Evidence mapPaperPMID 40279481Full record

ArticleDiabetic medicine : a journal of the British Diabetic Association2025

Improving access to diabetes technologies in children and young people with type 1 diabetes: Healthcare professionals' perspectives and views.

Rachel Dlugatch, David Rankin, Mark Evans, Nick Oliver, Sze May Ng, Julia Lawton

Abstract read
In one paragraph

Article in Diabetic medicine : a journal of the British Diabetic Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
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

6 authors.

Rachel DlugatchUsher Institute, Medical School, University of Edinburgh, Edinburgh, UK.
David RankinUsher Institute, Medical School, University of Edinburgh, Edinburgh, UK.ORCID https://orcid.org/0000-0002-5835-3402
Mark EvansInstitute of Metabolic Science and Department of Medicine, University of Cambridge, Cambridge, UK.
Nick OliverDepartment of Metabolism, Digestion and Reproduction, Imperial College, London, UK.ORCID https://orcid.org/0000-0003-3525-3633
Sze May NgFaculty of Health, Social Care and Medicine, Edge Hill University, Ormskirk, UK.
Julia LawtonUsher Institute, Medical School, University of Edinburgh, Edinburgh, UK.ORCID https://orcid.org/0000-0002-8016-7374

Funding

Diabetes UKDiabetes UK 22/0006434
6 · The paper itself

Abstract

aimsTo understand and explore the strategies, resources, and interventions healthcare professionals are implementing, or recommend implementing, to promote more equitable access to diabetes technology amongst children and young people (CYP) with type 1 diabetes in the UK.

methodsInterviews were conducted with (n = 29) healthcare professionals working in paediatric diabetes in England from (n = 15) purposively selected sites. Data were analysed thematically.

resultsHealthcare professionals reported many strategies to help address diabetes technology access disparities in CYP, structured under the following themes: 'Re-evaluating staff levels, roles, and efficiency'; 'Improving communication'; 'Promoting peer support and community outreach'; 'Providing financial and social support for deprived CYP/caregivers'; 'Encouraging CYP/caregiver choice;' and 'Funding, sustainability, and burnout.' Many of these strategies appeared to be local (e.g., site-specific) solutions, made possible by short-term, one-off funding schemes and innovation by individual team members. While some proposed strategies appeared to improve staff time-efficiencies allowing greater numbers of CYPs to be moved onto technology, others, as interviewees noted, could add to individual team members' workloads and stress.

conclusionsHealthcare professionals appeared highly committed to addressing technology access disparities in CYP. While some of their recommendations may be easier to implement than others, our findings underscore the importance of adopting a joined-up, integrated approach to promoting equitable technology access across the UK. This would require closer collaboration and resource-sharing within and across sites, backed by sustainable, long-term funding, with a significant portion dedicated to increasing staffing capacity to support the practical implementation of these strategies.

Indexed as

Attitude of Health PersonnelDiabetes Mellitus, Type 1Health PersonnelHealth Services AccessibilityAdolescentAdultChildEnglandFemaleHealthcare DisparitiesHumansMaleUnited Kingdomchildren and young peoplehealthcare professionalsinequalityqualitative researchtechnologytype 1 diabetes

Identifiers

PMID40279481
PMCPMC7617667

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.