Transition care models for young adults with Type 1 Diabetes (YADS)

Young adults with diabetes have higher glycated haemoglobin (HbA1c) compared to the broader population of adults with diabetes and higher incidence of psychological distress, and are at higher risk of diabetes-related complications. Competing life priorities and the physiological maturing of the brain is compounded by the transition of taking full responsibility for their diabetes management from their caregiver. Attendance by young adults at diabetes care appointments is generally low and associated with sub-optimal glycaemic control. Transition care models do not adequately report on implementation outcomes including acceptability, adoption and appropriateness. The overarching project aims to map, gain insights and inform improvements in transition care from adolescent to adult care, by understanding the needs analysis of consumers, stakeholders and clinicians, and implementing programs to improve patient satisfaction and health outcomes. Aim 1: Priority setting and stakeholder engagement with patients, carers, clinicians, administration staff, hospital leadership, governing bodies Aim 2: Evidence synthesis and generation via a co-design process Aim 3: evaluate the two Monash Health YADS by assessing patient and clinician’s acceptability and barriers and facilitators to engagement as well as attendance and diabetes-related complications, through a mixed methods approach (questionnaires and semi-structured interviews). Aim 4: Implementation of co-designed strategies to support transition care