Young people's views on psychological therapy within an outpatient paediatric diabetes service

The evidence base for the efficacy of psychological intervention in paediatric diabetes is substantial, yet little research exists exploring young people’s opinions of the psychological support offered within their diabetes service. The current study investigated the experiences of adolescents with type 1 diabetes who received psychological therapy, and asked what they thought was helpful in bringing about change. Qualitative semi-structured interviews were conducted with eight adolescents. Thematic analysis was employed to identify common themes. The results suggest an overall positive and helpful impression of psychological therapy. Consistent with previous research investigating therapeutic change, factors such as psychologist characteristics, therapeutic activities and external factors were identified as facilitating change. Additional important themes were identified by adolescents with diabetes such as: the impact of feelings of isolation; potential anxieties about engaging with psychology; and young people’s personal willingness to change. The implications for clinical practice are discussed.