Type 1 diabetes

The transition from childhood to adulthood in diabetes care: A qualitative evidence synthesis

Diabet MedPublished Qualitative evidence synthesis

Authors' conclusion

This systematic review of qualitative studies highlights the need to address the unique challenges of adolescents and young adults when transferred from paediatric to adult diabetes care and improve quality transition programmes. A smooth transition process demands a personalised approach from HCPs and system-level coordination across care teams is essential for supporting successful engagement within adult diabetes care.

Study context

Population
Qualitative studies of the transition process and transfer from paediatric to adult diabetes care; data from patients, parents/caregivers and healthcare professionalspublications included
Participants
15 participants
Outcome
Origin of included publications
Methodological detailssystematic review, thematic synthesis, PRISMA criteria, Critical Appraisal Skills Programme quality assessment, articles published in English between 2018 and 2023
  • Systematic review
  • Thematic synthesis
  • PRISMA criteria
  • Critical Appraisal Skills Programme quality assessment
  • Articles published in English between 2018 and 2023

Pooled result

As reported in the abstract

  • Two-thirds were from North America

Further pooled results

Key themes

(1) Expectation of greater autonomy/independence for the person with diabetes (PWD)
(2) Loss of paediatric provider and insecurity about new healthcare provider (HCP)
(3) Lack of formal preparation for the transition from paediatrics to adult care

Perceived strengths and weaknesses of transition programmes

Underscore the need for a proactive approach, supporting a smooth transfer and facilitating the young person's independence and self-management capacity

Original publication

The transition from childhood to adulthood in diabetes care: A qualitative evidence synthesis. Diabet Med. Published 10 November 2026. doi:10.1111/dme.70519

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