Evaluating the Experience of Children With Type 1 Diabetes and Their Parents Taking Part in an Artificial Pancreas Clinical Trial Over Multiple Days in a Diabetes Camp Setting

被引:28
作者
Troncone, Alda [1 ]
Bonfanti, Riccardo [2 ,3 ]
Iafusco, Dario [4 ]
Rabbone, Ivana [5 ]
Sabbion, Alberto [6 ]
Schiaffini, Riccardo [7 ]
Galderisi, Alfonso [8 ]
Marigliano, Marco [6 ]
Rapini, Novella [9 ]
Rigamonti, Andrea [2 ,3 ]
Tinti, Davide [5 ]
Vallone, Valeria [10 ]
Zanfardino, Angela [4 ]
Boscari, Federico [10 ]
Del Favero, Simone [11 ]
Galasso, Silvia [10 ]
Lanzola, Giordano [12 ]
Messori, Mirko [13 ]
Di Palma, Federico [13 ]
Visentin, Roberto [11 ]
Calore, Roberta [11 ]
Leal, Yenny [11 ]
Magni, Lalo [13 ]
Losiouk, Eleonora [12 ]
Chernavvsky, Daniel [14 ]
Quaglini, Silvana [12 ]
Cobelli, Claudio [11 ]
Bruttomesso, Daniela [10 ]
机构
[1] Univ Naples 2, Dept Psychol, Caserta, Italy
[2] Hosp San Raffaele, Dept Pediat, Milan, Italy
[3] Hosp San Raffaele, Diabet Res Inst, Inst Sci, Milan, Italy
[4] Univ Naples 2, Dept Woman Child & Gen & Specialized Surg, Naples, Italy
[5] Univ Turin, Dept Pediat, Turin, Italy
[6] Azienda Osped Univ Integrata Verona, Pediat Diabet & Metab Disorders Unit, Reg Ctr Pediat Diabet, Verona, Italy
[7] Childrens Hosp, Bambino Gesu, Unit Endocrinol & Diabet, Rome, Italy
[8] Univ Padua, Dept Womans & Childs Hlth, Padua, Italy
[9] Univ Roma Tor Vergata, Policlin Tor Vergata, Pediat Diabetol Unit, Rome, Italy
[10] Univ Padua, Dept Internal Med, Unit Metab Dis, Padua, Italy
[11] Univ Padua, Dept Informat Engn, Padua, Italy
[12] Univ Pavia, Dept Elect Comp & Biomed Engn, Pavia, Italy
[13] Univ Pavia, Dept Civil Engn & Architecture, Pavia, Italy
[14] Univ Virginia, Ctr Diabet Technol, Charlottesville, VA USA
关键词
LOOP GLUCOSE CONTROL; ACCEPTANCE; ADULTS;
D O I
10.2337/dc16-1073
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVE To explore the experiences of children with type 1 diabetes and their parents taking part in an artificial pancreas (AP) clinical trial during a 7-day summer camp. RESEARCH DESIGN AND METHODS A semistructured interview, composed of 14 questions based on the Technology Acceptance Model, was conducted at the end of the clinical trial. Participants also completed the Diabetes Treatment Satisfaction Questionnaire (DTSQ, parent version) and the AP Acceptance Questionnaire. RESULTS Thirty children, aged 5-9 years, and their parents completed the study. A content analysis of the interviews showed that parents were focused on understanding themechanisms, risks, and benefits of the new device, whereas the children were focused on the novelty of the new system. The parents' main concerns about adopting the new system seemed related to the quality of glucose control. The mean scores of DTSQ subscales indicated general parents' satisfaction (44.24 +/- 5.99, range 32-53) and trustful views of diabetes control provided by the new system (7.8 +/- 2.2, range 3-12). The AP Acceptance Questionnaire revealed that most parents considered the AP easy to use (70.5%), intended to use it long term (94.0%), and felt that it was apt to improve glucose control (67.0%). CONCLUSIONS Participants manifested a positive attitude toward the AP. Further studies are required to explore participants' perceptions early in the AP development to individualize the new treatment as much as possible, and to tailor it to respond to their needs and values.
引用
收藏
页码:2158 / 2164
页数:7
相关论文
共 23 条
[1]   Evaluation of computerized text analysis in an Internet breast cancer support group [J].
Alpers, GW ;
Winzelberg, AJ ;
Classen, C ;
Roberts, H ;
Dev, P ;
Koopman, C ;
Taylor, CB .
COMPUTERS IN HUMAN BEHAVIOR, 2005, 21 (02) :361-376
[2]  
[Anonymous], LOGIC TEXT SCOPE
[3]  
[Anonymous], 2004, Strumenti per L'analisi Dei Testi. Introduzione All'uso Di T-lab
[4]   Psychosocial aspects of closed-and open-loop insulin delivery: closing the loop in adults with Type 1 diabetes in the home setting [J].
Barnard, K. D. ;
Wysocki, T. ;
Thabit, H. ;
Evans, M. L. ;
Amiel, S. ;
Heller, S. ;
Young, A. ;
Hovorka, R. .
DIABETIC MEDICINE, 2015, 32 (05) :601-608
[5]   Psychosocial Assessment of Artificial Pancreas (AP): Commentary and Review of Existing Measures and Their Applicability in AP Research [J].
Barnard, Katharine D. ;
Hood, Korey K. ;
Weissberg-Benchell, Jill ;
Aldred, Chris ;
Oliver, Nick ;
Laffel, Lori .
DIABETES TECHNOLOGY & THERAPEUTICS, 2015, 17 (04) :295-300
[6]   Closing the loop overnight at home setting: psychosocial impact for adolescents with type 1 diabetes and their parents [J].
Barnard, Katharine D. ;
Wysocki, Tim ;
Allen, Janet M. ;
Elleri, Daniela ;
Thabit, Hood ;
Leelarathna, Lalantha ;
Gulati, Arti ;
Nodale, Marianna ;
Dunger, David B. ;
Tinati, Tannaze ;
Hovorka, Roman .
BMJ OPEN DIABETES RESEARCH & CARE, 2014, 2 (01)
[7]   Artificial Pancreas (AP) Clinical Trial Participants' Acceptance of Future AP Technology [J].
Bevier, Wendy C. ;
Fuller, Serena M. ;
Fuller, Ryan P. ;
Rubin, Richard R. ;
Dassau, Eyal ;
Doyle, Francis J., III ;
Jovanovic, Lois ;
Zisser, Howard C. .
DIABETES TECHNOLOGY & THERAPEUTICS, 2014, 16 (09) :590-595
[8]   MEASURES OF PSYCHOLOGICAL WELL-BEING AND TREATMENT SATISFACTION DEVELOPED FROM THE RESPONSES OF PEOPLE WITH TABLET-TREATED DIABETES [J].
BRADLEY, C ;
LEWIS, KS .
DIABETIC MEDICINE, 1990, 7 (05) :445-451
[9]  
Bradley C, 2009, DIABETOLOGIA, V52, pS397
[10]   The Diabetes Treatment Satisfaction Questionnaire change version (DTSQc) evaluated in insulin glargine trials shows greater responsiveness to improvements than the original DTSQ [J].
Bradley, Clare ;
Plowright, Rosalind ;
Stewart, John ;
Valentine, John ;
Witthaus, Elke .
HEALTH AND QUALITY OF LIFE OUTCOMES, 2007, 5 (1)