The process of incorporating insulin pumps into the everyday lives of people with Type 1 diabetes: a critical interpretive synthesis
The process of incorporating insulin pumps into the everyday lives of people with Type 1 diabetes: a critical interpretive synthesis
Background: Insulin pump therapy (IPT) is a technological advancement that has been developed to help people manage Type 1 diabetes (T1D). However, ways of managing diabetes requiring the implementation of health technologies bring new complexities and a need to understand the factors which enable people with T1D to incorporate a novel device. This new comprehension could provide an exemplar for people with long-term conditions to incorporate new technologies more generally. Objective: To determine what influences the incorporation, adaptation and use of IPT into the everyday lives of people living with diabetes. Design: Critical interpretive synthesis (CIS) using systematic searches undertaken in 7 electronic databases of literature, published 2008 onwards. Results: A total of 4998 titles were identified, 274 abstracts reviewed, 39 full articles retrieved and 22 papers selected for analysis. Three themes emerged which were of relevance to the introduction and use of IPT; Tensions between expectations and experiences in adoption and early adaptation; Negotiation of responsibility and accessing support; Reflexivity, active experimentation and feedback. Conclusions: This CIS builds on earlier reviews on lived experiences of IPT. Novel insights are offered through examination of the experiences of pump users from children through to adults, their families and health-care professionals. Expectations of what the device can do to improve self-management impacts on the early stages of adoption as the reality of the technology requires substantial thought and action. Areas for intervention to improve IPT incorporation include establishing who is responsible for management tasks of the device and enabling navigation to further means of support and resources.
Critical interpretive synthesis, Insulin pumps, New technology, Psychosocial, Social support networks, Type 1 diabetes
714-729
Reidy, Claire
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Bracher, Mike
e9e2fbd6-af5f-4f6e-8357-969aaf51c52e
Foster, Claire
00786ac1-bd47-4aeb-a0e2-40e058695b73
Vassilev, Ivaylo
d76a5531-4ddc-4eb2-909b-a2a1068f05f3
Rogers, Anne
105eeebc-1899-4850-950e-385a51738eb7
August 2018
Reidy, Claire
d500bfe7-7429-4484-b092-60ef0757d0de
Bracher, Mike
e9e2fbd6-af5f-4f6e-8357-969aaf51c52e
Foster, Claire
00786ac1-bd47-4aeb-a0e2-40e058695b73
Vassilev, Ivaylo
d76a5531-4ddc-4eb2-909b-a2a1068f05f3
Rogers, Anne
105eeebc-1899-4850-950e-385a51738eb7
Reidy, Claire, Bracher, Mike, Foster, Claire, Vassilev, Ivaylo and Rogers, Anne
(2018)
The process of incorporating insulin pumps into the everyday lives of people with Type 1 diabetes: a critical interpretive synthesis.
Health Expectations, 21 (4), .
(doi:10.1111/hex.12666).
Abstract
Background: Insulin pump therapy (IPT) is a technological advancement that has been developed to help people manage Type 1 diabetes (T1D). However, ways of managing diabetes requiring the implementation of health technologies bring new complexities and a need to understand the factors which enable people with T1D to incorporate a novel device. This new comprehension could provide an exemplar for people with long-term conditions to incorporate new technologies more generally. Objective: To determine what influences the incorporation, adaptation and use of IPT into the everyday lives of people living with diabetes. Design: Critical interpretive synthesis (CIS) using systematic searches undertaken in 7 electronic databases of literature, published 2008 onwards. Results: A total of 4998 titles were identified, 274 abstracts reviewed, 39 full articles retrieved and 22 papers selected for analysis. Three themes emerged which were of relevance to the introduction and use of IPT; Tensions between expectations and experiences in adoption and early adaptation; Negotiation of responsibility and accessing support; Reflexivity, active experimentation and feedback. Conclusions: This CIS builds on earlier reviews on lived experiences of IPT. Novel insights are offered through examination of the experiences of pump users from children through to adults, their families and health-care professionals. Expectations of what the device can do to improve self-management impacts on the early stages of adoption as the reality of the technology requires substantial thought and action. Areas for intervention to improve IPT incorporation include establishing who is responsible for management tasks of the device and enabling navigation to further means of support and resources.
Text
Reidy et al 2018 Health Expectations
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More information
Accepted/In Press date: 14 December 2017
e-pub ahead of print date: 8 February 2018
Published date: August 2018
Keywords:
Critical interpretive synthesis, Insulin pumps, New technology, Psychosocial, Social support networks, Type 1 diabetes
Identifiers
Local EPrints ID: 418085
URI: http://eprints.soton.ac.uk/id/eprint/418085
ISSN: 1369-6513
PURE UUID: cde4bf96-8da1-464e-a7ba-6ff651bf9a1d
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Date deposited: 22 Feb 2018 17:30
Last modified: 16 Mar 2024 04:15
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