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首页> 美国卫生研究院文献>Journal of the Endocrine Society >Virtual Pump Trainings for the t:slim X2 Insulin Pump With Control-IQ Advanced Hybrid Closed-Loop Technology: Real World Patient Experience
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Virtual Pump Trainings for the t:slim X2 Insulin Pump With Control-IQ Advanced Hybrid Closed-Loop Technology: Real World Patient Experience

机译：用于T的虚拟泵训练：SLIM X2胰岛素泵采用Control-IQ先进的混合闭环技术：现实世界患者体验

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The COVID-19 pandemic led to a digital evolution in the healthcare industry by necessitating widespread adoption of telehealth and other remote services to enable engagement with patients. Diabetes management is well suited for telehealth utilization if patients employ technology that efficiently generates, captures, and shares data with providers. Traditionally, training for automated insulin delivery devices is provided in-person to allow for a thorough understanding of the device and its use. However, during COVID-related quarantine regulations, most of these trainings needed to be conducted virtually. We performed a retrospective analysis of patient reported outcomes in people with diabetes who completed their training for the t:slim X2 pump with Control-IQ technology between April and September, 2020 and had uploaded 30 days of pump usage data to Tandem’s t:connect® web application. Most participants were adults (90%), female (54%), and had type 1 diabetes (89.9%). Mean age of the sample was 46 years (SD=18.7). Of all 1,686 participants, 1,256 had received virtual pump training while the remaining were trained in-person (n=430). Most participants reported completing their training in 1 to 2 hours (61.5%). After concluding training, participants completed an online questionnaire evaluating their training experience (8 items). Item response options included a 5-point Likert scale with higher values reflecting greater satisfaction and better experience with training. Multivariate analysis of variance indicated a significant effect of training method (virtual vs. in-person) on training-related experience (p=.020). Specifically, participants receiving virtual pump training reported greater overall satisfaction with their training (4.78 vs. 4.65, p=.012) and with the time when their training was conducted (convenient scheduling) (4.74 vs. 4.56, p=.008) compared to their counterparts who underwent in-person training. There were no significant differences between virtually trained and in-person participants on pace of training (4.71 vs. 4.57), trainer’s pump knowledge (4.82 vs. 4.74), trainer’s ability to answer their questions (4.77 vs. 4.70), and participants’ confidence to use the pump after training (4.62 vs. 4.53). In conclusion, all participants irrespective of their training method (virtual or in-person) reported a positive experience with their training for using the t:slim X2 pump with Control-IQ technology. Participants’ high scores on items evaluating their training method also reflects that their expectations of their training session were either met or exceeded. State-of-the-art technologies supporting diabetes management may benefit from patient-centric training methods to enable widespread optimal use. For future studies, it will be interesting to evaluate adherence to therapy by training method and relationship with glycemic outcomes.
机译：Covid-19大流行导致了医疗保健行业的数字演变，需要广泛采用远程医疗和其他远程服务来实现与患者的接触。如果患者采用技术有效地生成，捕获和与提供商共享数据，糖尿病管理非常适合远程监管。传统上，提供自动胰岛素递送装置的培训，以允许彻底了解设备及其使用。但是，在科迪德相关的检疫法规期间，大多数这些培训都需要实际进行。我们对患有糖尿病患者的患者进行了回顾性分析，该患者在糖尿病患者完成他们的T：SLIM X2泵与4月和9月之间的控制-IQ技术，并在2020年，并将30天的泵使用数据上传到Tandem的T：Connect® Web应用程序。大多数参与者都是成年人（90％），女性（54％），患有1型糖尿病（89.9％）。样本的平均年龄为46岁（SD = 18.7）。在所有1,686名参与者中，1,256人接受了虚拟泵训练，而剩余的培训是人（n = 430）。大多数参与者报告在1到2小时内完成培训（61.5％）。在结束培训后，参与者完成了在线问卷评估其培训经验（8件商品）。项目响应选项包括一个5点李克特量表，具有更高的值，反映了更大的满意度和更好的培训体验。多变量分析方差分析表明训练方法（虚拟与亲自）对培训相关的经验（p = .020）的显着效果。具体而言，接收虚拟泵训练的参与者报告了与他们的培训更大的整体满意度（4.78对4.65，P = .012），并随着他们进行培训的时间（方便的调度）（4.74与4.56，P = .008）相比他们对手的同行培训。在培训步伐（4.71与4.57），培训师的泵知识（4.82与4.74），培训师回答他们问题的能力之间没有显着差异（4.82 vs.7.74）和参与者的能力培训后使用泵的信心（4.62 vs.453）。总之，所有参与者无论他们的训练方法（虚拟人或内人）都报告了使用T：SLIM X2泵与控制IQ技术的培训积极经验。参与者对评估其培训方法的物品的高分也反映出他们对其培训课程的期望是满足或超过的。支持糖尿病管理的最先进的技术可以从以患者为中心的培训方法中受益，以实现广泛的最佳用途。对于未来的研究，通过培训方法和与血糖结果的关系来评估依从性对疗法进行粘附。

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