Parents’ views about healthcare professionals having real-time remote access to their young child's diabetes data: qualitative study

Barbara Kimbell, David Rankin, Ruth Hart, Janet M Allen, Charlotte K Boughton, Fiona Campbell, Elke Froehlich- Reiterer, Sabine E Hofer, Thomas M Kapellen, Birgit Rami-Merhar, Ulrike Schierloh, Ajay Thankamony, Julia Ware, Roman Hovorka, Julia Lawton

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives
We explored parents’ views about healthcare professionals having remote access to their young child's insulin and glucose data during a clinical trial to inform use of data sharing in routine paediatric diabetes care.

Methods
Interviews with 33 parents of 30 children (aged 1-7 years) with type 1 diabetes participating in a randomised trial (KidsAP02) comparing hybrid closed-loop system use with sensor-augmented pump therapy. Data were analysed using a qualitative descriptive approach.

Results
Parents reported multiple benefits to healthcare professionals being able to remotely access their child's glucose and insulin data during the trial, despite some initial concerns regarding the insights offered into everyday family life. Key benefits included: less work uploading/sharing data; improved consultations; and, better clinical input and support from healthcare professionals between consultations. Parents noted how healthcare professionals’ real-time data access facilitated remote delivery of consultations during the Covid-19 pandemic, and how these were more suitable for young children than face-to-face appointments. Parents endorsed use of real-time data sharing in routine clinical care, subject to caveats regarding data access, security and privacy. They also proposed that, if data sharing were used, consultations for closed-loop system users in routine clinical care could be replaced with needs-driven, ad-hoc contact.

Conclusions
Real-time data sharing can offer clinical, logistical and quality-of-life benefits and enhance opportunities for remote consultations, which may be more appropriate for young children. Wider rollout would require consideration of ethical and cybersecurity issues and, given the heightened intrusion on families’ privacy, a non-judgemental, collaborative approach by healthcare professionals.
Original languageEnglish
JournalPediatric Diabetes
Early online date13 May 2022
DOIs
Publication statusE-pub ahead of print - 13 May 2022

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