Exploring the Influence of a Diabetes Specialty Outpatient Clinic on Adolescents With Type 1 Diabetes in Barbados: A Qualitative Study
Authors' conclusion
Diabetic health literacy among Barbadian adolescents is influenced by clinical support, psychosocial resources, and educational strategies. Adolescents' autonomy should be fostered through youth-centred approaches that enhance self-efficacy and support transition readiness.
Study context
- Population
- Adolescents aged 13–17 years with T1D for > 1 year attending the paediatric diabetes specialty outpatient clinic for ≥6 months, Queen Elizabeth Hospital (QEH), Barbados
- Participants
- 12 adolescents
- Outcome
- Perceptions of self-management and impact of a diabetes specialty outpatient clinic on quality of life
Methodological detailssemi-structured online interviews, thematic analysis, constant comparison approach, single-centre, Interviews transcribed verbatim, coded using ATLAS.ti 23, analysed thematically
- Semi-structured online interviews
- Thematic analysis
- Constant comparison approach
- Single-centre
- Interviews transcribed verbatim, coded using ATLAS.ti 23, analysed thematically
Main finding
As reported in the abstract
Themes
- Three organising themes (autonomy, internal resilience, clinic and social support) contributed to the global theme of diabetic health literacy
- Varied levels of diabetes self-management confidence
- Clinic interactions, family support and peer understanding were key influences on autonomy and resilience
- Adolescents identified a need for age-appropriate communication and psychosocial support
Original publication
Exploring the Influence of a Diabetes Specialty Outpatient Clinic on Adolescents With Type 1 Diabetes in Barbados: A Qualitative Study. Pediatr Diabetes. Published 3 December 2025. doi:10.
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