Patient‐reported outcomes for older adults on CamAPS FX closed loop system

Aims Use of the CamAPS FX hybrid closed loop (CL) system is associated with improved time in range and glycated haemoglobin A1c across the age span, but little is known about its effects on patient‐reported outcomes (PROs). Methods This open‐label, randomized, multi‐site study compared CamAPS FX to...

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Bibliographic Details
Published in:Diabetic medicine 2023-09, Vol.40 (9), p.e15126-n/a
Main Authors: Schneider‐Utaka, A. K., Hanes, S., Boughton, C. K., Hartnell, S., Thabit, H., Mubita, W. M., Draxlbauer, K., Poettler, T., Hayes, J., Wilinska, M. E., Mader, J. K., Narendran, P., Leelarathna, L., Evans, M. L., Hovorka, R., Hood, K. K.
Format: Article
Language:English
Subjects:
automated insulin delivery
closed loop
Diabetes
Diabetes mellitus (insulin dependent)
Glucose monitoring
Hemoglobin
Older people
patient‐reported outcomes
Surveys
type 1 diabetes
User experience
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Summary:Aims Use of the CamAPS FX hybrid closed loop (CL) system is associated with improved time in range and glycated haemoglobin A1c across the age span, but little is known about its effects on patient‐reported outcomes (PROs). Methods This open‐label, randomized, multi‐site study compared CamAPS FX to sensor‐augmented pump (SAP) in a sample of older adults (≥60 years) with type 1 diabetes (T1D). Thirty‐five older adults completed PROs surveys at the start of the study and after each period of 16 weeks using either CL or SAP. At the end of the study, 19 participated in interviews about their experiences with CL. Results Results examining the 16 weeks of CL use showed that the overall Diabetes Distress Scale score and two subscales (powerlessness and physician distress) improved significantly along with trust on the Glucose Monitoring Satisfaction Survey. User experience interview responses were consistent in noting benefits of ‘improved glycaemic control’ and ‘worrying less about diabetes’. Conclusion In this sample of older adults with T1D who have previously shown glycaemic benefit, there are indicators of improved PROs and subjective user experience benefits.
ISSN:0742-3071
1464-5491
DOI:10.1111/dme.15126