Contributions of digital technologies for resilience capacity in a type 1 diabetes transition clinic : A qualitative study

Journal article

Carrigan, Ann, Holmes-Walker, D. Jane, Farrell, Kaye, Maguire, Ann M., Lyng, Hilda Bø, Wiig, Siri, Guise, Veslemøy, Long, Janet C., Ellis, Louise A., Wijekulasuriya, Shalini, Dharmayani, Putu Novi Arfirsta, Singh, Nehal, Simone, Zach, Davis, Elizabeth, Jones, Timothy W., Braithwaite, Jeffrey and Zurynski, Yvonne. (2025). Contributions of digital technologies for resilience capacity in a type 1 diabetes transition clinic : A qualitative study. Applied Ergonomics. 122, p. Article 104392. https://doi.org/10.1016/j.apergo.2024.104392
AuthorsCarrigan, Ann, Holmes-Walker, D. Jane, Farrell, Kaye, Maguire, Ann M., Lyng, Hilda Bø, Wiig, Siri, Guise, Veslemøy, Long, Janet C., Ellis, Louise A., Wijekulasuriya, Shalini, Dharmayani, Putu Novi Arfirsta, Singh, Nehal, Simone, Zach, Davis, Elizabeth, Jones, Timothy W., Braithwaite, Jeffrey and Zurynski, Yvonne
Abstract

A type 1 diabetes (T1D) transition clinic in Sydney, Australia, provides age specific care for young adults (aged 16–25 years) and for adults (aged 21 years and above), and has reported improved clinical outcomes post transition to adult care over a 21-year period. This study investigated the contribution of digital technology to long-term resilient capacity of the clinic. Clinic observations and interviews with eight providers and 17 young adults were conducted. Using a framework to analyze resilient capacity in healthcare, seven strong themes emerged from the data: Leadership, Involvement, Communication, Coordination, Risk Awareness, Competence and Alignment with three themes, Structure, Learning and Facilitators also supported. Patient service adaptations included offering out of hours appointment times and telehealth to accommodate young adults’ availability. This study provides evidence for the important role that digital technologies contribute to a system of care with capacity for resilience. Our findings contribute to the understanding of the factors needed to support young adults with T1D and may be valuable to inform models of care for young adults living with other chronic health conditions.

Keywordsresilient healthcare; diabetes; technology
Year2025
JournalApplied Ergonomics
Journal citation122, p. Article 104392
PublisherElsevier Ltd
ISSN0003-6870
Digital Object Identifier (DOI)https://doi.org/10.1016/j.apergo.2024.104392
PubMed ID39332097
Scopus EID2-s2.0-85204781638
Open accessPublished as ‘gold’ (paid) open access
Page range1-12
FunderJDRF Australia
Research Council of Norway
The University of Stavanger, Norway
Norwegian University of Science and Technology (NTNU)
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online26 Sep 2024
Publication process dates
Accepted17 Sep 2024
Deposited31 Mar 2025
Grant ID5-SRA-2021-1088-M-X
275367
Additional information

© 2024 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

Permalink -

https://acuresearchbank.acu.edu.au/item/9186q/contributions-of-digital-technologies-for-resilience-capacity-in-a-type-1-diabetes-transition-clinic-a-qualitative-study

Log in to edit

Download files

Publisher's version
OA_2025_Contributions_of_digital_technologies_for_resilience.pdf
License: CC BY 4.0
File access level: Open

