Parental perspectives following the implementation of advanced hybrid closed‐loop therapy in children and adolescents with type 1 diabetes and elevated glycaemia
Authors' conclusion
This study provides comprehensive insights into parental perspectives of influences on implementing AHCL therapy in children and adolescents with elevated glycaemia. As parents remain key partners in diabetes care, these findings inform successful implementation of AHCL and development of future diabetes technology.
Study context
- Population
- Parents of children and adolescents with T1D and elevated glycaemia using advanced hybrid closed-loop (AHCL) therapy; children's median age 14.2 years (IQR 13.3–14.7), median HbA1c 78 mmol/mol (IQR 75–86) before AHCLparents of 9 children
- Participants
- 11 parents
- Outcome
- Parental facilitators and barriers of AHCL implementation
Methodological detailssemi-structured interviews, framework analysis, COM-B model and Theoretical Domain Framework, post-trial extension phase of the CO-PILOT RCT
- Semi-structured interviews
- Framework analysis
- COM-B model and Theoretical Domain Framework
- Post-trial extension phase of the CO-PILOT RCT
Main finding
As reported in the abstract
- Facilitators: knowledge from training; routines and action plans; remote glucose monitoring; glycaemic goals achieved through automation; child's capability to use AHCL independently; improved outcomes incentivized continued use; optimism about sustained improvements; social support from healthcare providers, school staff, peers and parents
- Barriers: device usability challenges; need for technical support; forgotten knowledge and skills; non-adherence to best practices; negative social influences; physical and psychosocial burden; negative emotions
Original publication
Parental perspectives following the implementation of advanced hybrid closed‐loop therapy in children and adolescents with type 1 diabetes and elevated glycaemia. Diabet Med. Published 25 November 2024. doi:10.
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