2290-PUB: Depression and Anxiety Screening for Young Adults with Type 1 Diabetes in Transition from Pediatric to Adult Diabetes Care

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 2290-PUB
Author(s):  
HARPREET NAGRA ◽  
FARAHNAZ JOARDER ◽  
LAURA ANDREAS ◽  
KIMBERLY KRAUS
Keyword(s):  
Type 1 Diabetes ◽  
Young Adults ◽  
Diabetes Care ◽  
Depression And Anxiety ◽  
Adult Diabetes ◽  
Anxiety Screening

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

scholarly journals Challenges contributing to disrupted transition from paediatric to adult diabetes care in young adults with Type 1 diabetes

2014 ◽  
Vol 31 (12) ◽  
pp. 1615-1624 ◽  
Author(s):  
E. A. Pyatak ◽  
P. A. Sequeira ◽  
R. Whittemore ◽  
C. P. Vigen ◽  
A. L. Peters ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Young Adults ◽  
Diabetes Care ◽  
Adult Diabetes

scholarly journals Testing an audit and feedback-based intervention to improve glycemic control after transfer to adult diabetes care: protocol for a quasi-experimental pre-post design with a control group

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Rayzel Shulman ◽  
Ian Zenlea ◽  
Baiju R. Shah ◽  
Cheril Clarson ◽  
Jennifer Harrington ◽  
...  
Keyword(s):  
Young Adults ◽  
Glycemic Control ◽  
Diabetes Care ◽  
Audit And Feedback ◽  
System Level ◽  
Pediatric Diabetes ◽  
Patient Reported ◽  
Quasi Experimental ◽  
Adult Diabetes

Abstract Background When young adults transfer from pediatric to adult diabetes care they are at risk for deterioration of glycemic control, putting them at an increased risk of developing both acute and chronic complications. Despite increased awareness of these risks, there are gaps in care delivery during this vulnerable time and variability in the implementation of recommended transition practice. Audit and feedback (AF) interventions have a positive but variable effect on implementation of best practices. An expert group identified specific suggestions for optimizing the effectiveness of AF interventions. We aim to test an AF-based intervention incorporating these specific suggestions to improve transition practices and glycemic control in the first year after transfer from pediatric to adult diabetes care. Methods This is a pragmatic quasi-experimental study; a series of three cohort studies (pre-implementation, early-implementation, and post-implementation) to compare the baseline adjusted hemoglobin A1c (HbA1c) in the 12 months after the final pediatric visit in five pediatric diabetes centres within the Ontario Pediatric Diabetes Network in Ontario, Canada. The intervention includes three components: 1) centre-level feedback reports compiling data from chart abstraction, linked provincial administrative datasets, and patient-reported experience measures; 2) webinars for facilitated conversations/coaching about the feedback; and 3) online repository of curated transition resources for providers. The primary outcome will be analyzed using a multivariable linear regression model. We will conduct a qualitative process evaluation to understand intervention fidelity and to provide insight into the mechanisms of action of our results. Discussion There is a need to develop an innovative system-level approach to improve outcomes and the quality of care for young adults with type 1 diabetes during the vulnerable time when they transfer to adult care. Our research team, a collaboration of health services, implementation science, and quality improvement researchers, are designing, implementing, and evaluating an AF-based intervention using recommendations about how to optimize effectiveness. This knowledge will be generalizable to other care networks that aim to deliver uniformly high-quality care in diverse care settings. Trial registration ClinicalTrials.gov NCT03781973. Registered 13 December 2018. Date of enrolment of the first participant to the trial: June 1, 2019.

823-P: Characteristics of Type 1 Diabetes (T1D) Patients Attending a Young Adult Diabetes Clinic (YADC) as a Component of Transition from Pediatric to Adult Diabetes Care

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 823-P
Author(s):  
FARAHNAZ JOARDER ◽  
HARPREET NAGRA ◽  
LOLIS ROCHA ◽  
LAURA ANDREAS ◽  
INES GUTTMANN-BAUMAN ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Young Adult ◽  
Diabetes Care ◽  
Diabetes Clinic ◽  
Adult Diabetes

926-P: HbA1c Monitoring among Adolescents and Young Adults with Type 1 Diabetes: Impact of Diabetes Care Provider Type

Diabetes ◽  
2021 ◽  
Vol 70 (Supplement 1) ◽  
pp. 926-P
Author(s):  
LAUREN E. WISK ◽  
MARY BETH LANDRUM ◽  
CHRISTINA FU ◽  
ALYNA CHIEN
Keyword(s):  
Type 1 Diabetes ◽  
Young Adults ◽  
Care Provider ◽  
Diabetes Care ◽  
Adolescents And Young Adults ◽  
Provider Type

scholarly journals Disclosure of psychosocial stressors affecting diabetes care among uninsured young adults with Type 1 diabetes

2013 ◽  
Vol 30 (9) ◽  
pp. 1140-1144 ◽  
Author(s):  
E. A. Pyatak ◽  
P. Sequeira ◽  
A. L. Peters ◽  
L. Montoya ◽  
M. J. Weigensberg
Keyword(s):  
Type 1 Diabetes ◽  
Young Adults ◽  
Diabetes Care ◽  
Psychosocial Stressors

scholarly journals Young Adulthood and Unique Challenges in Living with Type 1 Diabetes

2018 ◽  
Vol 7 (1) ◽  
pp. 1-5
Author(s):  
Michael James Curtis ◽  
Samereh Abdoli ◽  
Joanne Hall
Keyword(s):  
Type 1 Diabetes ◽  
Young Adults ◽  
Diabetes Care ◽  
Life Style ◽  
Behavioral Interventions ◽  
Diabetes Education ◽  
Care Systems ◽  
Psychosocial Challenges

Type 1 diabetes (T1D) presents young adults with unique challenges in managing a diabetes while they navigate transition from adolescence to adulthood. This article presents a narrative review of literature pertaining to challenges surrounding diabetes care in young adults with type 1 diabetes (T1D). Methods: A literature search was conducted in CINAHL, PubMed and Web of Science for studies related to diabetes care in young adults with T1D. The search was completed using various combinations of diabetes, T1D, diabetes care/management, challenges, and barriers in English. Results: Based on the study findings the most challenges experienced by young adults were associated to “psychosocial challenges”, “life style change”, “lack of supportive network”, and “delivery of diabetes care.” However, diabetes education particularly related to life style is necessary; individualized psychosocial and behavioral interventions should be considered as an essential part of diabetes care systems. A more supportive health care system and community can impact positively on quality of life and diabetes care in young adults living with T1D.

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.

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