Evidence map›Paper›PMID 34534592›Full record

ArticleDiabetes research and clinical practice2021

Help when you need it: Perspectives of adults with T1D on the support and training they would have wanted when starting CGM.

Molly L Tanenbaum, Laurel H Messer, Christine A Wu, Marina Basina, Bruce A Buckingham, Danielle Hessler, Shelagh A Mulvaney, David M Maahs, Korey K Hood

Registry-linked trialAbstract read
In one paragraph

Article in Diabetes research and clinical practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04161131 (A Pilot of ONBOARD), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04161131 nacompletednot on this map

A Pilot of ONBOARD: OvercomiNg Barriers & Obstacles to Adopting Diabetes Devices for Adults With T1D

TypeinterventionalSponsorMolly TanenbaumRan2019 to 2020Enrolled28ConditionsType 1 DiabetesArmsONBOARD
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Continuous Glucose Monitoring Attrition in Youth With Type 1 Diabetes.The science of diabetes self-management and care · 2025
    Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Molly L TanenbaumDivision of Endocrinology and Diabetes, Department of Pediatrics, Stanford University, School of Medicine, Stanford, CA, USA; Stanford Diabetes Research Center, Stanford, CA, USA. Electronic address: mollyt@stanford.edu.
Laurel H MesserUniversity of Colorado Anschutz, Barbara Davis Center for Childhood Diabetes, Aurora, CO, USA. Electronic address: laurel.messer@cuanschutz.edu.
Christine A WuDivision of Endocrinology and Diabetes, Department of Pediatrics, Stanford University, School of Medicine, Stanford, CA, USA. Electronic address: cawu@stanford.edu.
Marina BasinaStanford Diabetes Research Center, Stanford, CA, USA; Division of Endocrinology, Gerontology, & Metabolism, Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA. Electronic address: mbasina@stanford.edu.
Bruce A BuckinghamDivision of Endocrinology and Diabetes, Department of Pediatrics, Stanford University, School of Medicine, Stanford, CA, USA; Stanford Diabetes Research Center, Stanford, CA, USA. Electronic address: bbendo@stanford.edu.
Danielle HesslerDepartment of Family and Community Medicine, University of California, San Francisco, San Francisco, CA, USA. Electronic address: danielle.hessler@ucsf.edu.
Shelagh A MulvaneyCenter for Diabetes Translational Research, Vanderbilt University Medical Center, Nashville, TN, USA; School of Nursing, Vanderbilt University, Nashville, TN, USA. Electronic address: shelagh.mulvaney@vanderbilt.edu.
David M MaahsDivision of Endocrinology and Diabetes, Department of Pediatrics, Stanford University, School of Medicine, Stanford, CA, USA; Stanford Diabetes Research Center, Stanford, CA, USA. Electronic address: dmmaahs@stanford.edu.
Korey K HoodDivision of Endocrinology and Diabetes, Department of Pediatrics, Stanford University, School of Medicine, Stanford, CA, USA; Stanford Diabetes Research Center, Stanford, CA, USA. Electronic address: kkhood@stanford.edu.

Funding

Stanford Islet Research CoreP30DK116074 · NIDDK · STANFORD UNIVERSITY · PI Seung K Kim · 2017 to 2026
$19.5M
ONBOARD: OvercomiNg Barriers & Obstacles to Adopting Diabetes DevicesK23DK119470 · NIDDK · STANFORD UNIVERSITY · PI TANENBAUM, MOLLY LEAH · 2019 to 2023
$988k
NIDDK NIH HHS K23 DK119470NIDDK NIH HHS P30 DK116074
6 · The paper itself

Abstract

aimsThe purpose of this study was to explore preferences that adults with type 1 diabetes (T1D) have for training and support to initiate and sustain optimal use of continuous glucose monitoring (CGM) technology.

methodsTwenty-two adults with T1D (M age 30.95 ± 8.32; 59.1% female; 90.9% Non-Hispanic; 86.4% White; diabetes duration 13.5 ± 8.42 years; 72.7% insulin pump users) who had initiated CGM use in the past year participated in focus groups exploring two overarching questions: (1) What helped you learn to use your CGM? and (2) What additional support would you have wanted? Focus groups used a semi-structured interview guide and were recorded, transcribed and analyzed.

resultsOverarching themes identified were: (1) "I got it going by myself": CGM training left to the individual; (2) Internet as diabetes educator, troubleshooter, and peer support system; and (3) domains of support they wanted, including content and format of this support.

conclusionThis study identifies current gaps in training and potential avenues for enhancing device education and CGM onboarding support for adults with T1D. Providing CGM users with relevant, timely resources and attending to the emotional side of using CGM could alleviate the burden of starting a new device and promote sustained device use.

Indexed as

Diabetes Mellitus, Type 1AdultBlood GlucoseBlood Glucose Self-MonitoringFemaleHumansInsulin Infusion SystemsMaleYoung AdultBlood GlucoseAdultsContinuous glucose monitoringHealth care deliveryPsychosocial aspectsTelehealthType 1 diabetes

Identifiers

PMID34534592
PMCPMC8578423

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.