Matches in SemOpenAlex for { <https://semopenalex.org/work/W3048208083> ?p ?o ?g. }
- W3048208083 endingPage "338" @default.
- W3048208083 startingPage "331" @default.
- W3048208083 abstract "OBJECTIVE | To explore expectations for transition to adult care and experiences with transition planning among adolescents and young adults with type 1 diabetes and an A1C >9% at a tertiary care U.S. pediatric center. METHODS | We conducted semi-structured interviews in a purposive sample of patients 14-23 years of age who had had type 1 diabetes for at least 1 year and had an A1C >9%. A multidisciplinary team conducted iterative thematic analysis with deductive and inductive coding aided by NVivo software. RESULTS | Fourteen subjects participated (nine adolescents and five young adults, mean age 17.1 ± 3.2 years, 57% male, 79% Caucasian, 14% Hispanic, diabetes duration 8.2 ± 4.6 years, mean A1C 10.0 ± 0.8% for adolescents and 10.1 ± 0.7% for young adults). Qualitative analysis yielded four key themes. The first was lack of formal preparation; participants of all ages demonstrated a lack of preparation for transition and ignorance about the process, describing it as coming out of the blue. The second was a desire for delayed and gradual transition; participants wanted to defer being serious about transition to a later/uncertain date, with a preference to wait until I'm older among all ages. Participants described ideal transition as a gradual process, taking place a little at a time. The third was attachment to pediatric providers; participants demonstrated a nearly universal attachment to and familiarity with their pediatric diabetes care providers and expressed worries about an uncomfortable transition to adult providers. The fourth was concern about an impersonal adult care setting: participants perceived adult care as formal, scarier, and tougher, with increased criticism about poor control; participants expressed fear that adult providers would not know me or appreciate my diabetes journey. CONCLUSION | We demonstrated a lack of transition preparation and anxiety about transition and adult care among youth with type 1 diabetes and elevated A1C. Our results may help guide early, iterative pediatric transition counseling, with a special focus on addressing attachment and fears about adult diabetes care." @default.
- W3048208083 created "2020-08-13" @default.
- W3048208083 creator A5005254864 @default.
- W3048208083 creator A5043925183 @default.
- W3048208083 creator A5045147980 @default.
- W3048208083 creator A5052260428 @default.
- W3048208083 creator A5055388964 @default.
- W3048208083 date "2020-11-01" @default.
- W3048208083 modified "2023-10-18" @default.
- W3048208083 title "Health Care Transition in Youth With Type 1 Diabetes and an A1C >9%: Qualitative Analysis of Pre-Transition Perspectives" @default.
- W3048208083 cites W1819182952 @default.
- W3048208083 cites W1962894711 @default.
- W3048208083 cites W1976770755 @default.
- W3048208083 cites W1994596675 @default.
- W3048208083 cites W2012186625 @default.
- W3048208083 cites W2031267368 @default.
- W3048208083 cites W2045715726 @default.
- W3048208083 cites W2055981158 @default.
- W3048208083 cites W2071427434 @default.
- W3048208083 cites W2095068664 @default.
- W3048208083 cites W2103138250 @default.
- W3048208083 cites W2118308858 @default.
- W3048208083 cites W2133924794 @default.
- W3048208083 cites W2134612723 @default.
- W3048208083 cites W2143367868 @default.
- W3048208083 cites W2150995354 @default.
- W3048208083 cites W2514043190 @default.
- W3048208083 cites W2563326547 @default.
- W3048208083 cites W2909166675 @default.
- W3048208083 cites W2917663338 @default.
- W3048208083 cites W2921341426 @default.
- W3048208083 cites W2938843741 @default.
- W3048208083 cites W2982064155 @default.
- W3048208083 cites W2985063860 @default.
- W3048208083 cites W2996252705 @default.
- W3048208083 cites W3011426457 @default.
- W3048208083 cites W4213011635 @default.
- W3048208083 doi "https://doi.org/10.2337/ds20-0011" @default.
- W3048208083 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/7666607" @default.
- W3048208083 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/33223771" @default.
- W3048208083 hasPublicationYear "2020" @default.
- W3048208083 type Work @default.
- W3048208083 sameAs 3048208083 @default.
- W3048208083 citedByCount "4" @default.
- W3048208083 countsByYear W30482080832022 @default.
- W3048208083 countsByYear W30482080832023 @default.
- W3048208083 crossrefType "journal-article" @default.
- W3048208083 hasAuthorship W3048208083A5005254864 @default.
- W3048208083 hasAuthorship W3048208083A5043925183 @default.
- W3048208083 hasAuthorship W3048208083A5045147980 @default.
- W3048208083 hasAuthorship W3048208083A5052260428 @default.
- W3048208083 hasAuthorship W3048208083A5055388964 @default.
- W3048208083 hasBestOaLocation W30482080831 @default.
- W3048208083 hasConcept C104317684 @default.
- W3048208083 hasConcept C111472728 @default.
- W3048208083 hasConcept C134018914 @default.
- W3048208083 hasConcept C138885662 @default.
- W3048208083 hasConcept C144024400 @default.
- W3048208083 hasConcept C160735492 @default.
- W3048208083 hasConcept C162324750 @default.
- W3048208083 hasConcept C185592680 @default.
- W3048208083 hasConcept C187212893 @default.
- W3048208083 hasConcept C190248442 @default.
- W3048208083 hasConcept C194232998 @default.
- W3048208083 hasConcept C205545832 @default.
- W3048208083 hasConcept C2778732403 @default.
- W3048208083 hasConcept C2781232474 @default.
- W3048208083 hasConcept C36289849 @default.
- W3048208083 hasConcept C50522688 @default.
- W3048208083 hasConcept C512399662 @default.
- W3048208083 hasConcept C55493867 @default.
- W3048208083 hasConcept C555293320 @default.
- W3048208083 hasConcept C71924100 @default.
- W3048208083 hasConcept C74196892 @default.
- W3048208083 hasConcept C74909509 @default.
- W3048208083 hasConceptScore W3048208083C104317684 @default.
- W3048208083 hasConceptScore W3048208083C111472728 @default.
- W3048208083 hasConceptScore W3048208083C134018914 @default.
- W3048208083 hasConceptScore W3048208083C138885662 @default.
- W3048208083 hasConceptScore W3048208083C144024400 @default.
- W3048208083 hasConceptScore W3048208083C160735492 @default.
- W3048208083 hasConceptScore W3048208083C162324750 @default.
- W3048208083 hasConceptScore W3048208083C185592680 @default.
- W3048208083 hasConceptScore W3048208083C187212893 @default.
- W3048208083 hasConceptScore W3048208083C190248442 @default.
- W3048208083 hasConceptScore W3048208083C194232998 @default.
- W3048208083 hasConceptScore W3048208083C205545832 @default.
- W3048208083 hasConceptScore W3048208083C2778732403 @default.
- W3048208083 hasConceptScore W3048208083C2781232474 @default.
- W3048208083 hasConceptScore W3048208083C36289849 @default.
- W3048208083 hasConceptScore W3048208083C50522688 @default.
- W3048208083 hasConceptScore W3048208083C512399662 @default.
- W3048208083 hasConceptScore W3048208083C55493867 @default.
- W3048208083 hasConceptScore W3048208083C555293320 @default.
- W3048208083 hasConceptScore W3048208083C71924100 @default.
- W3048208083 hasConceptScore W3048208083C74196892 @default.
- W3048208083 hasConceptScore W3048208083C74909509 @default.
- W3048208083 hasIssue "4" @default.