Adolescents with Type 1 diabetes mellitus (T1DM) are a high risk group due to relatively poor metabolic control and infrequent attendance at healthcare appointments. Many have difficulty in establishing and maintaining self-care routines which can lead to serious complications and hospitalisations. Furthermore the transition from paediatric to adult services is a high-risk period associated with poor glycaemic control, disengagement with healthcare, and increased risk of complications. To improve the quality of care for adolescents they need to be prepared for self-management, to become wholly responsible for their treatment regimen, make autonomous healthcare decisions, and interact with their healthcare providers. Current guidelines emphasise that paediatric diabetes services need to be patient-centred and should promote self-management[1, 2]. The PACE (Promoting Adolescents Communication and Engagement) study aims to develop and test an intervention to promote adolescents’ active engagement and self-advocacy skills in clinic interactions with healthcare providers. For work package 1, we conducted separate focus groups with adolescents with T1DM, parents and providers from two clinics in Ireland. The objectives were: a) to obtain views of the educational needs of adolescents with T1DM; b) how to involve adolescents more during paediatric diabetes visits; c) identify content preferences for an educational video; d) and what to include in a question prompt list. All focus groups were audio-tape recorded and transcribed. Identifiers were removed and replaced with a numerical code. The qualitative analysis software package NVivo version 11.0 assisted in the data analysis. Ethical approval was obtained from the two relevant ethics committees. The data from the focus groups will inform the development of the intervention (video and question prompt sheet) which is based on Bandura’s Social Cognitive Theory, as self-efficacy is a central component of SCT. Self-efficacy is the belief that an individual has the ability to create change by personal actions. Enhanced diabetes self-efficacy has been linked to improved diabetes self-management and glycaemic control and is an important indicator of health behaviour changes in adolescents. The issues which arose from the focus groups will be outlined and discussed in terms of self-efficacy and development of the intervention. References Sperling, M., et al., ISPAD Clinical Practice Consensus Guidelines 2014. Pediatric Diabetes, 2014. 15(Suppl 20): p. 1–290. National Clinical Programmes for Diabetes and Paediatrics, Model of Care for All Children and Young People with Type 1 Diabetes. 2015, Faculty of Paediatrics, Royal College of Physicians of Ireland Dublin