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. Author manuscript; available in PMC: 2018 Dec 1.
Published in final edited form as: Clin Pract Pediatr Psychol. 2017 Dec;5(4):415–425. doi: 10.1037/cpp0000211

Table 3.

Representative Themes and Quotes.

Theme Quotes
1. HCP interaction style:
  • -

    Value warm, supportive interaction style

  • -

    Value straightforward approach to care

  • -

    Perceive less warmth, support when glycemic control is pool

“She cares about her patients on a personal level.”
“She definitely does listen to me; t’s refreshing to have a physician who cares that much.”
“She’s very straightforward. She doesn’t fool around, she just tells you what you need to do.”
“I like the bluntness and the openness that she provides.”
“I don’t like the way the visits go now because I’m not doing well.”
2. HCP Consistency:
  • -

    Value ability to develop relationship with HCP over time

  • -

    Challenges when HCPs change

“The fact that she recognizes me when I walk into the clinic, or remembers something I said in my last appointment, is nice to know that she actually knows who I am as a human being, and I think that’s really important.”
“I’ve had no feelings toward all of them except for one, my first one, and I despised her…[My HCP is] going to leave anyway, or I’m going to leave before she leaves.”
3. Support for autonomy:
  • -

    Value HCPs who encourage shared-decision making

  • -

    Value HCPs who direct information to them vs parents

“She gives me more options about how to treat things. I have more input.”
“She always asks me if I disagree or agree with any changes that she’s making.”
“She’ll ask me first, and then if I don’t know the answer to something we’ll go over to my parents.”
“She’s always directed and looking at me.”
4. Parental involvement in medical care:
  • -

    Value parents who appropriately decrease involvement in daily diabetes care

  • -

    May directly ask parents to decrease involvement in health communication

“They’re less involved but they’re still concerned. They’ll ask how the doctor’s appointment was and what we talked about, but in a very respectful manner. They’re not overbearing in the information that they want me to provide to them.”
“I think the last time my mom asked a question, and I was like “I could have told you the answer to that” and I talked about that with her, so today they didn’t really ask any questions.”
“When my mom went in with me, she would talk over me and take over the whole appointment.”
5. Emerging adult comfort with disclosure:
  • -

    Comfortable with discussing risky behaviors with HCP

  • -

    May struggle to initiate questions related to risky behaviors

“I feel much more comfortable talking to her about pretty much anything; like ‘hey, I’m having a problem with this, and it’s kind of personal and embarrassing, but it’s an issue.’”
“I’m always forthcoming with her about risky behavior – if I’m putting something into my body, I want to know what it’s going to do to my diabetes.”