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Our aim was to co\u2010design and implement a nested endocrine and metabolic model of care called CF Endocrine for adults with CF that aligned with consumer and healthcare provider priorities and addressed emerging service gaps in the post\u2010modulator era. Using mixed\u2010methods and implementation science methodologies, we designed and conducted surveys, audits and workshops to define service priorities and referral pathways and workflows. In total, 17% of adults attending our CF centre participated in the survey and reported lifestyle optimisation, weight management and diabetes prevention as leading consumer concerns. Four service arms were developed: (i) diabetes support, (ii) bone health, (iii) metabolic health and (iv) reproductive\/sexual health. Providers showed strong alignment with consumer priorities and endorsed integration and feasibility of the new nested CF Endocrine service.<\/jats:p>","DOI":"10.1111\/imj.70534","type":"journal-article","created":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T15:25:57Z","timestamp":1784129157000},"page":"1825-1830","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Aligning clinical care with consumer priorities: an adult cystic fibrosis centre experience of co\u2010designing a model of care"],"prefix":"10.1111","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5456-2699","authenticated-orcid":false,"given":"Shanal","family":"Kumar","sequence":"first","affiliation":[{"name":"The Adult Cystic Fibrosis Centre (ACFC) The Prince Charles Hospital  Chermside Queensland Australia"},{"name":"Faculty of Health, Medicine and Behavioural Sciences The University of Queensland  St Lucia Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa","family":"Moore","sequence":"additional","affiliation":[{"name":"The Adult Cystic Fibrosis Centre (ACFC) The Prince Charles Hospital  Chermside Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Smith","sequence":"additional","affiliation":[{"name":"The Adult Cystic Fibrosis Centre (ACFC) The Prince Charles Hospital  Chermside Queensland Australia"},{"name":"Faculty of Health, Medicine and Behavioural Sciences The University of Queensland  St Lucia Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8553-4786","authenticated-orcid":false,"given":"Angela","family":"Matson","sequence":"additional","affiliation":[{"name":"The Adult Cystic Fibrosis Centre (ACFC) The Prince Charles Hospital  Chermside Queensland Australia"},{"name":"Department of Dietetics and Nutrition The Prince Charles Hospital  Chermside Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,15]]},"reference":[{"key":"e_1_2_5_2_1","unstructured":"AhernS PourghaderiAR RuseckaiteR HallI LimanJet al.on behalf of the ACFDR. 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