{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T15:07:51Z","timestamp":1772204871383,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2020,7,7]],"date-time":"2020-07-07T00:00:00Z","timestamp":1594080000000},"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","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":[[2020,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Young adults (18\u201025 years old) living with type 1 diabetes mellitus often have sub\u2010optimal glycaemic levels which can increase their risk of long term diabetes complications. Informed by health psychology theory and using a (public and patient involvement) young adult\u2010centred approach, we have developed a complex intervention, entitled D1 Now, to improve outcomes in this target group. The D1 Now intervention includes three components; 1) a support\u2010worker, 2) an interactive messaging system and 3) an agenda setting tool for use during clinic consultations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>The aim of the D1 Now pilot study is to gather and analyse acceptability and feasibility data to allow us to (1) refine the D1 Now intervention, and (2) determine the feasibility of a definitive Randomised Control Trial (RCT) of the intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Diabetes clinics on the island of Ireland will be recruited and randomised to a D1 Now intervention arm or a usual care control arm. For a participant to be eligible they should be 18\u201025 years old and living with type 1 diabetes for at least 12 months. Participant outcomes (influenced by a Core Outcome Set) include change in HbA1c, clinic attendance, number of episodes of severe hypoglycaemia and of diabetic ketoacidosis, diabetes distress, self\u2010management, quality of life and perceived level of control over diabetes; these will be will be measured at baseline and after 12 months follow\u2010up for descriptive statistics only. An assessment of treatment fidelity, a health economic analysis and a qualitative sub\u2010study will also be incorporated into the pilot study. ISRCTN (ref: ISRCTN74114336).<\/jats:p><\/jats:sec>","DOI":"10.1111\/dme.14337","type":"journal-article","created":{"date-parts":[[2020,6,8]],"date-time":"2020-06-08T17:20:20Z","timestamp":1591636820000},"page":"1590-1604","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Improving Outcomes Among Young Adults with type 1 diabetes: The D1 Now Randomised Pilot Study Protocol"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9086-1258","authenticated-orcid":false,"given":"B.","family":"Casey","sequence":"first","affiliation":[{"name":"Physical Activity for Health Cluster Health Research Institute University of Limerick Limerick Ireland"},{"name":"Health Behaviour Change Research Group School of Psychology NUI Galway Galway Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Byrne","sequence":"additional","affiliation":[{"name":"Health Behaviour Change Research Group School of Psychology NUI Galway Galway Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Casey","sequence":"additional","affiliation":[{"name":"School of Nursing &amp; Midwifery NUI Galway Galway Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Gillespie","sequence":"additional","affiliation":[{"name":"Health Economics &amp; Policy Analysis Centre Centre for Research in Medical Devices NUI Galway Galway Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Hobbins","sequence":"additional","affiliation":[{"name":"Centre for Research in Medical Devices (C\u00faram) and Health Economics and Policy Analysis Centre (HEPAC) NUI Galway Galway Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Newell","sequence":"additional","affiliation":[{"name":"School of Mathematics Statistics &amp; Applied Mathematics NUI Galway Galway Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Morrissey","sequence":"additional","affiliation":[{"name":"Health Behaviour Change Research Group School of Psychology NUI Galway Galway Ireland"},{"name":"School of Nursing &amp; Midwifery NUI Galway Galway Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6636-0493","authenticated-orcid":false,"given":"S. F.","family":"Dinneen","sequence":"additional","affiliation":[{"name":"School of Medicine NUI Galway Galway Ireland"},{"name":"Centre for Diabetes Endocrinology and Metabolism Galway University Hospitals Galway Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,7,7]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.12676"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.12688\/hrbopenres.12803.2"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.13276"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40900-017-0068-9"},{"issue":"6","key":"e_1_2_8_6_1","doi-asserted-by":"crossref","first-page":"e001392","DOI":"10.1136\/bmjopen-2012-001392","article-title":"A cross\u2010sectional survey and service evaluation of simple telehealth in primary care: what do patients think?","volume":"2","author":"Cottrell E","year":"2012","journal-title":"BMJ open"},{"key":"e_1_2_8_7_1","unstructured":"IrwinS DeP.Use of an innovative Technology Enabled Care service (TECS). 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