  • 11
    total views
  • 2
    total downloads
  • 11
    views this month
  • 2
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Strategies and tactics to reduce the impact of healthcare on climate change : Systematic review
Braithwaite, Jeffrey, Smith, Carolynn L., Leask, Elle, Wijekulasuriya, Shalini, Brooke-Cowden, Kalissa, Fisher, Georgia, Patel, Romika, Pagano, Lisa, Rahimi-Ardabili, Hania, Spanos, Samantha, Rojas, Christina, Partington, Andrew, McQuillan, Ella, Dammery, Genevieve, Carrigan, Ann, Ehrenfeld, Lauren, Coiera, Enrico, Westbrook, Johanna and Zurynski, Yvonne. (2024). Strategies and tactics to reduce the impact of healthcare on climate change : Systematic review. BMJ. 387, p. Article 387. https://doi.org/10.1136/bmj-2024-081284
Analysing health system capacity and preparedness for climate change
Braithwaite, Jeffrey, Leask, Elle, Smith, Carolynn L., Dammery, Genevieve, Brooke-Cowden, Kalissa, Carrigan, Ann, McQuillan, Ella, Ehrenfeld, Lauren, Coiera, Enrico, Westbrook, Johanna and Zurynski, Yvonne. (2024). Analysing health system capacity and preparedness for climate change. Nature Climate Change. 14(5), pp. 536-546. https://doi.org/10.1038/s41558-024-01994-4
Combining multistaged filters and modified segmentation network for improving lung nodules classification
Gunawan, Rudy, Tran, Yvonne, Zheng, Jinchuan, Nguyen, Hung, Carrigan, Ann, Mills, Megan K. and Chai, Rifai. (2024). Combining multistaged filters and modified segmentation network for improving lung nodules classification. IEEE Journal of Biomedical and Health Informatics. 28(9), pp. 5519-5527. https://doi.org/10.1109/JBHI.2024.3405907
Strategies to improve care for older adults who present to the emergency department : A systematic review
Testa, Luke, Richardson, Lieke, Cheek, Colleen, Hensel, Theresa, Austin, Elizabeth E., Safi, Mariam, Ransolin, Natália, Carrigan, Ann, Long, Janet, Hutchinson, Karen, Goirand, Magali, Bierbaum, Mia, Bleckley, Felicity, Hibbert, Peter, Churruca, Kate and Clay-Williams, Robyn. (2024). Strategies to improve care for older adults who present to the emergency department : A systematic review. BMC Health Services Research. 24(1), pp. 1-35. https://doi.org/10.1186/s12913-024-10576-1
Consumer and provider perceptions of the specialist unit model of care : A qualitative study
Long, Janet C., Carrigan, Ann, Roberts, Natalie, Clay-Williams, Robyn, Hibbert, D, Zurynski, Yvonne, Maka, Katherine, Loy, Graeme and Braithwaite, Jeffrey. (2024). Consumer and provider perceptions of the specialist unit model of care : A qualitative study. PLoS One. 19, pp. 1-16. https://doi.org/10.1371/journal.pone.0293025
Birang Daruganora : what do Aboriginal and Torres Strait Islander communities need in a new hospital? A qualitative study
Austin, Elizabeth E., Carrigan, Ann, Holden, Narelle, Grigg, Shai, Maka, Katherine, Clay-Williams, Robyn, Hibbert, Peter, Loy, Graeme and Braithwaite, Jeffrey. (2024). Birang Daruganora : what do Aboriginal and Torres Strait Islander communities need in a new hospital? A qualitative study. BMJ Open. 14(5), pp. 1-11. https://doi.org/10.1136/bmjopen-2023-078658
Improving emergency department care for adults presenting with mental illness : a systematic review of strategies and their impact on outcomes, experience, and performance
Austin, Elizabeth E., Cheek, Colleen, Richardson, Lieke, Testa, Luke, Dominello, Amanda, Long, Janet C., Carrigan, Ann, Ellis, Louise A., Norman, Alicia, Murphy, Margaret, Smith, Kylie, Gillies, Donna and Clay-Williams, Robyn. (2024). Improving emergency department care for adults presenting with mental illness : a systematic review of strategies and their impact on outcomes, experience, and performance. Frontiers in Psychiatry. 15, pp. 1-14. https://doi.org/10.3389/fpsyt.2024.1368129
