title: Impact of dose adjustment for normal eating in Australia (OzDAFNE) on subjective wellbeing, coping resources and negative affects in adults with type 1 diabetes: a prospective comparison study.
abstract: OBJECTIVE
  This prospective study examined the impact of a structured education program (OzDAFNE) on subjective wellbeing, coping resources, and negative affects in adults with type 1 diabetes. Participants completing the OzDAFNE program were compared to those using continuous subcutaneous insulin (CSII) and multiple daily injections (MDI) over the same time period.
  
  
  METHODS
  Participants in the OzDAFNE group (N=144) were recruited from diabetes centres throughout Australia. The comparison groups were recruited from Diabetes Australia-Victoria's membership database and comprised 383 people using MDI and 64 people using CSII. All participants completed self-report questionnaires at baseline and 12-months later. Additional assessments for OzDAFNE participants were conducted at the end of the education program and at three and six-months following the training.
  
  
  RESULTS
  The results demonstrated that participants completing the OzDAFNE program experienced improved subjective wellbeing (p<.01), a greater sense of mastery and control in managing their diabetes (p<.001), and reduced diabetes-related distress (p<.001) compared to the CSII and MDI groups. However, the CSII group recorded a significant drop in self-esteem (p<.001) over the duration of the study.
  
  
  CONCLUSIONS
  The OzDAFNE program provides a powerful mastery experience for participants, positively influencing subjective wellbeing and diabetes-related distress.
authors.affiliation: Health Psychologist MOTS Consulting, Melbourne, Australia. lisaengel@netspace.net.au
authors.forename: L
authors.initials: L
authors.lastname: Engel
authors.forename: R
authors.initials: R
authors.lastname: Cummins
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001315:Australia; D003922:Diabetes Mellitus, Type 1 / Q000178:diet therapy / Q000188:drug therapy / Q000523:psychology*; D004035:Diet Therapy / Q000379:methods*; D004435:Eating; D006801:Humans; D007328:Insulin / Q000627:therapeutic use; D010353:Patient Education as Topic; D010549:Personal Satisfaction; D011446:Prospective Studies; D013315:Stress, Psychological
chemical_list: D007328:Insulin