Emerging Adults with Diabetes in Safety-Net Care: Self-Management Influences and Patient-Provider Interactions

Area of Science:

• Endocrinology
• Public Health
• Behavioral Medicine

Background:

• Emerging adults with diabetes are an understudied demographic, especially in underserved communities.
• Their unique needs may differ significantly from older adult populations.
• Understanding their perspectives is crucial for effective diabetes management.

Purpose of the Study:

• To investigate the perspectives of underserved emerging adults on influences affecting diabetes self-management.
• To explore their experiences and expectations regarding patient-provider interactions in diabetes care.

Main Methods:

• Qualitative study employing focus groups and interviews.
• Participants were emerging adults receiving care in a safety-net health care setting.
• Data collection focused on self-management influences and patient-provider dynamics.

Main Results:

• Diabetes was perceived as a psychological burden, exacerbated by lifestyle demands and financial constraints.
• Participants viewed clinic visits primarily for supplies, desiring more tailored, stage-appropriate guidance.
• Positive provider relationships, encouragement, and peer/family support were highly valued.

Conclusions:

• Healthcare providers and systems must adapt to offer tailored informational and emotional support.
• Facilitating stronger patient-provider relationships can optimize diabetes management between visits.
• Addressing financial barriers and psychosocial needs is essential for this population.