Jessie J Wong, Selma A Alamarie, Sarah J Hanes, Haley Flores, Jessica Ngo, Aika K Schneider-Utaka, Korey K Hood
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Kendall's W examined concordance between parent and adolescent satisfaction and bivariate correlations and paired <i>t</i>-tests identified correlates of satisfaction.</p><p><strong>Results: </strong>There was low concordance (Kendall's W = 0.13) between parent and adolescent device satisfaction. Automated insulin delivery (AID) use (vs non-use) was related to higher satisfaction for adolescents (4.52 [0.71] vs 4.20 [0.87], <i>P</i> = .008) and parents (4.25 [0.82] vs 3.71 [0.90], <i>P</i> < .001). Pump use was not significantly related. Parent satisfaction was correlated with hemoglobin A<sub>1c</sub> (HbA<sub>1c</sub>; R = -0.301, <i>P</i> < .001), percent time-in-range (R = 0.214, <i>P</i> = .007), and percent time-above-range (R = -0.193, <i>P</i> = .015). Adolescent satisfaction was unrelated to glycemic measures. Adolescent and parent satisfaction were both related to better psychosocial functioning. Significant associations between AID use, psychosocial functioning, and glycemic control and device satisfaction remained after accounting for one another. Demographic correlates were non-significant.</p><p><strong>Conclusions: </strong>Adolescents and their parents have discrepant levels of satisfaction with devices. Although both adolescent and parent satisfaction are linked to use of automated technology and better psychosocial functioning, only parent satisfaction is associated with glycemia. This pattern suggests adolescents and parents hold varying priorities when it comes to device use. Acknowledging and addressing these differences may enhance the uptake and continued use of devices.</p>","PeriodicalId":15475,"journal":{"name":"Journal of Diabetes Science and Technology","volume":" ","pages":"19322968241296135"},"PeriodicalIF":4.1000,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571572/pdf/","citationCount":"0","resultStr":"{\"title\":\"Diabetes Device Satisfaction Among Adolescents Living With Type 1 Diabetes and Their Parents.\",\"authors\":\"Jessie J Wong, Selma A Alamarie, Sarah J Hanes, Haley Flores, Jessica Ngo, Aika K Schneider-Utaka, Korey K Hood\",\"doi\":\"10.1177/19322968241296135\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Diabetes technologies are valuable tools to reduce burden and enhance glycemic control, especially during adolescence. The current study sought to understand the factors associated with parent and adolescent diabetes device satisfaction.</p><p><strong>Methods: </strong>This study used cross-sectional data from 175 adolescents living with type 1 diabetes and 176 parents. Adolescent ages ranged from 12 to 19 (M<sub>age</sub>=14.7, SD=1.89) and were balanced by gender (48% male). Kendall's W examined concordance between parent and adolescent satisfaction and bivariate correlations and paired <i>t</i>-tests identified correlates of satisfaction.</p><p><strong>Results: </strong>There was low concordance (Kendall's W = 0.13) between parent and adolescent device satisfaction. Automated insulin delivery (AID) use (vs non-use) was related to higher satisfaction for adolescents (4.52 [0.71] vs 4.20 [0.87], <i>P</i> = .008) and parents (4.25 [0.82] vs 3.71 [0.90], <i>P</i> < .001). Pump use was not significantly related. Parent satisfaction was correlated with hemoglobin A<sub>1c</sub> (HbA<sub>1c</sub>; R = -0.301, <i>P</i> < .001), percent time-in-range (R = 0.214, <i>P</i> = .007), and percent time-above-range (R = -0.193, <i>P</i> = .015). Adolescent satisfaction was unrelated to glycemic measures. Adolescent and parent satisfaction were both related to better psychosocial functioning. Significant associations between AID use, psychosocial functioning, and glycemic control and device satisfaction remained after accounting for one another. Demographic correlates were non-significant.</p><p><strong>Conclusions: </strong>Adolescents and their parents have discrepant levels of satisfaction with devices. Although both adolescent and parent satisfaction are linked to use of automated technology and better psychosocial functioning, only parent satisfaction is associated with glycemia. This pattern suggests adolescents and parents hold varying priorities when it comes to device use. 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引用次数: 0
