Diabetes Educators’ Intended and Reported Use of Common Diabetes-Related Technologies

James, Steven; Perry, Lin; Gallagher, Robyn; Lowe, Julia

doi:10.1177/1932296816646798

Cited by 40 publications

(93 citation statements)

References 43 publications

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“…They mesh with findings from the anonymous web-based survey from which the sample derived (published elsewhere 6 ), which highlighted the need for DEs' ongoing education to promote technology adoption. Though the support need around skills may lessen in the future with the generational ages of participants predominantly not indicative of "digital natives," 31 in the meantime organizational and managerial support in the form of funding and time allowance (both study time to gain the skills and time to use them) would assist, as would rotating placements across and between pediatric and adult diabetes care settings.…”

Section: Discussionmentioning

confidence: 99%

“…A total of 213 members who responded to advertisements in the ADEA newsletter and completed an anonymous webbased survey (published elsewhere 6 ) were supplied with study information and invited to participate; interested participants provided their contact details. Interviews were conducted by the first author, whose professional standing as a DE facilitated development of the trust necessary to share private, sensitive, or controversial details.…”

Section: Methodsmentioning

confidence: 99%

“…Continuous glucose monitoring (CGM) technology overcomes the limitations of intermittent monitoring and has been associated with HbA1c reduction without increased hypoglycemia risk, higher treatment satisfaction and improved quality of life. 6,14,17,18 Software packages currently available for both CSII therapy and CGM systems enable transfer of data to a health care professional (HCP) via the Internet. 19 However, use is limited by the requirement for personal computers, significant patient effort, and time commitment.…”

mentioning

confidence: 99%

“…19,21,22 Another communication modality is video conferencing (VC), which allows simultaneous audio and visual communication between 2 or more locations via the Internet. 6 This may involve commercial systems managed by health care organizations or personal communication software such as Skype. Besides clinical care, VC can also be used for continuing education.…”

mentioning

confidence: 99%

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Diabetes Educators

James

Perry

Gallagher

et al. 2016

J Diabetes Sci Technol

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Background: Various technologies are commonly used to support type 1 diabetes management (continuous subcutaneous insulin infusion therapy, continuous glucose monitoring systems, smartphone and tablet applications, and video conferencing) and may foster self-care, communication, and engagement with health care services. Diabetes educators are key professional supporters of this patient group, and ideally positioned to promote and support technology use. The aim of this study was to examine diabetes educators’ perceived experiences, supports, and barriers to use of common diabetes-related technologies for people with type 1 diabetes. Methods: This qualitative ethnographic study recruited across metropolitan, regional and rural areas of Australia using purposive sampling of Australian Diabetes Educators Association members. Data were collected by semistructured telephone interviews and analyzed using thematic analysis. Results: Participants (n = 31) overwhelmingly indicated that overall the use of technology in the care of patients with type 1 diabetes was burdensome for them. They identified 3 themes involving common diabetes-related technologies: access to technology, available support, and technological advances. Overall, these themes demonstrated that while care was usually well intentioned it was more often fragmented and inconsistent. Most often care was provided by a small number of diabetes educators who had technology expertise. Conclusions: To realize the potential benefits of these relatively new but common diabetes technologies, many diabetes educators need to attain and retain the skills required to deliver this essential component of care. Furthermore, policy and strategy review is required, with reconfiguration of services to better support care delivery.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Diabetes Educators

James

Perry

Gallagher

et al. 2016

J Diabetes Sci Technol

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“…Storni [43] found that patient generated tags for mobile devices developed by participants were not of interest to clinicians who were more focused on numerical values. James et al [48] has explored the perceptions and experiences of diabetes educators when supporting the use of advanced technology and suggests that there are challenges for all parties. This includes device costs, access to WIFI and appropriate mobile devices.…”

Section: Implications For Healthcare Practicementioning

confidence: 99%

Human Factors and Data Logging Processes With the Use of Advanced Technology for Adults With Type 1 Diabetes: Systematic Integrative Review (Preprint)

