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Contributions of digital technologies for resilience capacity in a type 1 diabetes transition clinic : A qualitative study
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
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
Author
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.
Keywords
resilient healthcare, diabetes, technology
Date
2025
Type
Journal article
Journal
Applied Ergonomics
Book
Volume
122
Issue
Page Range
1-12
Article Number
Article 104392
ACU Department
School of Behavioural and Health Sciences
Faculty of Health Sciences
Faculty of Health Sciences
Relation URI
Source URL
Event URL
Open Access Status
Published as ‘gold’ (paid) open access
License
CC BY 4.0
File Access
Open
Notes
© 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/).