Diabetes care provision: barriers, enablers and service needs of young adults with Type 1 diabetes from a region of social disadvantage

Kibbey, K. J., Speight, J., Wong, J. L. A., Smith, L. A. and Teede, H. J. 2013, Diabetes care provision: barriers, enablers and service needs of young adults with Type 1 diabetes from a region of social disadvantage, Diabetic medicine, vol. 30, no. 7, pp. 878-884, doi: 10.1111/dme.12227.

Attached Files
Name Description MIMEType Size Downloads

Title Diabetes care provision: barriers, enablers and service needs of young adults with Type 1 diabetes from a region of social disadvantage
Author(s) Kibbey, K. J.
Speight, J.ORCID iD for Speight, J. orcid.org/0000-0002-1204-6896
Wong, J. L. A.
Smith, L. A.
Teede, H. J.
Journal name Diabetic medicine
Volume number 30
Issue number 7
Start page 878
End page 884
Total pages 7
Publisher Wiley-Blackwell Publishing
Place of publication Chichester, England
Publication date 2013-07
ISSN 0742-3071
Keyword(s) psychology
diabetes mellitus
emotional distress
optimal engagement
Summary AIMS:
To determine the barriers to and enablers of engaging with specialist diabetes care and the service requirements of young adults with Type 1 diabetes mellitus from a low socio-economic, multicultural region.

A cross-sectional survey targeted 357 young adults with Type 1 diabetes, aged 18-30 years. Participants completed questions about barriers/enablers to accessing diabetes care and service preferences, self-reported HbA(1c), plus measures of diabetes-related distress (Problem Areas in Diabetes), depression/anxiety (Hospital Anxiety and Depression Scale), and illness perceptions (Brief Illness Perceptions Questionnaire).

Eighty-six (24%) responses were received [55 (64%) female; mean ± sd age 24 ± 4 years; diabetes duration 12 ± 7 years; HbA(1c) 68 ± 16 mmol/mol (8.4 ± 1.5%)]. Logistical barriers to attending diabetes care were reported; for example, time constraints (30%), transportation (26%) and cost (21%). However, 'a previous unsatisfactory diabetes health experience' was cited as a barrier by 27%. Enablers were largely matched to overcoming these barriers. Over 90% preferred a multidisciplinary team environment, close to home, with after-hours appointment times. Forty per cent reported severe diabetes-related distress, 19% reported moderate-to-severe depressive symptoms and 50% reported moderate-to-severe anxiety.

Among these young adults with Type 1 diabetes, glycaemic control was suboptimal and emotional distress common. They had identifiable logistical barriers to accessing and maintaining contact with diabetes care services, which can be addressed with flexible service provision. A substantial minority were discouraged by previous unsatisfactory experiences, suggesting health providers need to improve their interactions with young adults. This research will inform the design of life-stage-appropriate diabetes services targeting optimal engagement, access, attendance and ultimately improved healthcare outcomes in this vulnerable population.
Language eng
DOI 10.1111/dme.12227
Field of Research 170106 Health, Clinical and Counselling Psychology
111712 Health Promotion
111714 Mental Health
Socio Economic Objective 920401 Behaviour and Health
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2013, Wiley-Blackwell Publishing
Persistent URL http://hdl.handle.net/10536/DRO/DU:30056022

Document type: Journal Article
Collection: School of Psychology
Connect to link resolver
Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved.

Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 10 times in TR Web of Science
Scopus Citation Count Cited 12 times in Scopus
Google Scholar Search Google Scholar
Access Statistics: 269 Abstract Views, 5 File Downloads  -  Detailed Statistics
Created: Tue, 17 Sep 2013, 14:10:57 EST by Claudia Gasch

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.