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Table 10 Practice implications

From: A mixed methods study to evaluate the feasibility of using the Adolescent Diabetes Needs Assessment Tool App in paediatric diabetes care in preparation for a longitudinal cohort study

Reach • Lead clinician’s support required alongside a team approach to foster integration, normalisation and consistency in the messages given to patients and their carers
Effectiveness (potential and perceived) • Time between patients’ completions and clinic reviews critical to success
Adoption • Access to technical support and iPads with SIM cards to overcome Wi-Fi problems in clinics
• Staff training: use an activity style of learning and limit to a maximum of 4 h to support team working and the tailoring of ADNAT for each team
• Include expert patients in the training to provide insights into their ADNAT experiences to support connections between theory and practice
Implementation/maintenance: • Consents to be taken in clinic, followed by instructions at a later date in patients’ appointment letters
• ADNAT to be completed at home prior to their clinic consultation, supported by automatic text reminders
• Short time span needed between patients’ completions of ADNAT and follow-up reviews
ADNAT requires:
• Section for patients to ask for immediate feedback/help from diabetes teams
• Short on-line reports, i.e. ADNAT profiles for each patient for practitioners
• Less threatening feedback response for patients to overcome potential negative responses to the (red) traffic light feedback system