1. Future acceptance of automated insulin delivery systems in youths with type 1 diabetes: validation of the Italian artificial pancreas-acceptance measure.
- Author
-
Franceschi R, Pertile R, Marigliano M, Mozzillo E, Maffeis C, Zaffani S, Dusini C, Antonelli A, Candia FD, Maltoni G, Cantarelli E, Minuto N, Bassi M, Rabbone I, Savastio S, Passanisi S, Lombardo F, Cherubini V, Saltarelli MA, and Tumini S
- Subjects
- Humans, Adolescent, Male, Female, Child, Surveys and Questionnaires, Italy, Hypoglycemic Agents administration & dosage, Parents psychology, Diabetes Mellitus, Type 1 drug therapy, Diabetes Mellitus, Type 1 psychology, Insulin Infusion Systems, Pancreas, Artificial, Insulin administration & dosage, Patient Acceptance of Health Care
- Abstract
Aim: The purpose of this study was to develop a questionnaire to examine the future acceptance of Automatic insulin delivery systems (AIDs), their perceived usefulness, ease of use, and trust in the device in subjects with type 1 diabetes (T1D)., Methods: A questionnaire in Italian, based on the Technology Acceptance Model, was developed to examine intention to use AIDs, considered as a measure of future acceptance, and its determinants to use the system. A total of 43 questions for children and 46 for parents were included, and a 5-point Likert scale was used., Results: 239 subjects with T1D using multiple daily injections (MDI) or sensor-augmented pump (SAP) and their parents completed the questionnaire. The completion rate was excellent, with almost 100% of items answered. The overall Cronbach's coefficient for children and adolescents was 0.92 and 0.93 for parents, indicating excellent internal consistency in both groups. Parent-youth agreement was 0.699 (95% confidence interval: 0.689-0.709), indicating a good agreement between the two evaluations. Factor analysis identified measurement factors for the "artificial pancreas (AP)-acceptance labeled benefits and hassles of AIDs, and the internal consistency of the total scale was alpha = 0.94 for subjects with T1D and 0.95 for parents. The level of AP acceptance was more than neutral: 3.91 ± 0.47 and 3.99 ± 0.43 (p = 0.07) for youths and parents, respectively (possible score range 1 to 5, neutral score is 3.0). Parents reported higher scores in the benefit items than children-adolescents (p = 0.04)., Conclusions: We developed a new questionnaire based on the items available in the literature, and we demonstrated that the "AP-acceptance" reveals a meaningful factor structure, good internal reliability, and agreement between parent-young people evaluations. This measure could be a valuable resource for clinicians and researchers to assess AP acceptance in pediatric patients with T1D and their parents. This patient profiling approach could help to enroll candidates for AIDs with proper expectations and who most likely will benefit from the system., Competing Interests: Declarations. Ethics approval: The local Institutional Review Board approved the current study. The study was performed per the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments. Informed consent: Written informed consent was obtained from each participant and parent/legal guardian. Competing interest: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2024. The Author(s).)
- Published
- 2025
- Full Text
- View/download PDF