{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T14:47:04Z","timestamp":1772981224124,"version":"3.50.1"},"reference-count":36,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T00:00:00Z","timestamp":1764720000000},"content-version":"vor","delay-in-days":336,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Diabetes"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study explored the perceptions of adolescents with type 1 diabetes mellitus (T1DM) regarding their self\u2010management and the impact of a diabetes specialty outpatient clinic on their quality of life (QOL) in Barbados.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A qualitative, descriptive\u2013interpretive study using semi\u2010structured online interviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Paediatric diabetes specialty outpatient clinic at the Queen Elizabeth Hospital (QEH), Barbados.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Twelve adolescents aged 13\u201317 years with T1DM for &gt;\u20091 year who attended the diabetes specialty outpatient clinic for at least 6 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Interviews were transcribed verbatim, coded using ATLAS.ti 23, and analysed thematically using a constant comparison approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three organising themes\u2014autonomy, internal resilience and clinic and social support\u2014contributed to the global theme of diabetic health literacy. Participants demonstrated varied levels of diabetes self\u2010management confidence. Clinic interactions, family support and peer understanding were key influences on autonomy and resilience. Adolescents identified a need for age\u2010appropriate communication and psychosocial support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Diabetic health literacy among Barbadian adolescents is influenced by clinical support, psychosocial resources, and educational strategies. Adolescents\u2019 autonomy should be fostered through youth\u2010centred approaches that enhance self\u2010efficacy and support transition readiness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/pedi\/5454172","type":"journal-article","created":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T06:49:21Z","timestamp":1764830961000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring the Influence of a Diabetes Specialty Outpatient Clinic on Adolescents With Type 1 Diabetes in Barbados: A Qualitative Study"],"prefix":"10.1155","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-2107-8408","authenticated-orcid":false,"given":"Gemma-Ann","family":"Benskin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1612-1037","authenticated-orcid":false,"given":"Paula Michele","family":"Lashley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,3]]},"reference":[{"key":"e_1_2_15_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ecl.2012.08.001"},{"key":"e_1_2_15_2_2","doi-asserted-by":"crossref","unstructured":"Jarosz-ChobotP. PolanskaJ. andSzadkowskaA. et al.Rapid Increase in the Incidence of Type 1 Diabetes in Polish Children From 1989 to 2004 and Predictions for 2010 to 2025 2011 54 no. 3 508\u2013515 https:\/\/doi.org\/10.1007\/s00125-010-1993-4 2-s2.0-79953757810.","DOI":"10.1007\/s00125-010-1993-4"},{"key":"e_1_2_15_3_2","volume-title":"The Promise of Adolescence: Realizing Opportunity for All Youth","author":"National Academies of Sciences, Engineering, and Medicine","year":"2019"},{"key":"e_1_2_15_4_2","doi-asserted-by":"publisher","DOI":"10.2147\/DMSO.S304347"},{"key":"e_1_2_15_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2524.2005.00577.x"},{"key":"e_1_2_15_6_2","doi-asserted-by":"publisher","DOI":"10.2337\/ds15-0041"},{"key":"e_1_2_15_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1744-6155.1998.tb00029.x"},{"key":"e_1_2_15_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0882-5963(98)80048-1"},{"key":"e_1_2_15_9_2","doi-asserted-by":"crossref","unstructured":"CarrollG. MassarelliE. andOpzoomerA. et al.Adolescents With Chronic Disease: Are They Receiving Comprehensive Health Care? Journal of Adolescent Health Care 1983 4 261\u2013264.","DOI":"10.1016\/S0197-0070(83)80008-4"},{"key":"e_1_2_15_10_2","doi-asserted-by":"publisher","DOI":"10.3390\/children9040500"},{"key":"e_1_2_15_11_2","doi-asserted-by":"publisher","DOI":"10.1136\/ewjm.175.5.293"},{"key":"e_1_2_15_12_2","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.24.10.1821"},{"key":"e_1_2_15_13_2","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.24.11.1923"},{"key":"e_1_2_15_14_2","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.21.6.915"},{"key":"e_1_2_15_15_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc18-S012"},{"key":"e_1_2_15_16_2","doi-asserted-by":"publisher","DOI":"10.2147\/RRED.S56609"},{"key":"e_1_2_15_17_2","article-title":"An Update on Juvenile Diabetes Mellitus","volume":"4","author":"Rikita G.","year":"2018","journal-title":"Journal of Childhood and Developmental Disorders"},{"key":"e_1_2_15_18_2","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hch098"},{"key":"e_1_2_15_19_2","article-title":"Quality of Life in Youths With Diabetes","volume":"42","author":"Delamater A. 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