The digital hospital : A scoping review of how technology is transforming cardiopulmonary care
Carrigan, Ann, Roberts, Natalie, Han, Jiwon, John, Ruby, Khan, Umar, Sultani, Ali and Austin, Elizabeth E.. (2023). The digital hospital : A scoping review of how technology is transforming cardiopulmonary care. Heart, Lung and Circulation. 32(9), pp. 1057-1068. https://doi.org/10.1016/j.hlc.2023.06.725
The rise of resilient healthcare research during COVID-19 : Scoping review of empirical research
Ellis, Louise A., Saba, Maree, Long, Janet C., Lyng, Hilda Bø, Haraldseid-Driftland, Cecilie, Churruca, Kate, Wiig, Siri, Austin, Elizabeth, Clay-Williams, Robyn, Carrigan, Ann and Braithwaite, Jeffrey. (2023). The rise of resilient healthcare research during COVID-19 : Scoping review of empirical research. BMC Health Services Research. 23(1), p. Article 833. https://doi.org/10.1186/s12913-023-09839-0
Perioperative interventions to improve early mobilisation and physical function after hip fracture : A systematic review and meta-analysis
Sarkies, Mitchell N., Testa, Luke, Carrigan, Ann, Roberts, Natalie, Gray, Rene, Sherrington, Catherine, Mitchell, Rebecca, Close, Jacqueline C. T., Mcdougall, Catherine and Sheehan, Katie. (2023). Perioperative interventions to improve early mobilisation and physical function after hip fracture : A systematic review and meta-analysis. Age and Ageing. 52(8), p. Article afad154. https://doi.org/10.1093/ageing/afad154
The Patient Activation Measure (PAM) and the pandemic : Predictors of patient activation among Australian health consumers during the COVID-19 pandemic
Dammery, Genevieve, Vitangcol, Kathryn, Ansell, James, Ellis, Louise A., Smith, Carolynn L., Carrigan, Ann, Braithwaite, Jeffrey and Zurynski, Yvonne. (2023). The Patient Activation Measure (PAM) and the pandemic : Predictors of patient activation among Australian health consumers during the COVID-19 pandemic. Health Expectations. 26(3), pp. 1107-1117. https://doi.org/10.1111/hex.13725
Experience-based codesign approach to improve care in Australian emergency departments for complex consumer cohorts : the MyED project protocol, Stages 1.1-1.3
Cheek, Colleen, Hayba, Nema, Richardson, Lieke, Austin, Elizabeth E., Francis-Auton, Emilie, Safi, Mariam, Ransolin, Natália, Vukasovic, Matthew, De Los Santos, Aaron, Murphy, Margaret, Harrison, Reema, Churruca, Kate, Long, Janet C., Hibbert, Peter, Carrigan, Ann, Newman, Bronwyn, Hutchinson, Karen, Mitchell, Rebecca, Cutler, Henry, ... Clay-Williams, Robyn. (2023). Experience-based codesign approach to improve care in Australian emergency departments for complex consumer cohorts : the MyED project protocol, Stages 1.1-1.3. BMJ Open. 13(7), pp. 1-8. https://doi.org/10.1136/bmjopen-2023-072908
Innovative models of healthcare delivery : an umbrella review of reviews
Roberts, Natalie, Carrigan, Ann, Clay-Williams, Robyn, Hibbert, Peter, Mahmoud, Zeyad, Pomare, Chiara, Pulido, Diana Fajardo, Meulenbroeks, Isabelle, Knaggs, Gilbert Thomas, Austin, Elizabeth E., Churruca, Kate, Ellis, Louise A., Long, Janet C., Hutchinson, Karen and et. al.. (2023). Innovative models of healthcare delivery : an umbrella review of reviews. BMJ Open. 13(2), pp. 1-11. https://doi.org/10.1136/bmjopen-2022-066270
Strategies to Improve Care in the Emergency Department for Culturally and Linguistically Diverse Adults : A Systematic Review
Hayba, Nematullah, Cheek, Colleen, Austin, Elizabeth E., Testa, Luke, Richardson, Lieke, Safi, Mariam, Ransolin, Natália, Carrigan, Ann, Harrison, Reema, Francis-Auton, Emilie and Clay-Williams, Robyn. (2023). Strategies to Improve Care in the Emergency Department for Culturally and Linguistically Diverse Adults : A Systematic Review. Journal of Racial and Ethnic Health Disparities. pp. 1-21. https://doi.org/10.1007/s40615-023-01876-z
