Evidence map›Paper›PMID 36807582›Full record

ArticleDiabetic medicine : a journal of the British Diabetic Association2023

Healthcare professionals' views about how pregnant women can benefit from using a closed-loop system: Qualitative study.

Julia Lawton, David Rankin, Sara Hartnell, Tara Lee, Anna R Dover, Rebecca M Reynolds, Roman Hovorka, Helen R Murphy, Ruth I Hart, AiDAPT Collaborative Group

Open access · hybridAbstract read
In one paragraph

Article in Diabetic medicine : a journal of the British Diabetic Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.4field-weighted citation impact, top 10% 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

2 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
  2. Article
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

10 authors at 4 institutions in 1 country.

Julia LawtonUsher Institute, Medical School, University of Edinburgh, Edinburgh, UK.ORCID 0000-0002-8016-7374
David RankinUsher Institute, Medical School, University of Edinburgh, Edinburgh, UK.ORCID 0000-0002-5835-3402
Sara HartnellCambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Tara LeeNorwich Medical School, Norwich, UK.
Anna R DoverEdinburgh Centre for Endocrinology and Diabetes, Royal Infirmary of Edinburgh, Edinburgh, UK.
Rebecca M ReynoldsEdinburgh Centre for Endocrinology and Diabetes, Royal Infirmary of Edinburgh, Edinburgh, UK.ORCID 0000-0001-6226-8270
Roman HovorkaWellcome Trust-MRC Institute of Metabolic Science, University of Cambridge, Cambridge, UK.ORCID 0000-0003-2901-461X
Helen R MurphyCambridge University Hospitals NHS Foundation Trust, Cambridge, UK.ORCID 0000-0001-6876-8727
Ruth I HartUsher Institute, Medical School, University of Edinburgh, Edinburgh, UK.ORCID 0000-0003-2129-9163
AiDAPT Collaborative Group
University of Edinburgh · GBCambridge University Hospitals NHS Foundation Trust · GBEdinburgh Royal Infirmary · GBUniversity of Cambridge · GB

Funding

British Heart Foundation RE/18/5/34216Wellcome Trust
6 · The paper itself

Abstract

backgroundInterest is growing in how closed-loop systems can support attainment of within-target glucose levels amongst pregnant women with type 1 diabetes. We explored healthcare professionals' views about how, and why, pregnant women benefitted from using the CamAPS FX system during the AiDAPT trial.

methodsWe interviewed 19 healthcare professionals who supported women using closed-loop during the trial. Our analysis focused on identifying descriptive and analytical themes relevant to clinical practice.

resultsHealthcare professionals highlighted clinical and quality-of-life benefits to using closed-loop in pregnancy; albeit, they attributed some of these to the continuous glucose monitoring component. They emphasised that the closed-loop was not a panacea and that, to gain maximum benefit, an effective collaboration between themselves, the woman and the closed-loop was needed. Optimal performance of the technology, as they further noted, also required women to interact with the system sufficiently, but not excessively; a requirement that they felt some women had found challenging. Even where healthcare professionals felt that this balance was not achieved, they suggested that women had still benefitted from using the system. Healthcare professionals reported difficulties predicting how specific women would engage with the technology. In light of their trial experiences, healthcare professionals favoured an inclusive approach to closed-loop rollout in routine clinical care.

conclusionsHealthcare professionals recommended that closed-loop systems be offered to all pregnant women with type 1 diabetes in the future. Presenting closed-loop systems to pregnant women and healthcare teams as one pillar of a three-party collaboration may help promote optimal use.

Indexed as

Diabetes Mellitus, Type 1Pregnant PeopleBlood GlucoseBlood Glucose Self-MonitoringDelivery of Health CareFemaleHumansInsulin Infusion SystemsPregnancyBlood Glucoseclosed-loop systemcontinuous glucose monitoringhealthcare professionalspregnancyqualitative researchtechnologytype 1 diabetes

Identifiers

PMID36807582
PMCPMC10947358
OpenAlexW4321327640

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.