A systematic review on the impact of commercially available hybrid closed loop systems on psychological outcomes in youths with type 1 diabetes and their parents
Authors' conclusion
Evidence confirms the importance of evaluating the psychosocial needs of youths with diabetes and their families when starting HCL systems and during follow-up, and to set realistic expectations of what can be achieved along with awareness of the limitations of the systems, and educate and motivate families to overcome barriers.
Study context
- Population
- Youths with T1D and their parents31 studies
- Participants
- 20 vs 11
- Comparison
- Commercially available hybrid closed loop (HCL) systems
- First-generation HCLn = 20
- Second-generation HCLn = 11
- Outcome
- Psychological outcomes
Methodological detailsPICOS framework, GRADE evidence assessment, studies published in last 10 years, 215 studies identified after duplicate removal
- PICOS framework
- GRADE evidence assessment
- Studies published in last 10 years
- 215 studies identified after duplicate removal
Pooled result
As reported in the abstract
- Per studies with moderate- to high-level quality of evidence, HCL systems led to better or, in some studies, unchanged diabetes distress and burden, fear of hypoglycemia, quality of life and satisfaction
- Sleep quality perceived as improved, but not confirmed in studies using actigraphy
- Semi-structured interviews: positive experience and attitude towards HCL, felt easy to use and apt to achieve glycemic targets
Original publication
A systematic review on the impact of commercially available hybrid closed loop systems on psychological outcomes in youths with type 1 diabetes and their parents. Diabet Med. Published 17 April 2023. doi:10.
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