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Adoption Barriers for Continuous Glucose Monitoring and Their Potential Reduction With a Fully Implanted System:
Robert Engler1,2, Timothy L Routh2, Joseph Y Lucisano2
1University of California, San Diego, School of Medicine, San Diego, CA.
Summary
Patient-centered design is key for diabetes technology adoption. Minimizing "user burden" by reducing device obtrusiveness, like with a fully implanted continuous glucose monitoring (CGM) system, improves adherence.
Area of Science:
- Medical Devices
- Diabetes Technology
- Patient-Centered Design
Background:
- Optimizing diabetes care technology requires a patient-centered approach.
- User burden significantly impacts the acceptability and adherence to continuous glucose monitoring (CGM) devices.
Purpose of the Study:
- To evaluate the impact of patient-centered design on diabetes technology adoption.
- To assess the role of user burden in the acceptability of CGM devices.
Main Methods:
- Conducted two surveys of 1,348 individuals with diabetes and parents of children with diabetes.
- Gathered feedback on current continuous glucose monitoring (CGM) devices and a proposed fully implanted CGM system.
Main Results:
- Patient-centered design offers advantages for technology adoption and adherence.
- User burden is a critical factor in patient and caregiver evaluation of CGM devices.
- A proposed 1-year, fully implanted CGM device received strongly favorable reactions, indicating reduced obtrusiveness is valued.
Conclusions:
- Minimizing system obtrusiveness is crucial for reducing barriers to CGM use.
- A patient-centered approach, focusing on reducing user burden, can enhance the adoption and adherence to diabetes management technologies.
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