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/).

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