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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.


	Roll-out in the UK 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.