scholarly journals Health care professionals talking: Are services for young adults with type 1 diabetes fit for purpose?

2019 ◽  
Vol 26 (1) ◽  
pp. 335-342 ◽  
Author(s):  
Margaret Harris ◽  
Steven James ◽  
Lin Perry ◽  
Julia Lowe ◽  
Janet Dunbabin ◽  
...  
Keyword(s):  
Health Care ◽  
Type 1 Diabetes ◽  
Young Adults ◽  
Health Care Professionals ◽  
Fit For Purpose

scholarly journals Food insecurity is associated with high risk glycemic control and higher health care utilization among youth and young adults with type 1 diabetes

2018 ◽  
Vol 138 ◽  
pp. 128-137 ◽  
Author(s):  
Jason A. Mendoza ◽  
Wren Haaland ◽  
Ralph B. D'Agostino ◽  
Lauren Martini ◽  
Catherine Pihoker ◽  
...  
Keyword(s):  
Health Care ◽  
Type 1 Diabetes ◽  
Young Adults ◽  
High Risk ◽  
Glycemic Control ◽  
Health Care Utilization ◽  
Food Insecurity ◽  
Care Utilization ◽  
Youth And Young Adults

scholarly journals Health Care Transition in Young Adults with Type 1 Diabetes: Barriers to Timely Establishment of Adult Diabetes Care

2013 ◽  
Vol 19 (6) ◽  
pp. 946-952 ◽  
Author(s):  
Katharine Garvey ◽  
Howard Wolpert ◽  
Lori Laffel ◽  
Erinn Rhodes ◽  
Joseph Wolfsdorf ◽  
...  
Keyword(s):  
Health Care ◽  
Type 1 Diabetes ◽  
Young Adults ◽  
Diabetes Care ◽  
Care Transition ◽  
Health Care Transition ◽  
Adult Diabetes

931-P: Supporting Physical Activity in Children with Type 1 Diabetes: A Survey of Health Care Professionals

Diabetes ◽  
2021 ◽  
Vol 70 (Supplement 1) ◽  
pp. 931-P
Author(s):  
EMMA COCKCROFT ◽  
PARTH NARENDRAN ◽  
EVA WOODING ◽  
ROBERT C. ANDREWS
Keyword(s):  
Physical Activity ◽  
Health Care ◽  
Type 1 Diabetes ◽  
Health Care Professionals

scholarly journals Substance Use Among Adolescents and Young Adults With Type 1 Diabetes: Discussions in Routine Diabetes Care

2020 ◽  
Vol 59 (4-5) ◽  
pp. 388-395
Author(s):  
Samantha P. Bento ◽  
MaryJane S. Campbell ◽  
Olivia Soutullo ◽  
Fran R. Cogen ◽  
Maureen Monaghan
Keyword(s):  
Health Care ◽  
Substance Use ◽  
Type 1 Diabetes ◽  
Young Adults ◽  
Health Care Providers ◽  
Adolescents And Young Adults ◽  
Care Providers ◽  
Diabetes Clinic ◽  
Pediatric Health Care

Pediatric health care providers are in a unique position to discuss the health implications of alcohol, tobacco, and drug use with adolescents and young adults (AYAs) with type 1 diabetes (T1D). This study evaluated the frequency of self-reported substance use and associated demographic and clinical characteristics in a sample of AYAs with T1D and patient-provider discussions of substance use in T1D care. Sixty-four AYAs completed questions about substance use from the Youth Risk Behavior Survey (YRBS). Corresponding diabetes clinic visits were audio-recorded, transcribed, and reviewed to examine substance use discussions. A total of 56.3% of AYAs reported ever engaging in substance use; 40.6% reported substance use within the past 30 days. Five AYAs had discussions about substance use during their most recent diabetes clinic visit. Substance use should be proactively addressed by pediatric health care providers and AYAs should be encouraged to raise questions related to substance use during clinic visits.

Health Care Transition in Type 1 Diabetes: Perspectives of Diabetes Care and Education Specialists Caring for Young Adults

2020 ◽  
Vol 46 (3) ◽  
pp. 252-260
Author(s):  
Eveline R. Goethals ◽  
Rebecca O. La Banca ◽  
Peter W. Forbes ◽  
Gabriela H. Telo ◽  
Lori M. Laffel ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Type 1 Diabetes ◽  
Young Adults ◽  
Mental Health Professionals ◽  
Diabetes Care ◽  
Care Delivery ◽  
Easy Access ◽  
Health Care Transition

