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Table 4 Refinements in the D1 Now intervention components

From: Supporting self-management and clinic attendance in young adults with type 1 diabetes: development of the D1 Now intervention

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