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Exposure to Closed Loop Barriers Using Virtual Reality.

Monica Lanning1, Jessica Shen2, Daniel Wasser3

  • 1Department of Pediatrics, Stanford University School of Medicine, CA, USA.

Journal of Diabetes Science and Technology
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PubMed
Summary

Virtual reality (VR) effectively prepared adults with type 1 diabetes for closed-loop (CL) systems by addressing potential challenges without lowering enthusiasm. This VR intervention shows promise for improving adoption of automated insulin delivery technologies.

Keywords:
closed loop insulin delivery systemtechnologytype 1 diabetesvirtual reality

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Area of Science:

  • Diabetes Technology
  • Virtual Reality Applications
  • Behavioral Medicine

Background:

  • Closed-loop (CL) automated insulin delivery systems offer significant benefits for type 1 diabetes (T1D) management, including glucose regulation and reduced cognitive load.
  • Limited market options and the DIY nature of current CL systems pose challenges for user expectation management.
  • Virtual reality (VR) presents a novel approach to address these user-specific challenges.

Purpose of the Study:

  • To assess the feasibility of a VR intervention designed to prepare individuals with T1D for CL systems.
  • To expose participants to potential barriers associated with CL system use.
  • To evaluate the impact of VR on user expectations and attitudes towards CL technology.

Main Methods:

  • A four-part VR intervention was developed to simulate barriers like body image concerns, perceived hassles, deskilling fears, and social attention.
  • Twenty adults with T1D participated in the pilot study.
  • Surveys were administered pre- and post-VR exposure to gather data on feasibility, expectations, and psychological impact.

Main Results:

  • The VR intervention was feasible, with an average completion time of 14.1 minutes and low reported VR sickness.
  • 90% of participants remained willing to use VR, and 95% did not alter their expectations of CL systems.
  • While 25% reported changes in perceived hassles (alarms, connectivity), positive attitudes, confidence, and affect were maintained, with significant decreases in negative affect and trends toward improved body image perceptions.

Conclusions:

  • This pilot VR intervention shows high potential for mitigating anticipated barriers to CL system adoption and usage.
  • VR can effectively prepare individuals for CL systems without diminishing enthusiasm or altering realistic expectations.
  • The findings support VR as a valuable tool for enhancing the uptake and integration of automated insulin delivery technologies in T1D management.