Title |
The preferences of young adults with Type 1 diabetes at clinics using a discrete choice experiment approach: the D1 Now Study
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Published in |
Diabetic Medicine, September 2018
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DOI | 10.1111/dme.13809 |
Pubmed ID | |
Authors |
L. Mc Morrow, M. C. O’ Hara, L. Hynes, Á. Cunningham, A. Caulfield, C. Duffy, C. Keighron, M. Mullins, M. Long, D. Walsh, M. Byrne, B. Kennelly, P. Gillespie, S. F. Dinneen, E. Doherty, with the D1 Now Study Group |
Abstract |
Attending routine outpatient clinic appointments is a central self-management behaviour of individuals living with Type 1 diabetes. A large number of young adults with Type 1 diabetes disengage from diabetes services, which may contribute to poor psychosocial and diabetes outcomes. The aim of this study is to elicit preferences from young adults with Type 1 diabetes regarding clinic-related services to inform service delivery. A discrete choice experiment was developed to understand the preferences of young adults with Type 1 diabetes for clinic-related services. Young adults recruited from young adult Type 1 diabetes clinics in 2016 completed the experiment (n = 105). Young adults with Type 1 diabetes showed a preference for shorter waiting times, seeing a nurse and a consultant, relative to a nurse alone, and a flexible booking system compared with fixed appointment times. Results suggest no preference for a nurse and a doctor, relative to a nurse alone, or other optional services (e.g. seeing dietitians or psychologists), type of HbA1c test and digital blood glucose diaries over paper-based diaries. This study highlights aspects of routine clinic appointments that are valued by young adults living with Type 1 diabetes, namely shorter waiting times at clinic, the option to see both a nurse and consultant at each visit and a flexible clinic appointment booking system. These findings suggest young adults with Type 1 diabetes value convenience and should help services to restructure their clinics to be more responsive to the needs of young adults. This article is protected by copyright. All rights reserved. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Ireland | 9 | 45% |
United Kingdom | 2 | 10% |
United States | 1 | 5% |
Unknown | 8 | 40% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 16 | 80% |
Scientists | 2 | 10% |
Practitioners (doctors, other healthcare professionals) | 2 | 10% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 64 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 12 | 19% |
Researcher | 7 | 11% |
Student > Master | 6 | 9% |
Student > Postgraduate | 5 | 8% |
Student > Ph. D. Student | 5 | 8% |
Other | 10 | 16% |
Unknown | 19 | 30% |
Readers by discipline | Count | As % |
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Nursing and Health Professions | 12 | 19% |
Medicine and Dentistry | 10 | 16% |
Psychology | 4 | 6% |
Biochemistry, Genetics and Molecular Biology | 3 | 5% |
Social Sciences | 2 | 3% |
Other | 10 | 16% |
Unknown | 23 | 36% |