integrated.Results: Motivation and support differed for participants who were out of control and those in control.Conclusion: Setting targets/goals and motivations are key in helping participants attain optimal HbA1c.