Feasibility and acceptability of the use of flash glucose monitoring encountered by Indigenous Australians with type 2 diabetes mellitus: initial experiences from a pilot study

被引：1

作者：

Eer, Audrey Sing Yi ^{[1
,2
]}

Ho, Rebecca Chia Yee ^{[3
]}

Hearn, Tracey ^{[4
,5
]}

Hachem, Mariam ^{[2
,6
,7
]}

Freund, Megan ^{[8
,9
]}

Burchill, Luke James ^{[10
,11
]}

Atkinson-Briggs, Sharon ^{[5
,12
]}

Singh, Satpal ^{[5
]}

Eades, Sandra ^{[13
,14
]}

O'Brien, Richard Charles ^{[15
,16
,17
]}

Furler, John Stuart ^{[18
]}

O'Neal, David Norman ^{[7
,19
,20
]}

Story, David Andrew ^{[1
,21
,22
]}

Zajac, Jeffrey David ^{[2
,23
,24
]}

Braat, Sabine ^{[14
,25
]}

Brown, Alex ^{[26
,27
]}

Clarke, Phillip ^{[7
,28
,29
]}

Sinha, Ashim Kumar ^{[30
,31
]}

McLean, Anna Gerardina ^{[32
,33
]}

Twigg, Stephen Morris ^{[7
,34
,35
]}

Ekinci, Elif Ilhan ^{[1
,7
,36
]}

机构：

[1] Austin Hlth, Heidelberg, Vic, Australia

[2] Univ Melbourne, Austin Hlth, Melbourne, Vic, Australia

[3] Albany Hlth Campus, Spencer Pk, WA, Australia

[4] Univ Melbourne, Melbourne, Vic, Australia

[5] Rumbalara Aboriginal Cooperat, Mooroopna, Vic, Australia

[6] Univ Melbourne, Austin Hlth, Ctr Res & Educ Diabet & Obes, Fac Dent Hlth Sci & Med, Melbourne, Vic, Australia

[7] Univ Melbourne, Australian Ctr Accelerating Diabet Innovat ACADI, Parkville, Vic, Australia

[8] Univ Newcastle, Sch Med & Publ Hlth, Res Acad, Newcastle, NSW, Australia

[9] Hunter Med Res Inst, Equ Hlth & Wellbeing Res Program, New Lambton Hts, NSW 2305, Australia

[10] Royal Melbourne Hosp, Parkville, Vic, Australia

[11] Univ Melbourne, Dept Med, Aboriginal Cardiovasc Hlth Equ Res Grp, Royal Melbourne Hosp, Melbourne, Vic, Australia

[12] Univ Melbourne, Dept Med, Melbourne, Vic, Australia

[13] Univ Melbourne, Fac Med Dent & Hlth Sci, Melbourne, Vic, Australia

[14] Univ Melbourne, Ctr Epidemiol & Biostat, Melbourne Sch Populat & Global Hlth, Melbourne, Vic, Australia

[15] Univ Melbourne, Austin Clin Sch, Melbourne, Vic, Australia

[16] Univ Melbourne, Melbourne Med Sch, Grad Programs & Execut Educ, Melbourne, Vic, Australia

[17] Austin Hlth, Lipid Serv, Heidelberg, Vic, Australia

[18] Univ Melbourne, Dept Gen Practice, Fac Med Dent & Hlth Sci, Melbourne, Vic, Australia

[19] St Vincents Hosp Melbourne, Fitzroy, Vic, Australia

[20] Univ Melbourne, St Vincents Hosp, Melbourne, Vic, Australia

[21] Univ Melbourne, Dept Crit Care, Melbourne, Vic, Australia

[22] Melbourne Acad Ctr Hlth MACH, Melbourne, Vic, Australia

[23] Austin Hlth, Div Med, Med Serv CSU, Heidelberg, Vic, Australia

[24] Austin Hlth, Dept Endocrinol, Heidelberg, Vic, Australia

[25] Univ Melbourne, Fac Med Dent & Hlth Sci, Methods & Implementat Support Clin Hlth Res Hub, Melbourne, Vic, Australia

[26] Australian Natl Univ, Indigenous Genom, Canberra, ACT, Australia

[27] Telethon Kids Inst, Canberra, ACT, Australia

[28] Univ Oxford, Dept Publ Hlth, Nuffield Dept Publ Hlth, Hlth Econ, Oxford, England

[29] Univ Melbourne, Melbourne Sch Populat & Global Hlth, Acad, Melbourne, Vic, Australia

[30] Cairns Hosp, Diabet & Endocrinol, Cairns, Qld, Australia

[31] James Cook Univ, Cairns, Qld, Australia

[32] Cairns Hosp, Endocrinol & Gen Med, Cairns, Qld, Australia

[33] Menzies Sch Hlth Res, Darwin, NT, Australia

[34] Royal Prince Alfred Hosp, Dept Endocrinol, Camperdown, NSW, Australia

[35] Univ Sydney, Fac Diabet, Endocrinol, Stan Clark Chair Diabet, Sydney, NSW, Australia

[36] Univ Melbourne, Metab Med, Melbourne, Vic, Australia

来源：

BMC HEALTH SERVICES RESEARCH | 2023年 / 23卷 / 01期

关键词：

Indigenous Australian; Aboriginal people; Type 2 diabetes mellitus; Flash glucose monitoring; Qualitative research; Phenomenological study; GLOMERULAR-FILTRATION-RATE; SENSING TECHNOLOGY; HYPOGLYCEMIA; MULTICENTER; THERAPY;

D O I：

10.1186/s12913-023-10121-6

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

BackgroundType 2 diabetes mellitus (T2DM) is highly prevalent within the Indigenous Australian community. Novel glucose monitoring technology offers an accurate approach to glycaemic management, providing real-time information on glucose levels and trends. The acceptability and feasibilility of this technology in Indigenous Australians with T2DM has not been investigated.ObjectiveThis feasibility phenomenological study aims to understand the experiences of Indigenous Australians with T2DM using flash glucose monitoring (FGM).MethodsIndigenous Australians with T2DM receiving injectable therapy (n = 8) who used FGM (Abbott Freestyle Libre) for 6-months, as part of a clinical trial, participated in semi-structured interviews. Thematic analysis of the interviews was performed using NVivo12 Plus qualitative data analysis software (QSR International).ResultsSix major themes emerged: 1) FGM was highly acceptable to the individual; 2) FGM's convenience was its biggest benefit; 3) data from FGM was a tool to modify lifestyle choices; 4) FGM needed to be complemented with health professional support; 5) FGM can be a tool to engage communities in diabetes management; and 6) cost of the device is a barrier to future use.ConclusionsIndigenous Australians with T2DM had positive experiences with FGM. This study highlights future steps to ensure likelihood of FGM is acceptable and effective within the wider Indigenous Australian community.

引用

页数：11

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