OBJECTIVES: There are few studies exploring why adherence to clinical practice guidelines for the treatment of childhood type 1 @entity6 is suboptimal. Our objective was to describe healthcare providers' perspectives on the facilitators of and barriers to adhering to pediatric @entity6 treatment guidelines. METHODS: We fielded an electronic survey to 260 pediatric @entity6 healthcare providers (physicians, nurses, dietitians) in British Columbia, Canada, followed by qualitative interviews with a purposeful sample (N=15) of physicians and allied healthcare providers. Descriptive statistics and directed content analysis were used. RESULTS: We received 95 of 260 survey responses(37%). Of the 260 healthcare providers who received the survey, 116 were known to be working in a pediatric @entity6 centre, and 71 of 116 (61%) responded. Almost all providers were aware of (92%) and familiar with (77%) the Canadian @entity6 Association clinical practice guidelines, and most were in agreement with the recommendations. @entity1 -level factors, such as poor adherence and @entity1 /family preferences for higher glycemic targets, as well as inadequate resources (i.e. funding, mental health support), were identified as significant barriers. Qualitative interviews identified 3 key themes: 1) working collectively provincially; 2) supporting emotional and mental health and 3) frequent interactions with @entity1 . A provincial health delivery and communication model, as well as mental health support integrated into routine @entity1 care, were recommended. CONCLUSIONS: The results of this study can guide resource allocation toward key priorities, such as increased investment in mental health support for @entity1 with @entity6 . The next steps include collecting @entity1 and family perspectives on improving guideline adherence.

British Columbian Healthcare Providers' Perspectives on Facilitators and Barriers to Adhering to Pediatric XXXX Treatment Guidelines.

@entity1 :: ('9606', 'Species') :: ['children', 'patients', 'patient', 'Patient'] @entity6 :: ('MESH:D003920', 'Disease') :: ['Diabetes', 'diabetes']
@entity6 :: (MESH:D003920,Disease) :: ['Diabetes']
