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The preferences of young adults with Type 1 diabetes at clinics using a discrete choice experiment approach: the D1 Now Study
Author(s) -
Mc Morrow L.,
O’ Hara M. C.,
Hynes L.,
Cunningham Á.,
Caulfield A.,
Duffy C.,
Keighron C.,
Mullins M.,
Long M.,
Walsh D.,
Byrne M.,
Kennelly B.,
Gillespie P.,
Dinneen S. F.,
Doherty E.
Publication year - 2018
Publication title -
diabetic medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.474
H-Index - 145
eISSN - 1464-5491
pISSN - 0742-3071
DOI - 10.1111/dme.13809
Subject(s) - medicine , young adult , psychosocial , type 2 diabetes , diabetes mellitus , outpatient clinic , family medicine , type 1 diabetes , nursing , gerontology , psychiatry , endocrinology
Aim 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. Methods A discrete choice experiment was developed to understand the preferences of young adults with Type 1 diabetes for clinic‐related services. Results 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 HbA 1c test and digital blood glucose diaries over paper‐based diaries. Conclusion 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.