摘要
背景：糖尿病技术是减轻负担和加强血糖控制的重要工具，尤其是在青少年时期。本研究旨在了解与家长和青少年对糖尿病设备满意度相关的因素：本研究使用了 175 名 1 型糖尿病青少年和 176 名家长的横截面数据。青少年的年龄在 12 到 19 岁之间（Mage=14.7，SD=1.89），性别均衡（48% 为男性）。Kendall's W 检验了家长和青少年满意度之间的一致性，双变量相关性和配对 t 检验确定了满意度的相关因素：结果：家长和青少年对设备的满意度之间的一致性较低（Kendall's W = 0.13）。青少年（4.52 [0.71] vs 4.20 [0.87]，P = .008）和家长（4.25 [0.82] vs 3.71 [0.90]，P < .001）使用（与不使用）胰岛素自动给药（AID）与较高的满意度相关。泵的使用没有明显关系。家长满意度与血红蛋白 A1c (HbA1c; R = -0.301, P < .001)、在量程内时间百分比 (R = 0.214, P = .007) 和在量程以上时间百分比 (R = -0.193, P = .015)相关。青少年满意度与血糖测量无关。青少年和家长的满意度均与较好的社会心理功能有关。AID使用、社会心理功能、血糖控制和设备满意度之间的显著相关性在相互考虑后仍然存在。人口统计学相关性不显著：青少年及其父母对设备的满意度存在差异。虽然青少年和家长的满意度都与使用自动化技术和更好的社会心理功能有关，但只有家长的满意度与血糖有关。这种模式表明，青少年和家长在使用设备时的优先级各不相同。承认并解决这些差异可能会提高设备的吸收率和持续使用率。
Diabetes Device Satisfaction Among Adolescents Living With Type 1 Diabetes and Their Parents.
Background: Diabetes technologies are valuable tools to reduce burden and enhance glycemic control, especially during adolescence. The current study sought to understand the factors associated with parent and adolescent diabetes device satisfaction.
Methods: This study used cross-sectional data from 175 adolescents living with type 1 diabetes and 176 parents. Adolescent ages ranged from 12 to 19 (Mage=14.7, SD=1.89) and were balanced by gender (48% male). Kendall's W examined concordance between parent and adolescent satisfaction and bivariate correlations and paired t-tests identified correlates of satisfaction.
Results: There was low concordance (Kendall's W = 0.13) between parent and adolescent device satisfaction. Automated insulin delivery (AID) use (vs non-use) was related to higher satisfaction for adolescents (4.52 [0.71] vs 4.20 [0.87], P = .008) and parents (4.25 [0.82] vs 3.71 [0.90], P < .001). Pump use was not significantly related. Parent satisfaction was correlated with hemoglobin A1c (HbA1c; R = -0.301, P < .001), percent time-in-range (R = 0.214, P = .007), and percent time-above-range (R = -0.193, P = .015). Adolescent satisfaction was unrelated to glycemic measures. Adolescent and parent satisfaction were both related to better psychosocial functioning. Significant associations between AID use, psychosocial functioning, and glycemic control and device satisfaction remained after accounting for one another. Demographic correlates were non-significant.
Conclusions: Adolescents and their parents have discrepant levels of satisfaction with devices. Although both adolescent and parent satisfaction are linked to use of automated technology and better psychosocial functioning, only parent satisfaction is associated with glycemia. This pattern suggests adolescents and parents hold varying priorities when it comes to device use. Acknowledging and addressing these differences may enhance the uptake and continued use of devices.
期刊介绍：
The Journal of Diabetes Science and Technology (JDST) is a bi-monthly, peer-reviewed scientific journal published by the Diabetes Technology Society. JDST covers scientific and clinical aspects of diabetes technology including glucose monitoring, insulin and metabolic peptide delivery, the artificial pancreas, digital health, precision medicine, social media, cybersecurity, software for modeling, physiologic monitoring, technology for managing obesity, and diagnostic tests of glycation. The journal also covers the development and use of mobile applications and wireless communication, as well as bioengineered tools such as MEMS, new biomaterials, and nanotechnology to develop new sensors. Articles in JDST cover both basic research and clinical applications of technologies being developed to help people with diabetes.
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