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Catalogue Information
Field name	Details
Nuova numerazione	75379
Collocazione	UPS BIBL CENTR SL-II-372
Autore	HYNES, L.
Titolo	‘It makes a difference, coming here’: a qualitative exploration of clinic attendance among young adults with type 1 diabetes. Parte componente di periodico
Descrizione fisica	pp. 842-858
Nota generale	Estratto da: British Journal of Health Psychology 2015, 20, 4
Riassunto	OBJECTIVE: Young adulthood is a time of significant challenges and risks for people with type 1 diabetes. Poor outpatient clinic attendance is common among young adults with type 1 diabetes. The aim of this qualitative study was to develop a theory explaining attendance at a hospital-based diabetes clinic. DESIGN: Using a grounded theory methodology, data were collected through semi-structured qualitative interviews. METHOD: Twenty-nine people (21 young adults with type 1 diabetes and eight service providers) from one hospital-based diabetes clinic were interviewed. Interviews were audio-recorded, transcribed, and analysed according to grounded theory methodology. RESULTS: Relationships between young adults and service providers is the core category of this theory. Collaborative relationships between young adults and service providers increased the perceived value of attendance and reduced the vulnerability of young adults to the barriers within the existing service, such as meeting unfamiliar service providers. Relationships between young adults and service providers were developed following opportunities for contact (e.g., structured education programme or crisis of diabetes), and facilitated engagement with the service and further attendance. Barriers to clinic attendance included young adults' negative perceptions of their diabetes self-management and a lack of value associated with attending. CONCLUSION: The diabetes clinic was described as an important and valued resource by young adults and service providers. Collaborative relationships between young adults and service providers enhanced service provision in this study. According to the results of this study, clinic attendance may be improved by increasing opportunities for relationship development between service providers and young adults. Statement of contribution What is already known on this subject? Attendance by young adults at hospital-based diabetes clinics is important to support self-management. Young adults with type 1 diabetes are at risk of clinic non-attendance. What does this study add? This study presents an explanatory theory of clinic attendance among young adults with type 1 diabetes. According to this theory: Barriers within existing models of service delivery prevent collaboration and may contribute to non-attendance. Relationships between service users and providers can establish or maintain regular clinic attendance by fostering the engagement of young adults with diabetes clinics.
Tipo di documento	RICERCA.
Soggetto	ADULTI.
	SALUTE.
	CASI CLINICI.
	RISCHIO.
	IRLANDA.
Ambito	Psicologico
Autore Secondario	BYRNE, M.
	CASEY, D.
	DINNEEN, S.F.
	O'HARA, M.C.
Titolo correlato	British Journal of Health Psychology 2015, 20, 4.
Accesso online	http://search.ebscohost.com/login.aspx?direct=true&db=pbh&AN=110137510&lang=it&site=ehost-live

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‘It makes a difference, coming here’: a qualitative exploration of clinic attendance among young adults with type 1 diabetes.