Supportive use of digital technologies during transition to adult healthcare for young people with long-term conditions, focusing on Type 1 diabetes mellitus:A scoping review

Orpin, Joy, Rodriguez, Alison, Harrop, Deborah, Mills, Elizabeth, Campbell, Fiona, Martin-Kerry, Jacqueline, Turner, James, Horsman, Janet, Painter, Jon, Julian, Maddie, Dimitri, Paul, Howsley, Philippa and Swallow, Veronica (2025) Supportive use of digital technologies during transition to adult healthcare for young people with long-term conditions, focusing on Type 1 diabetes mellitus:A scoping review. Journal of Child Health Care, 29 (1). pp. 204-221. ISSN 1367-4935

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Abstract

Type 1 diabetes mellitus (T1DM) is the second most common chronic or long-term condition (LTC) affecting young people (YP); when transitioning from paediatric to adult healthcare, young people with LTCs such as T1DM are expected to self-manage medication, diet and clinical appointments. This scoping review aimed to analyse research examining ways digital health technologies were used to support YP with LTCs during transition from paediatric to adult healthcare and to establish YP’s needs, experiences and challenges when transitioning. We aimed to identify knowledge gaps and inform development of a novel chatbot with components such as avatars and linked videos to help YP with T1DM gain self-management confidence and competence during transition. Nineteen studies identified through searching five electronic databases were included in this review. A combination of digital health technologies was used to support transition of YP with LTCs to adult healthcare. Barriers to successful transition were reported and YP described the importance of social relationships and transition readiness and expressed the need for individualised interventions that acknowledge social factors such as work and college. No supportive chatbots with components to help YP with T1DM were identified. This contribution will inform future development and evaluation of such a chatbot.

Item Type:	Article
Additional Information:	We wish to dedicate this manuscript to our colleague Dr Deborah Harrop who developed the review protocol, undertook the literature search and reviewed literature; sadly, Deb passed away during the manuscript writing process.
Uncontrolled Keywords:	adolescent and young adult,chronic disease,diabetes mellitus,digital technology,transition to adult care,type 1,pediatrics, perinatology, and child health,pediatrics ,/dk/atira/pure/subjectarea/asjc/2700/2735
Faculty \ School:	Faculty of Medicine and Health Sciences > School of Health Sciences
Related URLs:	http://www.scopus.com/inward/record.url?...
Depositing User:	LivePure Connector
Date Deposited:	26 Jan 2026 15:30
Last Modified:	26 Jan 2026 15:30
URI:	https://ueaeprints.uea.ac.uk/id/eprint/101725
DOI:	10.1177/13674935231184919

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