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Health professionals' views about who would benefit from using a closed-loop system: a qualitative study
J Lawton1, B Kimbell1, D Rankin1
1Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, UK.
Diabetic Medicine : a Journal of the British Diabetic Association
|January 29, 2020
Summary
Health professionals
Area of Science:
- Diabetes Technology
- Endocrinology
- Clinical Practice
Background:
- Closed-loop systems represent a significant advancement in type 1 diabetes management.
- Understanding health professional perspectives is crucial for equitable technology access.
- Previous assumptions about user suitability for closed-loop systems need examination.
Purpose of the Study:
- To investigate health professionals' views on who benefits from closed-loop systems.
- To determine prioritization for access to closed-loop technology in clinical settings.
- To explore how clinical experience shapes perceptions of closed-loop system utility.
Main Methods:
- Thematic analysis of interviews with 22 health professionals.
- Participants had at least six months of experience with the Closed Loop from Onset in type 1 Diabetes (CLOuD) trial.
- Exploration of pre-trial assumptions versus post-trial observations regarding user engagement.
Main Results:
- Health professionals' initial assumptions about user suitability were challenged by trial experiences.
- Individuals assumed to struggle sometimes benefited, while highly competent users occasionally over-interacted with the system.
- Pre-selection criteria based on individual or psychological attributes were deemed inappropriate.
Conclusions:
- Equitable access to closed-loop systems requires addressing health professionals' potential biases.
- Clinical guidelines are essential for informed decisions regarding treatment allocation and withdrawal.
- Young children and infants should be prioritized for closed-loop system access.
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