de Zoysa Nicole, Chadwick Paul, Ferguson Carolin, Gianfrancesco Carla, Lawton Julia, Heller Simon
Diabetes Research, King's College Hospital NHS Foundation Trust, London, UK.
Epidemiology and Public Health, UCL, London, UK.
Diabet Med. 2025 Sep;42(9):e70078. doi: 10.1111/dme.70078. Epub 2025 Jun 22.
The 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.
This 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.
This paper outlines the structure of the training provided to educators, a summary of its development and examples of training content and process.
We provide a template for future training courses, where psychological approaches are integrated into standard diabetes education and delivered by healthcare professionals.
The impact upon educators' perceptions and delivery of structured education, as well as the potential for ongoing training development, is also discussed.
将行为改变原则融入糖尿病结构化教育项目是维持血糖管理长期改善的关键。为糖尿病教育工作者提供高质量培训，使他们能够理解并对行为改变方法充满信心，这对他们开展工作至关重要。尽管为了解释试验/结果数据、保真度分析以及各中心之间的可重复性需要此类信息，但教育工作者培训项目很少有详细描述。
本文概述了为实施DAFNEplus项目的教育工作者开发的定制培训项目。DAFNEplus是针对1型糖尿病患者的正常饮食剂量调整项目（DAFNE）的修订版。修订内容包括新技术、行为改变方法以及结构化的个性化随访。
本文概述了提供给教育工作者的培训结构、其发展概述以及培训内容和过程示例。
我们为未来的培训课程提供了一个模板，其中将心理方法融入标准糖尿病教育并由医疗专业人员进行授课。
还讨论了对教育工作者对结构化教育的认知和实施的影响，以及持续培训发展的潜力。
