Navigating Transition to Adult Care in Youth-Onset Type 2 Diabetes: Facilitators, Attitudes, Barriers, and Behaviors
Authors' conclusion
Mood symptoms and difficulties with organizational cognitive functioning were commonly reported in Y-T2D during the transitioning period. Interventions are needed to successfully address these psychosocial factors.
Study context
- Population
- Youth with or at risk for youth-onset T2D (Y-T2D) attending an adult diabetes transition clinic; age 19.6 ± 2.0 years; 85% Y-T2D, 15% prediabetes; 57% female; 78% Black; BMI 38.0 ± 8.2; HbA1c 7.6 ± 2.7%response rate 89%
- Participants
- 65 participants
- Outcome
- Transition readiness and perceived challenges
Methodological detailssurvey, mixed methods (qualitative analysis in a subset), Transition readiness assessed with the Endocrine Society self-assessment questionnaire; mood with Patient Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder (GAD-7); logistic regression
- Survey
- Mixed methods (qualitative analysis in a subset)
- Transition readiness assessed with the Endocrine Society self-assessment questionnaire; mood with PHQ-9 and GAD-7; logistic regression
Main finding
As reported in the abstract
Perceived challenges reported
95%
Worrying about their future
54%
Observational data: associations, not effects.
Further findings
Perceived barriers to diabetes self-care (qualitative)
- Stress, socioeconomic difficulties and challenges with organizational cognitive functioning were reported barriers
Original publication
Navigating Transition to Adult Care in Youth-Onset Type 2 Diabetes: Facilitators, Attitudes, Barriers, and Behaviors. J Clin Endocrinol Metab. Published 15 April 2025. doi:10.
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