Transition models of care for type 1 diabetes : a systematic review
Zurynski, Yvonne, Carrigan, Ann, Meulenbroeks, Isabelle, Sarkies, Mitchell N., Dammery, Genevieve, Halim, Nicole, Lake, Rebecca, Davis, Elizabeth, Jones, Timothy W. and Braithwaite, Jeffrey. (2023). Transition models of care for type 1 diabetes : a systematic review. BMC Health Services Research. 23(1), pp. 1-15. https://doi.org/10.1186/s12913-023-09644-9
The journey to a learning health system in primary care : a qualitative case study utilising an embedded research approach
Dammery, Genevieve, Ellis, Louise A., Churruca, Kate, Mahadeva, Janani, Lopez, Francisco, Carrigan, Ann, Halim, Nicole, Willcock, Simon and Braithwaite, Jeffrey. (2023). The journey to a learning health system in primary care : a qualitative case study utilising an embedded research approach. BMC Primary Care. 24(22), pp. 1-10. https://doi.org/10.1186/s12875-022-01955-w
The diversity of providers’ and consumers’ views of virtual versus inpatient care provision : a qualitative study
Clay-Williams, Robyn, Hibbert, Peter, Carrigan, Ann, Roberts, Natalie, Austin, Elizabeth E., Pulido, Diana Fajardo, Meulenbroeks, Isabelle, Nguyen, Hoa Mi, Sarkies, Mitchell N., Hatem, Sarah, Maka, Katherine, Loy, Graeme and Braithwaite, Jeffrey. (2023). The diversity of providers’ and consumers’ views of virtual versus inpatient care provision : a qualitative study. BMC Health Services Research. 23(1), pp. 1-12. https://doi.org/10.1186/s12913-023-09715-x
Consumer and Provider Perspectives on Hospital in the Home : A Qualitative Study
Roberts, Natalie, Carrigan, Ann, Hibbert, Peter, Williams, Robyn-Clay, Austin, Elizabeth E., Pulido, Diana Fajardo, Meulenbroeks, Isabelle, Nguyen, Hoa Mi, Hatem, Sarah, Maka, Katherine, Loy, Graeme and Braithwaite, Jeffrey. (2023). Consumer and Provider Perspectives on Hospital in the Home : A Qualitative Study. Health & Social Care in the Community. 2023, pp. 1-11. https://doi.org/10.1155/2023/7105751
What do consumer and providers view as important for integrated care? A qualitative study
Carrigan, Ann, Roberts, Natalie, Clay-Williams, Robyn, Hibbert, Peter, Austin, Elizabeth E., Pulido, Diana Fajardo, Meulenbroeks, Isabelle, Nguyen, Hoa Mi, Sarkies, Mitchell N., Hatem, Sarah, Maka, Katherine, Loy, Graeme and Braithwaite, Jeffrey. (2023). What do consumer and providers view as important for integrated care? A qualitative study. BMC Health Services Research. 23(1), pp. 1-11. https://doi.org/10.1186/s12913-022-08997-x
Built to last? Barriers and facilitators of healthcare program sustainability : a systematic integrative review
Zurynski, Yvonne, Ludlow, Kristiana, Testa, Luke, Augustsson, Hanna, Herkes-Deane, Jessica, Hutchinson, Karen, Lamprell, Gina, McPherson, Elise, Carrigan, Ann, Ellis, Louise A., Dharmayani, Putu Novi Arfirsta, Smith, Carolynn L., Richardson, Lieke, Dammery, Genevieve, Singh, Nehal and Braithwaite, Jeffrey. (2023). Built to last? Barriers and facilitators of healthcare program sustainability : a systematic integrative review. Implementation Science. 18(1), pp. 1-21. https://doi.org/10.1186/s13012-023-01315-x
Birang Daruganora : A protocol for a qualitative study to elicit Aboriginal and Torres Strait Islander community views about cultural needs and experiences for a new Australian health facility
Carrigan, Ann, Austin, Elizabeth E., Clay-Williams, Robyn, Hibbert, Peter, Maka, Katherine, Holden, Narelle, Grigg, Shai, Loy, Graeme and Braithwaite, Jeffrey. (2023). Birang Daruganora : A protocol for a qualitative study to elicit Aboriginal and Torres Strait Islander community views about cultural needs and experiences for a new Australian health facility. BMJ Open. 13(4), pp. 1-6. https://doi.org/10.1136/bmjopen-2022-069951
