关键词: Aboriginal people Flash glucose monitoring Indigenous Australian Phenomenological study Qualitative research Type 2 diabetes mellitus

Mesh : Humans Australia Blood Glucose / analysis Blood Glucose Self-Monitoring / methods Diabetes Mellitus, Type 2 / therapy Feasibility Studies Pilot Projects Australian Aboriginal and Torres Strait Islander Peoples

来  源:   DOI:10.1186/s12913-023-10121-6   PDF(Pubmed)

Abstract:
BACKGROUND: Type 2 diabetes mellitus (T2DM) is highly prevalent within the Indigenous Australian community. Novel glucose monitoring technology offers an accurate approach to glycaemic management, providing real-time information on glucose levels and trends. The acceptability and feasibilility of this technology in Indigenous Australians with T2DM has not been investigated.
OBJECTIVE: This feasibility phenomenological study aims to understand the experiences of Indigenous Australians with T2DM using flash glucose monitoring (FGM).
METHODS: Indigenous Australians with T2DM receiving injectable therapy (n = 8) who used FGM (Abbott Freestyle Libre) for 6-months, as part of a clinical trial, participated in semi-structured interviews. Thematic analysis of the interviews was performed using NVivo12 Plus qualitative data analysis software (QSR International).
RESULTS: Six major themes emerged: 1) FGM was highly acceptable to the individual; 2) FGM\'s convenience was its biggest benefit; 3) data from FGM was a tool to modify lifestyle choices; 4) FGM needed to be complemented with health professional support; 5) FGM can be a tool to engage communities in diabetes management; and 6) cost of the device is a barrier to future use.
CONCLUSIONS: Indigenous Australians with T2DM had positive experiences with FGM. This study highlights future steps to ensure likelihood of FGM is acceptable and effective within the wider Indigenous Australian community.
摘要:
背景:2型糖尿病(T2DM)在澳大利亚土著社区中非常普遍。新型血糖监测技术提供了一种准确的血糖管理方法,提供葡萄糖水平和趋势的实时信息。尚未研究该技术在患有T2DM的澳大利亚原住民中的可接受性和可行性。
目的:这项可行性现象学研究旨在了解澳大利亚土著T2DM患者使用快速血糖监测(FGM)的经验。
方法:澳大利亚土著T2DM患者接受注射治疗(n=8),使用FGM(AbbottFreestyleLibre)6个月,作为临床试验的一部分,参加半结构化面试。访谈的主题分析使用NVivo12Plus定性数据分析软件(QSRInternational)进行。
结果:出现了六个主要主题:1)FGM被个人高度接受;2)FGM的便利性是其最大的好处;3)FGM的数据是改变生活方式选择的工具;4)FGM需要得到健康专业支持的补充;5)FGM可以成为社区参与糖尿病管理的工具;6)设备的成本是未来使用的障碍。
结论:澳大利亚土著T2DM患者有积极的女性生殖器切割经验。这项研究强调了未来的步骤,以确保女性生殖器切割的可能性在更广泛的澳大利亚土著社区中是可接受和有效的。
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