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Exploring the attitudes and experiences of adolescents with type 1 diabetes towards transition of care

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Show simple item record D’Sa, Saskia Foley, Deirdre J. Hennigan, Kerrie Kelly-Conroy, Maria Quinn, Anne Norris, Mary Dunne, Therese Moloney, Yvonne Fitzpatrick, Sarah Noctor, Eoin Neylon, Orla O'Gorman, C. S. 2021-07-28T11:19:49Z 2021-07-28T11:19:49Z 2021
dc.description peer-reviewed en_US
dc.description.abstract Introduction Transition from adolescence to adult care is very challenging for most patients. Without appropriate appointments and education, adolescents can get lost to follow up within one-year of transitioning to adult care (Mistry et al. Diabet Med 32(7):881–885, 2015). Loss to follow-up can increase risks of adverse short and long term diabetes-related complications, with healthcare contacts mainly limited to crisis-based management (Iversen et al. Scand J Caring Sci 33(3):723–730, 2019). Aims The purpose of this study was to evaluate the patient’s perspective of the process of transition from paediatric to adult-based diabetes services in the Mid-West Region of Ireland. Methods We implemented a new transition clinic at University Hospital Limerick with the collaboration of paediatric and adult endocrinology teams. Eighteen patients opted to attend the clinic, but only 17 patients consented to participate in a qualitative assessment study and completed questionnaires before and after the transition clinic. Results and conclusion In terms of medical management, patients had a good understanding of hypoglycaemia and insulin dose adjustment principles, but were least comfortable with carbohydrate counting. Patients self-ranked their knowledge on driving and sexual health with a diagnosis of diabetes as poor, in comparison to understanding effects of alcohol and smoking on diabetes. Overall, a majority of the respondents felt more confident in moving to adult-care after attending the transition clinic. en_US
dc.language.iso eng en_US
dc.publisher Springer en_US
dc.relation.ispartofseries Journal of Public Health: From Theory to Practice;
dc.subject Type 1 diabetes en_US
dc.subject Clinics en_US
dc.title Exploring the attitudes and experiences of adolescents with type 1 diabetes towards transition of care en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.1007/s10389-021-01628-5
dc.contributor.sponsor IReL Consortium en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US

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