Diabetes technology

A conceptual model of the continuous glucose monitoring integration process for older adults with diabetes developed using participatory systems science methods

Diabetes Res Clin PractPublished Qualitative study

Authors' conclusion

The model underscores the complex transition of learning new technology and provides opportunities for tailored support for older adults.

Study context

Population
Older adults with T1D and T2D and caregivers17 older adults · 3 caregivers
Outcome
Conceptual model of CGM integration
Methodological detailsparticipatory systems science methods, semi-structured interviews, team-based causal loop diagraming, Vignettes representing each integration phase used to elicit outcomes and strategies to support continuous glucose monitoring (CGM) use
  • Participatory systems science methods
  • Semi-structured interviews
  • Team-based causal loop diagraming
  • Vignettes representing each integration phase used to elicit outcomes and strategies to support CGM use

Main finding

As reported in the abstract

  • Six phases: (1) CGM uptake; (2) device set-up; acquisition of (3) belief in oneself to use CGM effectively; (4) belief that CGM is preferable to blood glucose monitoring; (5) belief in future CGM benefits; (6) development of a sense of reliance on CGM
  • Causal loop diagrams visualize factors and feedback loops shaping outcomes at each phase
  • Participants proposed support strategies spanning clinical, educational and behavioral interventions

Original publication

A conceptual model of the continuous glucose monitoring integration process for older adults with diabetes developed using participatory systems science methods. Diabetes Res Clin Pract. Published 12 December 2023. doi:10.1016/j.diabres.2023.111053

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