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We
had originally planned to use the results of the DAFNE trial to design
a full RCT. However, as we began our planning, it was clear that the
development of such a trial would raise considerable practical and
ethical issues.
In particular we were presented with an ethical dilemma of having
to delay instituting what appeared to be an effective and useful intervention
in our centres while we undertook the trial.
Eventually, after receiving a number of enthusiastic enquiries from
other groups across the UK, we abandoned our plans for a full RCT
and decided in its place to undertake an evaluated roll-out to other
centres in England.
This was made possible by a grant from the Department of Health Expert
Patient Programme, with additional financial support from Novo Nordisk.
You can read more about the roll-out and the experiences of the DAFNE
Collaborative in the report
of the DAFNE roll-out available as a free download from this
website. |
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