Type 1 diabetes

Supporting the ‘lived expertise’ of older adults with type 1 diabetes: An applied focus group analysis to characterize barriers, facilitators, and strategies for self‐management in a growing and understudied population

Diabet MedPublished Qualitative focus group study

Authors' conclusion

Our study of what influences self-management decisions and technology adoption among older adults with type 1 diabetes underscores the importance of ongoing assessments to address dynamic age-specific needs, as well as individualized multi-faceted support that integrates peers and caregivers.

Study context

Population
Clinic-based sample of older adults ≥65 years with T1D; 58% female, 82% non-Hispanic Whitefocus groups
Participants
29 vs 4
Comparison
Older adults vs Caregivers
  • Older adultsn = 29
  • Caregiversn = 4
Outcome
Themes shaping self-management and outcomes
Methodological detailsclinic-based sample, literature and expert informed focus groups, inductive coding, Medical records and surveys added clinical information
  • Clinic-based sample
  • Literature and expert informed focus groups
  • Inductive coding
  • Medical records and surveys added clinical information

Main finding

As reported in the abstract

GroupValueContinuous glucose monitoring (CGM) users
Older adults73.4 ± 4.5 years86%
Caregivers73.3 ± 2.9 years

Value

Older adults73.4 ± 4.5 years
Caregivers73.3 ± 2.9 years

Continuous glucose monitoring (CGM) users

Older adults86%
Caregivers— not stated in the abstract

Original publication

Supporting the ‘lived expertise’ of older adults with type 1 diabetes: An applied focus group analysis to characterize barriers, facilitators, and strategies for self‐management in a growing and understudied population. Diabet Med. Published 22 June 2023. doi:10.1111/dme.15156

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