{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T12:48:51Z","timestamp":1787316531038,"version":"build-2736575974"},"reference-count":63,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2023,8,27]],"date-time":"2023-08-27T00:00:00Z","timestamp":1693094400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100007602","name":"Programme Grants for Applied Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007602","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet Med"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Children and young people with diabetes (CYPD) from socio\u2010economically deprived and\/or ethnic minority groups tend to have poorer glucose control and greater risk of diabetes\u2010related complications. In this systematic review of qualitative evidence (qualitative evidence synthesis, QES), we aimed to explore the experiences and views of clinical encounters in diabetes care from the perspectives of CYPD and their family\/carers from underserved communities and healthcare professionals in diabetes care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We searched 6 databases to March 2022 with extensive search terms, and used a thematic synthesis following methods of Thomas and Harden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We identified 7 studies and described 11 descriptive themes based on primary and secondary constructs. From these, three \u201canalytical themes\u201d were developed. (1) \u201cAlienation of CYPD\u201d relates to their social identity and interaction with peers, family and health service practitioners in the context of diabetes self\u2010 and family\/carer management and is impacted by communication in the clinical encounter. (2) \u201cEmpowerment of CYPD and family\/carers\u201d explores families' understanding of risks and consequences of diabetes and taking responsibility for self\u2010 and family\/carer management in the context of their socio\u2010cultural background. (3) \u201cIntegration of diabetes (into self and family)\u201d focuses on the ability to integrate diabetes self\u2010management into the daily lives of CYPD and family\/carers beyond the clinical consultation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The analytical themes are interdependent and provide a conceptual framework from which to explore and strengthen the therapeutic alliance in clinical encounters and to foster greater concordance with treatment plans. Communicating the biomedical aspects of managing diabetes in the clinical encounter is important, but should be balanced with addressing socio\u2010emotional factors important to CYPD and family\/carers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dme.15197","type":"journal-article","created":{"date-parts":[[2023,8,13]],"date-time":"2023-08-13T10:13:00Z","timestamp":1691921580000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Views of children with diabetes from underserved communities, and their families on diabetes, glycaemic control and healthcare provision: A qualitative evidence synthesis"],"prefix":"10.1111","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3719-6361","authenticated-orcid":false,"given":"Theresa H.","family":"Moore","sequence":"first","affiliation":[{"name":"NIHR Applied Research Collaboration West (ARC West) at University Hospitals Bristol and Weston NHS Foundation Trust  Bristol UK"},{"name":"Population Health Sciences, Bristol Medical School University of Bristol  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Dawson","sequence":"additional","affiliation":[{"name":"NIHR Applied Research Collaboration West (ARC West) at University Hospitals Bristol and Weston NHS Foundation Trust  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Wheeler","sequence":"additional","affiliation":[{"name":"NIHR Applied Research Collaboration West (ARC West) at University Hospitals Bristol and Weston NHS Foundation Trust  Bristol UK"},{"name":"Population Health Sciences, Bristol Medical School University of Bristol  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julian","family":"Hamilton\u2010Shield","sequence":"additional","affiliation":[{"name":"University Hospitals Bristol and Weston NHS Foundation Trust  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy G.","family":"Barrett","sequence":"additional","affiliation":[{"name":"Institute of Cancer and Genomic Sciences College of Medical and Dental Sciences, University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabi","family":"Redwood","sequence":"additional","affiliation":[{"name":"NIHR Applied Research Collaboration West (ARC West) at University Hospitals Bristol and Weston NHS Foundation Trust  Bristol UK"},{"name":"Population Health Sciences, Bristol Medical School University of Bristol  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1169-5392","authenticated-orcid":false,"given":"Ian","family":"Litchfield","sequence":"additional","affiliation":[{"name":"IOEM Institute of Applied Health Research, University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheila M.","family":"Greenfield","sequence":"additional","affiliation":[{"name":"IOEM Institute of Applied Health Research, University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aidan","family":"Searle","sequence":"additional","affiliation":[{"name":"NIHR Bristol Biomedical Research Centre Nutrition theme University Hospitals Bristol and Weston NHS Foundation Trust and the University of Bristol  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the Diversity in Diabetes (DID) Consortium Members","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,8,27]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Royal College of Paediatrics and Child Health.State of child health diabetes.2021. 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