None listed
Conditions
Brief summary
This study aims to determine what older patients on insulin pumps and the specialist diabetes staff caring for these patients, might choose to prioritize during outpatients' discussions. The study aims to determine whether there is discordance between patients and staff in prioritization decisions. This will be assessed through the use of a software prioritization tool 1000minds, which will be administered to both patients and diabetes clinical staff. This prioritization tool has been populated with 10 statements about possible clinical topics for discussion. These 10 statements were developed following consultation with clinical and patient stakeholders. Additionally, the patient participants will be asked to complete a semi-structured interview questionnaire with a member of the research team which involves questions regarding their views and experiences using an insulin pump.
Interventions
Eligible participants (i.e. using an insulin pump with diabetes and aged 65+ years) will be asked to complete a 10-statement survey using the 1000minds decision-making and adaptive conjoint analysis software tool (see https://www.1000minds.com/). Participants will be asked to prioritize the 10 statements, in terms of what they would like to discuss at a routine diabetes clinic visit. Participants will access the survey via a desktop or laptop computer that will be set up with the 1000minds survey ready to go. They will be offered support to complete the online survey, with help from a member of the research team. The survey should typically take 15 minutes or less to complete. Additionally, participants will be interviewed by a research team member and asked semi-structured questions. These questions will explore their personal views and experiences of using an insulin pump. Baseline demographics and clinical information will also be collected. This questionnaire should also typically take 15 minutes or less to complete and so the total time for the interview (questionnaire and online survey) will be 30 minutes.
Sponsors
Eligibility
Inclusion criteria
For patient participants: - Aged 65+ - Diabetes associated with absolute insulinopenia (e.g. type 1 diabetes, post-pancreatitis or total pancreatectomy) - Established on insulin pump for 3 months or more - Currently domiciled in the Canterbury region (New Zealand) For staff participants: - Health professionals working for Te Whatu Ora Waitaha Canterbury - Clinical experience working with insulin pumps
Exclusion criteria
For patient participants - Patients with type 2 diabetes -Patients who their attending physician has considered to be unsuitable for the study (within the context of the population studied this may relate to cognitive decline e.g. dementia or palliative care with limited life expectancy) For staff participants: None