Table 4 Refinements in the D1 Now intervention components
Issue identified by qualitative research | D1 Now intervention feature addressing this issue |
|---|---|
Florence | |
Some Florence messages need to be edited—language used | Language of some messages changed |
Some Florence protocols need to be edited—amount of out of target BG messages to trigger breach message | Protocol changed from one out of target BG message to three |
Unclear who sets the target BG level for the YA | All HCPs using the intervention will be asked to set this target in conjunction with the YA |
Florence needs to be individualised for every person | This will now be a key role for the support worker |
Concern around who would provide clinical oversight of data generated by Florence | This will now be a key role for the support worker |
Agenda Setting Tool | |
Parts of the AST are not needed as the information is already in the medical record | The “clinical notes” section has been removed—AST is now two pages rather than three |
The AST is too long | The “clinical notes” section has been removed—AST is now two pages rather than three |
The AST does not feel YA focused | Discussion topics added (drugs, college, healthy eating) and some removed |
Where should the AST be stored? | Scanned and stored on clinic computer system |
Key worker | |
YAs and HCPs were unsure if the key worker should be internal or external to the clinic | This will be tested in the pilot RCT |
The name “keyworker” implies mental health or social worker—“support worker” is preferred | Name of role has now been changed to “support worker” |
The support worker should have clinical experience | This is now part of the job description |
Different possible backgrounds identified for the support worker | This is reflected in the job description |