Waite¹,

Martin²,

Franklin³

et al. 2017

Preprint

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Background: People with T1DM are confronted with self-management tasks and strategies to reduce risks of long-term complications against the risk of hypoglycemic events. The potential of advanced and evolving technology to address these issues involves consideration of psychological and behavioral constructs alongside the usability of devices. Access and uptake of advanced technology is further influenced by economic factors and health care provider capacity to support such interventions. Previous reviews have focused upon either clinical outcomes or descriptively scoped the literature and sometimes synthesize studies on adults with children and young people where human factors are different. Objective:The objective of this review was to describe the relationship between human factors and adherence with technology for data logging processes in adults with T1DM and to explore the factors which influence this association. Methods: A systematic literature review.Results: 18 studies were included in the review following a literature search using the PRISMA guidelines and the quality appraisal process. Six constructs emerged from the data analysis:. The relationship between adherence to data logging and measurable outcomes; Satisfaction with the transition to advanced technology for self-management; Use of advanced technology and time spent on diabetes related activities; Strategies to mediate the complexities of diabetes and the use of advanced technology; Cognition in the wild and Meanings, views and perspectives from the users of technology.There was evidence of increased treatment satisfaction on transition to advanced technology (insulin pump and CGM), the most significant contributing factor was when BG levels were consistently < 7.00mmol/l (P =.009). However, participants spent considerable time on their diabetes self-care. There was evidence that 1 logging of data was positively correlated with increasing age with the use of an app that provided meaningful feedback (regression coefficient = 55.8 recordings/ year; P = 0.009). Furthermore, there were benefits of CGM for older people in mediating complexities and their fears of hypoglycemia with reported significant differences in well-being (P= .009).Qualitative studies within the review aimed to explore the use and uptake of technology within the context of everyday lives. There were 'frustrations' with CGM, CSII, calibration of devices and alarms. In addition, the implications of 'body image' and the way in which 'significant' others impacted on the behavior and attitude of the individual towards technology use. There were wide variations in the normal use of and interaction with technology across a continuum of sociocultural contexts. This has implications for the way in which future technologies are designed. Conclusions:Many of the quantitative studies in the review were limited by small sample sizes. This may make it difficult to generalize findings to other contexts. This is further limited by a sample that was predominantly Caucasian, well-contr...

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Expert panel opinion on the optimal educational pathway for diabetes educators for training people with type 1 diabetes on the MiniMed™ 780G system: a Delphi consensus

Gallen,

Rosso,

Alonso-Carril

et al. 2024

Acta Diabetol

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Introduction The MiniMed™ 780G system is an advanced insulin pump system incorporating an AHCL (Advanced Hybrid Close Loop) algorithm that automatically adjusts insulin delivery based on glucose levels. All guidelines recommend the use of Automated Insulin Delivery therapy for people with type 1 diabetes (PWT1D) and they highlight that a specifically trained and expert team should provide training on HCL systems for PWT1D, but none of the publications detail the curriculum profile that diabetes educators should have. This paper aims to establish a consensus on the optimal educational pathway for diabetes educators on the MiniMed™ 780G system. Methods An Expert Panel (EP) of 11 key opinion educators in diabetes technology in the EMEA area was assembled. Using the Delphi method, a consensus questionnaire based on the literature research was created, discussed and validated by the EP members. An agreement level of ≥ 75% was considered a strong consensus. Results EP members had on average 16.3 years of clinical experience and followed at least 50 PWT1D using the MiniMed™ 780G system. All EP members agreed that a structured educational pathway to train diabetes educators in the use of the MiniMed™ 780G system is needed. 100% of the EP members agreed that the pathway should include a mentorship programme and in-field training; 90% agreed on using face-to-face training with the support of e-learning modules. The EP members believed that minimum competency standards for diabetes educators around the principles of diabetes care and education are needed. Conclusion The educational pathway created by the EP showed that skills are needed at an advanced level and that mentorship in developing these skills is critical. This pathway is vital for supporting the implementation of diabetes technology into everyday life and can remove barriers and increase access to PWT1D.

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Diabetes Educators’ Intended and Reported Use of Common Diabetes-Related Technologies

Cited by 40 publications

References 43 publications

Diabetes Educators

Diabetes Educators

Human Factors and Data Logging Processes With the Use of Advanced Technology for Adults With Type 1 Diabetes: Systematic Integrative Review (Preprint)

Expert panel opinion on the optimal educational pathway for diabetes educators for training people with type 1 diabetes on the MiniMed™ 780G system: a Delphi consensus

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