{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T08:15:49Z","timestamp":1777882549731,"version":"3.51.4"},"reference-count":38,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2024,6,21]],"date-time":"2024-06-21T00:00:00Z","timestamp":1718928000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Science of Diabetes Self-Management and Care"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of the study was to explore the shared medical appointment model (SMA) with youth with type 2 diabetes (T2DM) and their caregivers to identify health education needs, access barriers, and recommendations for intervention design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patient and caregiver focus group interviews were conducted in English and Spanish to address these objectives: (1) identify barriers to participation in group sessions, (2) identify barriers to diabetes self-management, and (3) prioritize preference for SMA themes. Qualitative analysis identified strategies for patient recruitment and engagement and recommendations for curriculum design of a future SMA model for youth with T2DM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Both adolescents and caregivers supported the development of an SMA model. Adolescents expressed concerns of initial discomfort and nervousness, whereas young adults described stigma as the main barrier to joining a group. Patients emphasized the importance of prioritizing youth comfort and families\u2019 convenience. Early adolescents and young adults preferred autonomy in the choice to join a group, whereas mid adolescents and caregivers preferred that the caregivers make that decision. Participants recommended nine topics regarding barriers to diabetes care. The topics that received the most enthusiasm were nutrition, exercise, navigating peer interactions, and stress management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Youth with T2DM and their caregivers perceived many benefits of an SMA model and provided feedback to guide the development of a health education curriculum that could be integrated into an SMA clinic.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26350106241258999","type":"journal-article","created":{"date-parts":[[2024,6,21]],"date-time":"2024-06-21T03:46:09Z","timestamp":1718941569000},"page":"287-297","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Qualitative Study Guiding the Design of a Person-Centered Shared Medical Appointment Model to Optimize Diabetes Care Delivery"],"prefix":"10.1177","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2381-0669","authenticated-orcid":false,"given":"Caitlin S.","family":"Sayegh","sequence":"first","affiliation":[{"name":"Department of Pediatrics, University of Southern California Keck School of Medicine, Los Angeles, California"},{"name":"Division of General Pediatrics, Children\u2019s Hospital Los Angeles, Los Angeles, California"},{"name":"Division of Adolescent and Young Adult Medicine, Children\u2019s Hospital Los Angeles, Los Angeles, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenia","family":"Carrera Diaz","sequence":"additional","affiliation":[{"name":"Psychology Postdoctoral Fellowship, Children\u2019s Hospital Los Angeles, Los Angeles, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Josephine","family":"Smith","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Children\u2019s Hospital Los Angeles, Los Angeles, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0149-4386","authenticated-orcid":false,"given":"Nancy","family":"Chang","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Children\u2019s Hospital Los Angeles, Los Angeles, California"},{"name":"Department of Pediatrics, University of Southern California Keck School of Medicine, Los Angeles, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lily C.","family":"Chao","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Children\u2019s Hospital Los Angeles, Los Angeles, California"},{"name":"Department of Pediatrics, University of Southern California Keck School of Medicine, Los Angeles, California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,6,21]]},"reference":[{"key":"bibr1-26350106241258999","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.11165"},{"key":"bibr2-26350106241258999","doi-asserted-by":"publisher","DOI":"10.2337\/dc12-0669"},{"key":"bibr3-26350106241258999","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2100165"},{"key":"bibr4-26350106241258999","doi-asserted-by":"publisher","DOI":"10.1111\/pedi.12906"},{"key":"bibr5-26350106241258999","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2010-1642"},{"key":"bibr6-26350106241258999","doi-asserted-by":"publisher","DOI":"10.2337\/dc11-0431"},{"key":"bibr7-26350106241258999","volume-title":"Understanding Barriers to Self-Management Among Latino Adolescents With Type 2 DM","author":"Chang NT.","year":"2017"},{"key":"bibr8-26350106241258999","doi-asserted-by":"publisher","DOI":"10.2337\/dc16-1066"},{"key":"bibr9-26350106241258999","doi-asserted-by":"publisher","DOI":"10.1007\/s10880-014-9395-2"},{"key":"bibr10-26350106241258999","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-0237"},{"key":"bibr11-26350106241258999","doi-asserted-by":"publisher","DOI":"10.1177\/2164956120973979"},{"key":"bibr12-26350106241258999","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcd.2015.09.003"},{"key":"bibr13-26350106241258999","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcd.2019.08.009"},{"key":"bibr14-26350106241258999","doi-asserted-by":"publisher","DOI":"10.1111\/pedi.13212"},{"key":"bibr15-26350106241258999","doi-asserted-by":"publisher","DOI":"10.1111\/pedi.12373"},{"key":"bibr16-26350106241258999","doi-asserted-by":"publisher","DOI":"10.1177\/0145721718776597"},{"key":"bibr17-26350106241258999","doi-asserted-by":"publisher","DOI":"10.1079\/pns2004399"},{"key":"bibr18-26350106241258999","doi-asserted-by":"crossref","unstructured":"Frey JH. 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