Evidence map›Paper›PMID 32862261›Full record

ArticleActa diabetologica2021

Barriers and facilitators to accessing insulin pump therapy by adults with type 1 diabetes mellitus: a qualitative study.

Katarzyna A Gajewska, Regien Biesma, Kathleen Bennett, Seamus Sreenan

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Acta diabetologica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Katarzyna A GajewskaDivision of Population Health Sciences, RCSI: University of Medicine and Health Sciences, Beaux Lane House, Mercer Street Lower, Dublin 2, Dublin, Ireland. katarzynagajewska@rcsi.ie.ORCID http://orcid.org/0000-0002-7536-0591
Regien BiesmaGlobal Health Unit, Department of Health Sciences, University Medical Centre Groningen, Groningen, The Netherlands.ORCID http://orcid.org/0000-0002-5532-0242
Kathleen BennettDivision of Population Health Sciences, RCSI: University of Medicine and Health Sciences, Beaux Lane House, Mercer Street Lower, Dublin 2, Dublin, Ireland.ORCID http://orcid.org/0000-0002-2861-7665
Seamus Sreenan3U Diabetes, RCSI: University of Medicine and Health Sciences, Dublin, Ireland.ORCID http://orcid.org/0000-0003-2457-2612
Connolly Hospital Blanchardstown · IEHealth Research Board · IEUniversity Medical Center Groningen · NL

Funding

Health Research Board RL-15-1579Health Research Board SPHeRE/2013/1
6 · The paper itself

Abstract

aimsUptake of continuous subcutaneous insulin infusion (CSII) by people with diabetes (PwD) in Ireland is low and exhibits regional variation. This study explores barriers and facilitators to accessing CSII by adults with Type 1 diabetes mellitus. RESEARCH DESIGN AND

methodsA qualitative study employing focus groups with adults with Type 1 diabetes mellitus (n = 26) and semi-structured interviews with health care professionals (HCP) and other key stakeholders (n = 21) was conducted. Reflexive thematic analysis was used to analyze data, using NVivo.

resultsFour main themes comprising barriers to or facilitators of CSII uptake were identified. These included: (1) awareness of CSII and its benefits, (2) the structure of diabetes services, (3) the capacity of the diabetes service to deliver the CSII service, and (4) the impact of individuals' attitudes and personal characteristics-both PwD, and HCP. Each of these themes was associated with a number of categories, of which 18 were identified and explored. If the structure of the health-service is insufficient and capacity is poor (e.g., under-resourced clinics), CSII uptake appears to be impacted by individuals': interest, attitude, willingness and motivation, which may intensify the regional inequality in accessing CSII.

conclusionsThis study identified factors that contribute to gaps in the delivery of diabetes care that policy-makers may use to improve access to CSII for adult PwD.

Indexed as

Equipment and SuppliesHealth Services AccessibilityInsulin Infusion SystemsAdolescentAdultAgedAged, 80 and overAwarenessDiabetes Mellitus, Type 1FemaleHealth Knowledge, Attitudes, PracticeHumansHypoglycemic AgentsInsulinMaleMiddle AgedHypoglycemic AgentsInsulinContinuous subcutaneous insulin infusionDiabetes technologyHealth-services researchInsulin pumpsMedical deviceQualitative researchType 1 diabetes

Identifiers

PMID32862261
OpenAlexW3081850643

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.