{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T05:17:13Z","timestamp":1773033433028,"version":"3.50.1"},"reference-count":41,"publisher":"Public Library of Science (PLoS)","issue":"10","license":[{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004242","name":"Princess Nourah Bint Abdulrahman University","doi-asserted-by":"publisher","award":["scholarship no.4068"],"award-info":[{"award-number":["scholarship no.4068"]}],"id":[{"id":"10.13039\/501100004242","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Young people with Type 1 diabetes in Saudi Arabia transition from paediatric to adult care at a culturally defined age of 14, which is younger than the average transition age in Western societies. The aim of this study was to elicit the experiences of young people with Type 1 diabetes, their parents, and healthcare providers in Saudi Arabia as they transitioned from paediatric to adult care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In healthcare, Design Thinking is a human-centred approach that draws on participants\u2019 experiences and perspectives to design and develop interventions, models, or services that meet the needs of stakeholders. This study reports the first inspiration phase of the Design Thinking process. Four parallel exploration workshops were held with pre- and post-transition young people with Type 1 diabetes (n\u2009=\u200912), their parents (n\u2009=\u20098), and healthcare providers (n\u2009=\u20097).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Six key themes were identified from the workshops\u2019 data analysis. For young people, the key themes were facing the unknown and preparedness; developing autonomy and recognition as an independent person; and interacting with the adult healthcare team. For parents, the themes were navigating the shift in parental role and involvement in care, interacting with healthcare professionals, and changing support needs. For healthcare providers, the key theme was balancing independence and care approaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The Inspiration phase of the Design Thinking approach provided valuable insights from the healthcare transition experiences of young people with Type 1 diabetes, their parents, and healthcare providers in Saudi Arabia. The generated insights facilitated the identification of areas for interventions in the process\u2019s following phases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0335347","type":"journal-article","created":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T17:27:00Z","timestamp":1761758820000},"page":"e0335347","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":1,"title":["\u2018You decided I am old enough for the transition, but not old enough to have a say?\u2019: Exploring young people\u2019s, parents\u2019, and healthcare providers\u2019 views and experiences of Type 1 Diabetes paediatric to adult healthcare transition in Saudi Arabia"],"prefix":"10.1371","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9979-3834","authenticated-orcid":true,"given":"Nada","family":"Aljohani","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3331-755X","authenticated-orcid":true,"given":"Angus","family":"Forbes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ghufran","family":"Daqrashawi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mette","family":"Due-Christensen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Donetto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariam","family":"Asaad","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vicki","family":"Tsianakas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2025,10,29]]},"reference":[{"key":"pone.0335347.ref001","volume-title":"IDF T1D Index Report","author":"International Diabetes Federation","year":"2022"},{"issue":"4","key":"pone.0335347.ref002","article-title":"Transition of care for adolescents from paediatric services to adult health services","volume":"4","author":"F Campbell","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"issue":"6","key":"pone.0335347.ref003","doi-asserted-by":"crossref","first-page":"1018","DOI":"10.2337\/dc18-2187","article-title":"Closing the gap: results of the multicenter canadian randomized controlled trial of structured transition in young adults with type 1 diabetes","volume":"42","author":"T Spaic","year":"2019","journal-title":"Diabetes Care"},{"key":"pone.0335347.ref004","volume-title":"National Diabetes Transition Audit 2003-2014","author":"NHS Digital","year":"2017"},{"issue":"4","key":"pone.0335347.ref005","doi-asserted-by":"crossref","first-page":"758","DOI":"10.1007\/s00125-020-05368-1","article-title":"Improved transition to adult care in youth with type 1 diabetes: a pragmatic clinical trial","volume":"64","author":"S Butalia","year":"2021","journal-title":"Diabetologia"},{"issue":"2","key":"pone.0335347.ref006","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1016\/j.jadohealth.2016.09.004","article-title":"Clinical and psychosocial outcomes of a structured transition program among young adults with type 1 diabetes","volume":"60","author":"EA Pyatak","year":"2017","journal-title":"J Adolesc Health"},{"key":"pone.0335347.ref007","doi-asserted-by":"crossref","first-page":"1773726","DOI":"10.1155\/2024\/1773726","article-title":"The journey to adulthood: a systematic review of interventions in type 1 diabetes paediatric to adult transition care","volume":"2024","author":"N Aljohani","year":"2024","journal-title":"Pediatr Diabetes"},{"key":"pone.0335347.ref008","volume-title":"Adolescence in the 21st century: constants and challenges","author":"FR Spielhagen","year":"2013"},{"key":"pone.0335347.ref009","unstructured":"Saudi Ministry of Interior. 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