Cited by 117Diabetes Management and ResearchDiabetes Management and EducationMobile Health and mHealth Applications

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Optimal Use of Diabetes Devices: Clinician Perspectives on Barriers and Adherence to Device Use

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Tanenbaum, Molly L., Adams, Rebecca N., Hanes, Sarah J., Barley, Regan C., Miller, Kellee M., Mulvaney, Shelagh A., Hood, Korey K.·2017·Journal of Diabetes Science and Technology

DOI 10.1177/1932296816688010PMC PMC5505431

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Abstract

BACKGROUND: Insulin pumps and continuous glucose monitors (CGM) can improve glycemic control for individuals with type 1 diabetes (T1D). Device uptake rates continue to show room for improvement, and consistent adherence is needed to achieve better outcomes. Diabetes health care providers have important roles to play in promoting device use and adherence. METHODS: We surveyed 209 clinicians who treat people with type 1 diabetes to examine perceptions of barriers to device uptake, attitudes toward diabetes technology, and resources needed for clinicians to improve device uptake. We compared findings with our survey of adults with T1D. RESULTS: Younger clinicians treated more patients using insulin pumps ( r = -.26, P < .001) and CGM ( r = -.14, P = .02), and had more positive attitudes about diabetes technology ( r = -.23, P = .001). The most frequently endorsed modifiable barriers were perceptions that patients dislike having the device on their body (73% pump; 63% CGM), dislike the alarms (61% CGM), and do not understand what to do with device information or features (40% pump; 46% CGM). Clinicians wanted lower cost and better insurance coverage for their patients, and they recommended counseling and education to help address barriers and improve adherence to devices. CONCLUSION: Clinicians perceive many barriers to their patients initiating and adhering to diabetes devices. Findings highlight opportunities for intervention to improve clinician-patient communication around device barriers to help address them.

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Authors: Tanenbaum, M. L., Adams, R. N., Hanes, S. J., Barley, R. C., Miller, K. M., Mulvaney, S. A., & Hood, K. K.
Affiliations: Stanford Medicine (US)
Jaeb Center for Health Research (US)
Vanderbilt University (US)
Corresponding author: Hood, Korey K.
ORCID: Tanenbaum, Molly L.
Adams, Rebecca N.
Hanes, Sarah J.
Miller, Kellee M.
Mulvaney, Shelagh A.
Hood, Korey K.
Venue: Journal of Diabetes Science and Technology
Publisher: SAGE Publications
Published: 2017-01-10
Volume: 11
Issue: 3
Pages: 484-492
ISSN: 1932-2968 (ISSN-L)
DOI: 10.1177/1932296816688010
PMC: PMC5505431
OpenAlex: W2572387108
Cited by: 117
References: 30
Citations by year: 2026: 12 · 2025: 8 · 2024: 21 · 2023: 15 · 2022: 14 · 2021: 16 · 2020: 15 · 2019: 9 · 2018: 7
FWCI: 6.70
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: Journal of Diabetes Science and Technology (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: Leona M. and Harry B. Helmsley Charitable Trust
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
Keywords: type 1 diabetes, insulin pump, continuous glucose monitors, diabetes technology adoption, device adherence, clinician attitudes, clinician-patient communication, patient education, insurance coverage, device cost
MeSH terms: Adult, Diabetes Mellitus, Type 1, Female, Humans, Insulin Infusion Systems, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Monitoring, Physiologic, Patient Compliance, Practice Patterns, Physicians', Surveys and Questionnaires

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Optimal Use of Diabetes Devices: Clinician Perspectives on Barriers and Adherence to Device Use

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