Advancing research on medical image perception by strengthening multidisciplinary collaboration
Treviño, Melissa, Birdsong, George, Carrigan, Ann, Choyke, Peter, Drew, Trafton, Eckstein, Miguel, Fernandez, Anna, Gallas, Brandon D, Giger, Maryellen, Hewitt, Stephen M, Horowitz, Todd S, Jiang, Yuhong V, Kudrick, Bonnie, Martinez-Conde, Susana, Mitroff, Stephen, Nebeling, LindaPhD, Saltz, Joseph, Samuelson, Frank, Seltzer, Steven E, ... Wolfe, Jeremy M.. (2022). Advancing research on medical image perception by strengthening multidisciplinary collaboration. JNCI Cancer Spectrum. 6(1), pp. 1-8. https://doi.org/10.1093/jncics/pkab099
Predictors of response rates of safety culture questionnaires in healthcare : a systematic review and analysis
Ellis, Louise A., Pomare, Chiara, Churruca, Kate, Carrigan, Ann, Meulenbroeks, Isabelle, Saba, Maree and Braithwaite, Jeffrey. (2022). Predictors of response rates of safety culture questionnaires in healthcare : a systematic review and analysis. BMJ Open. 12(9), pp. 1-7. https://doi.org/10.1136/bmjopen-2022-065320
The role of cue-based strategies in skilled diagnosis among pathologists
Carrigan, Ann J., Charlton, Amanda, Foucar, Elliott, Wiggins, Mark W., Georgiou, Andrew, Palmeri, Thomas J. and Curby, Kim M.. (2022). The role of cue-based strategies in skilled diagnosis among pathologists. Human Factors. 64(7), pp. 1154-1167. https://doi.org/10.1177/0018720821990160
Cue utilisation reduces the impact of response bias in histopathology
Carrigan, A. J., Charlton, A., Wiggins, M. W., Georgiou, A, Palmeri, T and Curby, K. M.. (2022). Cue utilisation reduces the impact of response bias in histopathology. Applied Ergonomics : Human factors in technology and society. 98, pp. 1-10. https://doi.org/10.1016/j.apergo.2021.103590
Innovative models of care for the health facility of the future : a protocol for a mixed-methods study to elicit consumer and provider views
Carrigan, Ann, Roberts, Natalie, Clay-Williams, Robyn, Hibbert, Peter, Pomare, Chiara, Mahmoud, Zeyad, Maka, Katherine, Mitchell, Rebecca, Zurynski, Yvonne, Long, Janet C., Rapport, Frances, Arnolda, Gaston, Loy, Graeme and Braithwaite, Jeffrey. (2022). Innovative models of care for the health facility of the future : a protocol for a mixed-methods study to elicit consumer and provider views. BMJ Open. 12(11), pp. 1-8. https://doi.org/10.1136/bmjopen-2021-059330
Mapping care provision for type 1 diabetes throughout Australia : A protocol for a mixed-method study
Carrigan, Ann, Lake, Rebecca, Zoungas, Sophia, Huynh, Tony, Couper, Jennifer, Davis, Elizabeth, Jones, Timothy W., Bloom, David, Braithwaite, Jeffrey and Zurynski, Yvonne. (2022). Mapping care provision for type 1 diabetes throughout Australia : A protocol for a mixed-method study. BMJ Open. 12(12), pp. 1-6. https://doi.org/10.1136/bmjopen-2022-067209
Characteristics of expert search behavior in volumetric medical image interpretation
Williams, Lauren H., Carrigan, Ann J., Mills, Megan, Auffermann, William F., Rich, Anina N. and Drew, Trafton. (2021). Characteristics of expert search behavior in volumetric medical image interpretation. Journal of Medical Imaging. 8(4), p. Article 041208. https://doi.org/10.1117/1.JMI.8.4.041208
Differentiating experience from cue utilization in radiological assessments
Carrigan, Ann J., Magnussen, John, Georgiou, Andrew, Curby, Kim M., Palmeri, Thomas J. and Wiggins, Mark W.. (2021). Differentiating experience from cue utilization in radiological assessments. Human Factors. 63(4), pp. 635-646. https://doi.org/10.1177/0018720820902576
