Diabetes Collaborative Care for Young Adults: A Formative, Mixed Methods Study of a Pragmatic, Multidisciplinary Care Model for Young Adults With Diabetes in an Adult Center
Authors' conclusion
The DCCYA serves as an example of a feasible, pragmatic model of care that addresses the unique needs of young adults with diabetes.
Study context
- Population
- Patients aged 18–30 years with T1D or T2D, adult center
- Participants
- 16 vs 29
- Exposure
- Diabetes Collaborative Care for Young Adults (DCCYA) vs usual care
- DCCYAn = 16
- Usual care (UC)n = 29reference
- Outcome
- Feasibility: DCCYA follow-up visit retention rate compared to UC
- Follow-up
- 9 months
Methodological detailsnonrandomized, two-arm, formative, Data from health records, patient surveys and semistructured interviews
- Nonrandomized
- Two-arm
- Formative
- Data from health records, patient surveys and semistructured interviews
Main finding
As reported in the abstract
Mean follow-up visit retention rate
P = 0.4
Observational data: associations, not effects.
Secondary outcomes
| Outcome | DCCYA | UC | P value |
|---|---|---|---|
| Scheduled follow-up visitsMore with DCCYA | 3.9 ± 1.5 | 2.4 ± 1.3 | P = 0.002 |
Diabetes-related distress, depressed mood, anxiety, disordered eating, HbA1c
- No significant change within or between groups
Qualitative diabetes care experience
- DCCYA participants reported a positive experience and desire for diabetes-specific insurance guidance, education and mental health support
Original publication
Diabetes Collaborative Care for Young Adults: A Formative, Mixed Methods Study of a Pragmatic, Multidisciplinary Care Model for Young Adults With Diabetes in an Adult Center. Endocr Pract. Published 13 November 2025. doi:10.
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