Evidence map›Paper›PMID 40545828›Full record

ArticleDiabetic medicine : a journal of the British Diabetic Association2025

Training DAFNEplus facilitators in novel behaviour change approaches: A template for training design and delivery.

Nicole de Zoysa, Paul Chadwick, Carolin Ferguson, Carla Gianfrancesco, Julia Lawton, Simon Heller

Abstract read
In one paragraph

Article in Diabetic medicine : a journal of the British Diabetic Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Nicole de ZoysaDiabetes Research, King's College Hospital NHS Foundation Trust, London, UK.ORCID https://orcid.org/0000-0003-0895-2666
Paul ChadwickEpidemiology and Public Health, UCL, London, UK.
Carolin FergusonDiabetes Centre, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Carla GianfrancescoDiabetes Centre, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Julia LawtonUsher Institute, University of Edinburgh, Edinburgh, UK.ORCID https://orcid.org/0000-0002-8016-7374
Simon HellerDepartment of Oncology and Metabolism, The University of Sheffield, Sheffield, UK.ORCID https://orcid.org/0000-0002-2425-9565

Funding

National Institute for Health and Care Research
6 · The paper itself

Abstract

backgroundThe integration of behaviour change principles into diabetes structured education programmes is key to sustaining long-term improvements in glycaemic management. Good quality training for diabetes educators that enables them to understand and feel confident in behaviour change approaches, is fundamental to their delivery. Educator training programmes are rarely described in detail despite this information being needed to enable interpretation of trial/outcome data, fidelity analyses and replicability between centres.

aimsThis paper presents an overview of a bespoke training programme developed for educators who delivered the DAFNEplus programme. DAFNEplus is a revised version of the Dose Adjustment for Normal Eating Programme (DAFNE) for people with type 1 diabetes. The revisions incorporate novel technology, behaviour change approaches and structured individualised follow-up. MATERIALS AND

methodsThis paper outlines the structure of the training provided to educators, a summary of its development and examples of training content and process.

resultsWe provide a template for future training courses, where psychological approaches are integrated into standard diabetes education and delivered by healthcare professionals. DISCUSSION: The impact upon educators' perceptions and delivery of structured education, as well as the potential for ongoing training development, is also discussed.

Indexed as

Behavior TherapyDiabetes Mellitus, Type 1Health EducatorsPatient Education as TopicGlycemic ControlHumansaction planningbehaviour changeDAFNEDAFNEplusdiabetes educatorhealthcare professional trainingself‐compassion

Identifiers

PMID40545828
PMCPMC12352730

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.