{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:15:04Z","timestamp":1791764104220,"version":"4.3.4"},"reference-count":19,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,7,25]],"date-time":"2019-07-25T00:00:00Z","timestamp":1564012800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001590","name":"Health Research Board","doi-asserted-by":"publisher","award":["HRA\u2010HSR\u20102015\u20101233"],"award-info":[{"award-number":["HRA\u2010HSR\u20102015\u20101233"]}],"id":[{"id":"10.13039\/501100001590","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet. Med."],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>This study aimed to identify the ways in which adolescents living with Type 1 diabetes and their parents communicate about Type 1 diabetes management with healthcare professionals in a clinical setting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Twenty\u2010nine adolescents (aged 11\u201317\u00a0years) and their parents were purposively recruited from two outpatient clinics for non\u2010participant observations. Outpatient clinic appointments, which consisted of multiple consultations with healthcare professionals, were observed and audio\u2010recorded. Outpatient clinic appointments were categorized based on the nature and extent of communication by the adolescent and their parent(s) in relation to Type 1 diabetes management activities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Data from 29 outpatient clinic appointments, consisting of a total of 68 observed consultations, were analysed and a continuum consisting of three patterns of communication was identified (parent\u2010led, collaborative and adolescent\u2010led). Healthcare professionals should attend to the nature and extent of communication by adolescents and their parents in relation to Type 1 diabetes management activities because parent and adolescent engagement in communication during clinic appointments may also reflect their degree of involvement in daily Type 1 diabetes management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This continuum provides a framework for healthcare professionals to use to identify communication patterns in consultations which in turn may allow healthcare professionals to encourage more effective communication about Type 1 diabetes management from adolescents and their parents in clinic consultations. This may have a positive impact on the sharing of Type 1 diabetes management responsibilities and adolescents\u2019 developing self\u2010management skills as roles change during this developmental period.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dme.14075","type":"journal-article","created":{"date-parts":[[2019,7,11]],"date-time":"2019-07-11T16:53:28Z","timestamp":1562864008000},"page":"785-796","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Parent and adolescent communication with healthcare professionals about Type 1 diabetes management at adolescents\u2019 outpatient clinic appointments"],"prefix":"10.1111","volume":"37","author":[{"given":"C.","family":"Rawdon","sequence":"first","affiliation":[{"name":"School of Nursing and Human Sciences Dublin City University Dublin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Gallagher","sequence":"additional","affiliation":[{"name":"School of Nursing and Human Sciences Dublin City University Dublin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Glacken","sequence":"additional","affiliation":[{"name":"Institute of Technology Sligo Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Swallow","sequence":"additional","affiliation":[{"name":"School of Healthcare University of Leeds Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4396-5462","authenticated-orcid":false,"given":"V.","family":"Lambert","sequence":"additional","affiliation":[{"name":"School of Nursing and Human Sciences Dublin City University Dublin"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,7,25]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)60568-7"},{"key":"e_1_2_11_3_1","first-page":"278","article-title":"The incidence of childhood type 1 diabetes in Ireland and the National Childhood Diabetes Register","volume":"107","author":"Roche EF","year":"2014","journal-title":"Ir Med J"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.2002.02061.x"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11892-013-0420-x"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2003.04.008"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/1363459308099683"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/pedi.12702"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2013.11.024"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2014.09.006"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-5448.2009.00603.x"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2010.03692.x"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11892-014-0546-5"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2006.01.034"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2524.2005.00577.x"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1037\/cpp0000211"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedhc.2007.12.008"},{"key":"e_1_2_11_18_1","first-page":"610","volume-title":"Encyclopedia of Case Study Research","author":"Liu F","year":"2010"},{"key":"e_1_2_11_19_1","volume-title":"Participant Observation","author":"Spradley JP","year":"1980"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2005.06.001"}],"container-title":["Diabetic Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fdme.14075","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/dme.14075","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/dme.14075","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/dme.14075","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T18:58:17Z","timestamp":1694026697000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/dme.14075"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7,25]]},"references-count":19,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2020,5]]}},"alternative-id":["10.1111\/dme.14075"],"URL":"https:\/\/doi.org\/10.1111\/dme.14075","archive":["Portico"],"relation":{},"ISSN":["0742-3071","1464-5491"],"issn-type":[{"value":"0742-3071","type":"print"},{"value":"1464-5491","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,7,25]]},"assertion":[{"value":"2019-07-09","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-07-25","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}