Purpose The purpose of the study was to describe experiences reported by diabetes care and education specialists caring for young adults with type 1 diabetes and to assess perceived deficiencies in clinical resources and barriers to care delivery. Methods A 60-item electronic survey was fielded through email to members of the Association of Diabetes Care and Education Specialists (ADCES). Respondents completed a survey consisting of: (1) clinical practice characteristics and respondents’ demographics; (2) health care transition components (eg, referrals) and their perceived importance; (3) framework of current clinical diabetes care delivery and perceived need for additional support; and (4) perceived barriers regarding clinical care delivery. Statistical analyses included descriptive statistics, chi-square tests, and logistic regression. Results Respondents (N = 531, 96% female, median years in practice = 13; interquartile range = 7-20) represented 49 states plus the District of Columbia. Although 88% of respondents reported reviewing pediatric records as important/very important, only 22% often/always reviewed them. Although 58% of respondents noted easy access to mental health care providers for young adults, 50% stated a need for additional resources. Furthermore, diabetes care and education specialists without easy access to mental health professionals were significantly more likely to report barriers to diabetes management for young adults with depression, substance abuse, eating disorders, and developmental disabilities. Conclusion Study findings highlight modifiable factors that may improve diabetes care coordination for transitioning young adults. Uniform approaches and increased access to trained mental health professionals may help support diabetes care and education specialists in their care of young adults with type 1 diabetes.

scholarly journals Health Care Transition Preparation and Experiences in a U.S. National Sample of Young Adults With Type 1 Diabetes

Diabetes Care ◽  
2016 ◽  
Vol 40 (3) ◽  
pp. 317-324 ◽  
Author(s):  
Katharine C. Garvey ◽  
Nicole C. Foster ◽  
Shivani Agarwal ◽  
Linda A. DiMeglio ◽  
Barbara J. Anderson ◽  
...  
Keyword(s):  
Health Care ◽  
Type 1 Diabetes ◽  
Young Adults ◽  
National Sample ◽  
Care Transition ◽  
Health Care Transition ◽  
Transition Preparation

scholarly journals Health Care Transition for Young Adults With Type 1 Diabetes: Stakeholder Engagement for Defining Optimal Outcomes

2017 ◽  
Vol 42 (9) ◽  
pp. 970-982 ◽  
Author(s):  
Jessica S. Pierce ◽  
Karen Aroian ◽  
Elizabeth Schifano ◽  
Amy Milkes ◽  
Tiani Schwindt ◽  
...  
Keyword(s):  
Health Care ◽  
Type 1 Diabetes ◽  
Young Adults ◽  
Stakeholder Engagement ◽  
Care Transition ◽  
Health Care Transition ◽  
Optimal Outcomes

scholarly journals Facilitation of motivation to self-management in pediatric diabetes health care consultations with adolescents with type 1 diabetes. A qualitative triangulation study

2020 ◽  
Author(s):  
Rose Marie Teyken ◽  
Johanne Jeppesen Lomholt ◽  
Anders Jørgen Schou
Keyword(s):  
Health Care ◽  
Type 1 Diabetes ◽  
Health Care Professionals ◽  
Developmental Process ◽  
Self Management ◽  
Care Clinic ◽  
Qualitative Research Design ◽  
Pediatric Diabetes ◽  
The Impact

Abstract Background. The impact of health care professionals on the motivation for self-management in adolescents with type 1 diabetes has been highlighted as important. It is, however, not well understood how pediatric diabetes health care practitioners can help adolescents become more motivated to self-management. The aim of the study was to investigate how practitioners can motivate their patients to self-management in consultation and how adolescents with type 1 diabetes experienced that consultation could facilitate motivation to self-management. Methods. Based on a qualitative research design, the study triangulated participant observations of 11 consultations at a pediatric health care clinic and 10 interviews of the adolescents (15-17 years of age) about their experiences of consultations. Using Giorgi’s phenomenological method, the analysis showed five categories important to consultation-facilitated motivation to self-management: 1. Consultation setting, 2. Consultation conversation, 3. Roles in treatment, 4. Assuming consultation-facilitated responsibility for self-management, and 5. Relationship in treatment. Results from the analysis were compared to fulfilment of the motivational needs for autonomy, competence and relatedness described in Self-Determination Theory. Results. Overall findings showed that the adolescent’s developmental process of becoming autonomous in relation to self-management was influenced by consultations, and that the need for relatedness was experienced as valued by the adolescents. Conclusions. The conclusion of the study was that relatedness and development of autonomy were experienced as important for how consultations could facilitate motivation to self-management in 15-17-year-olds and may be fundamental to adolescents’ experience of competence in relation to self-management.

scholarly journals Transition experiences and health care utilization among young adults with type 1 diabetes

2013 ◽  
pp. 761 ◽  
Author(s):  
Katharine C Garvey ◽  
Jonathan Finkelstein ◽  
Lori Laffel ◽  
Victoria Ochoa ◽  
Wolfsdorf ◽  
...  
Keyword(s):  
Health Care ◽  
Type 1 Diabetes ◽  
Young Adults ◽  
Health Care Utilization ◽  
Care Utilization ◽  
Transition Experiences

scholarly journals Health Care Transition in Young Adults With Type 1 Diabetes: Perspectives of Adult Endocrinologists in the United States

Diabetes Care ◽  
2015 ◽  
pp. dc151775 ◽  
Author(s):  
Katharine C. Garvey ◽  
Gabriela H. Telo ◽  
Joseph S. Needleman ◽  
Peter Forbes ◽  
Jonathan A. Finkelstein ◽  
...  
Keyword(s):  
United States ◽  
Health Care ◽  
Type 1 Diabetes ◽  
Young Adults ◽  
The United States ◽  
Care Transition ◽  
Health Care Transition
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