Garza Kimberly P, Howard Kelsey R, Feldman Marissa, Weissberg-Benchell Jill
Pritzker Department of Psychiatry and Behavioral Health, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.
Department of Sociology and Public Health Studies, Roanoke College, Salem, VA, USA.
J Diabetes Sci Technol. 2025 Jan;19(1):11-17. doi: 10.1177/19322968241274364. Epub 2024 Aug 30.
The purpose of this study was to assess adults' perspectives after using the insulin-only Bionic Pancreas (BP) during a 13-week pivotal trial. Automated insulin delivery (AID) systems show promise in improving glycemic outcomes and reducing disease burden for those with type 1 diabetes mellitus (T1D). Understanding the lived experience of those using the BP can help to inform education and uptake of AID devices.
Adults ages 19 to 75 (n = 40) participated in age-specific focus groups (19-25, 26-40, 41-64, and 65+) exploring their experiences, thoughts, and feelings about using the BP. Three authors analyzed the focus group data using a hybrid thematic approach.
Qualitative analysis of focus groups revealed 14 sub-themes falling into four major themes (diabetes burden, managing glucose levels, daily routine, and user experience). Although participants' overall experience was positive, some reported struggles related to managing out-of-range glucose levels and challenges with the system responding to unique meal schedules and exercise regimens.
This study captures patient perspectives regarding their experiences with a new AID system. Patient voice can inform device development and educational approaches for people with T1D. Identifying which patients may benefit the most from wearing this system may facilitate patient/clinician discussions regarding insulin delivery systems that best meet their individualized needs and expectations that may support device uptake and continued use.
本研究的目的是评估成年人在一项为期13周的关键试验中使用仅含胰岛素的仿生胰腺（BP）后的看法。自动胰岛素输送（AID）系统在改善1型糖尿病（T1D）患者的血糖结果和减轻疾病负担方面显示出前景。了解使用BP者的实际体验有助于为AID设备的教育和推广提供信息。
19至75岁的成年人（n = 40）参加了特定年龄的焦点小组（19 - 25岁、26 - 40岁、41 - 64岁和65岁以上），探讨他们使用BP的经历、想法和感受。三位作者采用混合主题方法分析了焦点小组数据。
焦点小组的定性分析揭示了14个亚主题，分为四个主要主题（糖尿病负担、血糖管理、日常生活和用户体验）。尽管参与者的总体体验是积极的，但一些人报告了在管理血糖超出范围方面的困难，以及系统应对独特饮食计划和运动方案时的挑战。
本研究获取了患者对新AID系统体验的看法。患者的声音可为T1D患者的设备开发和教育方法提供信息。确定哪些患者可能从佩戴该系统中获益最大，可能有助于患者/临床医生就最能满足其个性化需求和期望的胰岛素输送系统进行讨论，这可能支持设备的采用和持续使用。
