关于糖尿病教育者使用 MiniMed™ 780G 系统培训 1 型糖尿病患者的最佳教育途径的专家组意见：德尔菲共识。

IF 3.1 3区医学 Q2 ENDOCRINOLOGY & METABOLISM Acta Diabetologica Pub Date : 2024-10-29 DOI:10.1007/s00592-024-02388-w

Geraldine Gallen, Alice Rosso, Núria Alonso-Carril, Sima Arbeli, Virginie Bahon, Vanessa Brown, Kerstin Endlich, Francesca Gulotta, Audrey Hansart, Amy Jolley, Rea Jussila, Anna Stefanowicz-Bielska, Paola Cardano

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引用次数: 0

摘要

简介MiniMed™ 780G 系统是一种先进的胰岛素泵系统，采用 AHCL（高级混合闭环）算法，可根据血糖水平自动调整胰岛素给量。所有指南都建议 1 型糖尿病患者（PWT1D）使用自动胰岛素给药疗法，并强调应由经过专门培训的专家团队为 PWT1D 提供有关 HCL 系统的培训，但没有一份出版物详细说明糖尿病教育者应具备的课程概况。本文旨在就糖尿病教育者在 MiniMed™ 780G 系统上的最佳教育途径达成共识：方法：由欧洲、中东和非洲地区的 11 位糖尿病技术教育者组成专家小组 (EP)。采用德尔菲法，在文献研究的基础上编制了一份共识问卷，并由专家组成员进行讨论和验证。同意度≥ 75% 即为达成强烈共识：EP 成员平均拥有 16.3 年的临床经验，并使用 MiniMed™ 780G 系统跟踪了至少 50 例 PWT1D。所有 EP 成员一致认为，需要建立一个结构化的教育途径，培训糖尿病教育者使用 MiniMed™ 780G 系统。100% 的 EP 成员同意该途径应包括导师计划和现场培训；90% 的 EP 成员同意在电子学习模块的支持下使用面对面培训。EP 成员认为，需要围绕糖尿病护理和教育原则制定糖尿病教育者的最低能力标准：由 EP 创建的教育途径表明，需要高级别的技能，而培养这些技能的指导至关重要。这一途径对于支持将糖尿病技术应用到日常生活中至关重要，可以消除障碍并增加使用 PWT1D 的机会。

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Expert panel opinion on the optimal educational pathway for diabetes educators for training people with type 1 diabetes on the MiniMed™ 780G system: a Delphi consensus.

Introduction: The MiniMed™ 780G system is an advanced insulin pump system incorporating an AHCL (Advanced Hybrid Close Loop) algorithm that automatically adjusts insulin delivery based on glucose levels. All guidelines recommend the use of Automated Insulin Delivery therapy for people with type 1 diabetes (PWT1D) and they highlight that a specifically trained and expert team should provide training on HCL systems for PWT1D, but none of the publications detail the curriculum profile that diabetes educators should have. This paper aims to establish a consensus on the optimal educational pathway for diabetes educators on the MiniMed™ 780G system.

Methods: An Expert Panel (EP) of 11 key opinion educators in diabetes technology in the EMEA area was assembled. Using the Delphi method, a consensus questionnaire based on the literature research was created, discussed and validated by the EP members. An agreement level of ≥ 75% was considered a strong consensus.

Results: EP members had on average 16.3 years of clinical experience and followed at least 50 PWT1D using the MiniMed™ 780G system. All EP members agreed that a structured educational pathway to train diabetes educators in the use of the MiniMed™ 780G system is needed. 100% of the EP members agreed that the pathway should include a mentorship programme and in-field training; 90% agreed on using face-to-face training with the support of e-learning modules. The EP members believed that minimum competency standards for diabetes educators around the principles of diabetes care and education are needed.

Conclusion: The educational pathway created by the EP showed that skills are needed at an advanced level and that mentorship in developing these skills is critical. This pathway is vital for supporting the implementation of diabetes technology into everyday life and can remove barriers and increase access to PWT1D.

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来源期刊

Acta Diabetologica 医学-内分泌学与代谢

CiteScore

7.30

自引率

2.60%

发文量

180

审稿时长

2 months

期刊介绍： Acta Diabetologica is a journal that publishes reports of experimental and clinical research on diabetes mellitus and related metabolic diseases. Original contributions on biochemical, physiological, pathophysiological and clinical aspects of research on diabetes and metabolic diseases are welcome. Reports are published in the form of original articles, short communications and letters to the editor. Invited reviews and editorials are also published. A Methodology forum, which publishes contributions on methodological aspects of diabetes in vivo and in vitro, is also available. The Editor-in-chief will be pleased to consider articles describing new techniques (e.g., new transplantation methods, metabolic models), of innovative importance in the field of diabetes/metabolism. Finally, workshop reports are also welcome in Acta Diabetologica.