The invisible breast cancer : Experience does not protect against inattentional blindness to clinically relevant findings in radiology
Williams, Lauren, Carrigan, Ann, Auffermann, William, Mills, Megan, Rich, Anina, Elmore, Joann and Drew, Trafton. (2021). The invisible breast cancer : Experience does not protect against inattentional blindness to clinically relevant findings in radiology. Psychonomic Bulletin and Review. 28(2), pp. 503-511. https://doi.org/10.3758/s13423-020-01826-4
The effect of cue utilization in driving on response inhibition
Greenwood, Courtney E. and Carrigan, Ann J.. (2021). The effect of cue utilization in driving on response inhibition. Applied Cognitive Psychology. 35(6), pp. 1466-1477. https://doi.org/10.1002/acp.3878
Spatial and time domain analysis of eye-tracking data during screening of brain magnetic resonance images
Suman, Abdulla Al, Russo, Carlo, Carrigan, Ann, Nalepka, Patrick, Liquet-Weiland, Benoit, Newport, Robert Ahadizad, Kumari, Poonam and Ieva, Antonio Di. (2021). Spatial and time domain analysis of eye-tracking data during screening of brain magnetic resonance images. PLoS One. 16, pp. 1-19. https://doi.org/10.1371/journal.pone.0260717
Static versus dynamic medical images : The role of cue utilization in diagnostic performance
Carrigan, Ann J., Stoodley, Paul, Ng, Kenny, Moerel, Denise and Wiggins, Mark W.. (2021). Static versus dynamic medical images : The role of cue utilization in diagnostic performance. Applied Cognitive Psychology. 35(5), pp. 1284-1296. https://doi.org/10.1002/acp.3861
What can an echocardiographer see in briefly presented stimuli? Perceptual expertise in dynamic search
Carrigan, A. J., Stoodley, P., Fernandez, F. and Wiggins, M. W.. (2020). What can an echocardiographer see in briefly presented stimuli? Perceptual expertise in dynamic search. Cognitive Research: Principles and Implications. 5(1), pp. 1-14. https://doi.org/10.1186/s41235-020-00232-7
Individual differences in echocardiography : Visual object recognition ability predicts cue utilization
Carrigan, Ann J., Stoodley, Paul, Fernandez, Fernando, Sunday, Mackenzie A. and Wiggins, Mark W.. (2020). Individual differences in echocardiography : Visual object recognition ability predicts cue utilization. Applied Cognitive Psychology. 34(6), pp. 1369-1378. https://doi.org/10.1002/acp.3711
Optimising the future of technology in organisations : A human factors perspective
Wiggins, Mark W., Auton, Jaime, Bayl-Smith, Piers and Carrigan, Ann. (2020). Optimising the future of technology in organisations : A human factors perspective. Australian Journal of Management. 45(3), pp. 449-467. https://doi.org/10.1177/0312896220918915
Exploring the effect of context and expertise on attention : is attention shifted by information in medical images?
Carrigan, Ann, Curby, Kim, Moerel, Denise and Rich, Anina N.. (2019). Exploring the effect of context and expertise on attention : is attention shifted by information in medical images? Attention, Perception and Psychophysics. 81(5), pp. 1283-1296. https://doi.org/10.3758/s13414-019-01695-7
Do target detection and target localization always go together? Extracting information from briefly presented displays
Carrigan, Ann, Wardle, Susan G. and Rich, Anina N.. (2019). Do target detection and target localization always go together? Extracting information from briefly presented displays. Attention, Perception and Psychophysics. 81(8), pp. 2685-2699. https://doi.org/10.3758/s13414-019-01782-9
Finding cancer in mammograms : if you know it’s there, do you know where?
Carrigan, Ann, Wardle, Susan G. and Rich, Anina N.. (2018). Finding cancer in mammograms : if you know it’s there, do you know where? Cognitive Research: Principles and Implications. 3(10), pp. 1-14. https://doi.org/10.1186/s41235-018-0096-5