Diabetes Device Satisfaction Among Adolescents Living With Type 1 Diabetes and Their Parents
Authors' conclusion
Adolescents and their parents have discrepant levels of satisfaction with devices. Although both adolescent and parent satisfaction are linked to use of automated technology and better psychosocial functioning, only parent satisfaction is associated with glycemia. This pattern suggests adolescents and parents hold varying priorities when it comes to device use. Acknowledging and addressing these differences may enhance the uptake and continued use of devices.
Study context
- Population
- Adolescents aged 12 to 19 with T1D (mean age 14.7, SD 1.89; 48% male) and their parents175 adolescents · 176 parents
- Exposure
- Automated insulin delivery (AID) use vs non-use for device satisfaction
- Outcome
- Concordance between parent and adolescent device satisfaction and correlates of satisfaction
Main finding
As reported in the abstract
Low concordance between parent and adolescent device satisfaction (Kendall's W)
0.13
Observational data: associations, not effects.
Further findings
| Outcome | AID use | Non-use | P value |
|---|---|---|---|
| Adolescent device satisfaction by AID useHigher satisfaction with AID use | 4.52 (SD 0.71) | 4.20 (SD 0.87) | P = 0.008 |
| Parent device satisfaction by AID useHigher satisfaction with AID use | 4.25 (SD 0.82) | 3.71 (SD 0.90) | P < 0.001 |
Parent satisfaction correlations with glycemic measures
- Correlation with hemoglobin A1c (HbA1c) (R), P < .001
- −0.301
- Correlation with percent TIR (R), P = .007
- 0.214
- Correlation with percent TAR (R), P = .015
- −0.193
Other correlates
- Pump use was not significantly related to satisfaction
- Adolescent satisfaction was unrelated to glycemic measures
- Adolescent and parent satisfaction both related to better psychosocial functioning
- Associations of AID use, psychosocial functioning and glycemic control with satisfaction remained after mutual adjustment
- Demographic correlates were non-significant
Original publication
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