An integrative review of the psychosocial facilitators and challenges of continuous subcutaneous insulin infusion therapy in type 1 diabetes

Marlene Payk, Tracy Robinson, Deborah Davis, Marjorie Atchan

Research output: Contribution to journalArticle

  • 2 Citations

Abstract

Aim: To use systematic methods to explore the psychosocial facilitators and challenges of insulin pump therapy among people with type 1 diabetes. Background: Insulin pump therapy is now widely accepted in the management of type 1 diabetes. Given the increasing use of insulin pumps, it is timely to review the evidence relating to the psychosocial impacts of this therapy which have not been addressed in previous reviews. Design: An integrative review of the literature (January 2005-February 2017). Data sources: A systematic search of electronic databases: CINAHL, Cochrane, Medline, PsycINFO and Scopus. Review methods: Empirical literature reporting psychosocial facilitators and challenges of insulin pump therapy were eligible for inclusion. A constant comparative method was used to guide the review. Quality appraisal was performed using the Mixed Methods Appraisal Tool Version 2011. Results: Thirty-five potential articles identified from titles and abstracts were reviewed. Of these, 13 articles were included in the final review. Psychosocial facilitators of insulin pump therapy included the flexibility and freedom it provided for living with diabetes, enhancing social situations and daily management. In contrast, challenges included the demands of pump therapy, self-consciousness in wearing the pump and fear of hypoglycaemia and pump failure. Conclusion: Findings can be used by health professionals to inform people embarking on insulin pump therapy and prepare them with regard to expectations of the treatment. Further research is required to explore the role of diabetes health professional in providing psychosocial support to people with type 1 diabetes on insulin pump therapy.
LanguageEnglish
Pages528–538
Number of pages11
JournalJournal of Advanced Nursing
Volume74
Issue number3
Early online date19 Oct 2017
DOIs
StatePublished - Mar 2018

Fingerprint

Subcutaneous Infusions
Type 1 Diabetes Mellitus
Insulin
Therapeutics
Information Storage and Retrieval
Health
Consciousness
Hypoglycemia
Fear
Databases

Cite this

@article{e1df20c5aa004144bf01374ef9b0d22c,
title = "An integrative review of the psychosocial facilitators and challenges of continuous subcutaneous insulin infusion therapy in type 1 diabetes",
abstract = "Aim: To use systematic methods to explore the psychosocial facilitators and challenges of insulin pump therapy among people with type 1 diabetes. Background: Insulin pump therapy is now widely accepted in the management of type 1 diabetes. Given the increasing use of insulin pumps, it is timely to review the evidence relating to the psychosocial impacts of this therapy which have not been addressed in previous reviews. Design: An integrative review of the literature (January 2005-February 2017). Data sources: A systematic search of electronic databases: CINAHL, Cochrane, Medline, PsycINFO and Scopus. Review methods: Empirical literature reporting psychosocial facilitators and challenges of insulin pump therapy were eligible for inclusion. A constant comparative method was used to guide the review. Quality appraisal was performed using the Mixed Methods Appraisal Tool Version 2011. Results: Thirty-five potential articles identified from titles and abstracts were reviewed. Of these, 13 articles were included in the final review. Psychosocial facilitators of insulin pump therapy included the flexibility and freedom it provided for living with diabetes, enhancing social situations and daily management. In contrast, challenges included the demands of pump therapy, self-consciousness in wearing the pump and fear of hypoglycaemia and pump failure. Conclusion: Findings can be used by health professionals to inform people embarking on insulin pump therapy and prepare them with regard to expectations of the treatment. Further research is required to explore the role of diabetes health professional in providing psychosocial support to people with type 1 diabetes on insulin pump therapy.",
keywords = "CSII therapy, Diabetes educator, Diabetes health professional, Insulin pump, Integrative review, Literature review, Nurse, Psychosocial, Type 1 diabetes",
author = "Marlene Payk and Tracy Robinson and Deborah Davis and Marjorie Atchan",
year = "2018",
month = "3",
doi = "10.1111/jan.13463",
language = "English",
volume = "74",
pages = "528–538",
journal = "Journal of Advanced Nursing",
issn = "0309-2402",
publisher = "Wiley-Blackwell",
number = "3",

}

TY - JOUR

T1 - An integrative review of the psychosocial facilitators and challenges of continuous subcutaneous insulin infusion therapy in type 1 diabetes

AU - Payk,Marlene

AU - Robinson,Tracy

AU - Davis,Deborah

AU - Atchan,Marjorie

PY - 2018/3

Y1 - 2018/3

N2 - Aim: To use systematic methods to explore the psychosocial facilitators and challenges of insulin pump therapy among people with type 1 diabetes. Background: Insulin pump therapy is now widely accepted in the management of type 1 diabetes. Given the increasing use of insulin pumps, it is timely to review the evidence relating to the psychosocial impacts of this therapy which have not been addressed in previous reviews. Design: An integrative review of the literature (January 2005-February 2017). Data sources: A systematic search of electronic databases: CINAHL, Cochrane, Medline, PsycINFO and Scopus. Review methods: Empirical literature reporting psychosocial facilitators and challenges of insulin pump therapy were eligible for inclusion. A constant comparative method was used to guide the review. Quality appraisal was performed using the Mixed Methods Appraisal Tool Version 2011. Results: Thirty-five potential articles identified from titles and abstracts were reviewed. Of these, 13 articles were included in the final review. Psychosocial facilitators of insulin pump therapy included the flexibility and freedom it provided for living with diabetes, enhancing social situations and daily management. In contrast, challenges included the demands of pump therapy, self-consciousness in wearing the pump and fear of hypoglycaemia and pump failure. Conclusion: Findings can be used by health professionals to inform people embarking on insulin pump therapy and prepare them with regard to expectations of the treatment. Further research is required to explore the role of diabetes health professional in providing psychosocial support to people with type 1 diabetes on insulin pump therapy.

AB - Aim: To use systematic methods to explore the psychosocial facilitators and challenges of insulin pump therapy among people with type 1 diabetes. Background: Insulin pump therapy is now widely accepted in the management of type 1 diabetes. Given the increasing use of insulin pumps, it is timely to review the evidence relating to the psychosocial impacts of this therapy which have not been addressed in previous reviews. Design: An integrative review of the literature (January 2005-February 2017). Data sources: A systematic search of electronic databases: CINAHL, Cochrane, Medline, PsycINFO and Scopus. Review methods: Empirical literature reporting psychosocial facilitators and challenges of insulin pump therapy were eligible for inclusion. A constant comparative method was used to guide the review. Quality appraisal was performed using the Mixed Methods Appraisal Tool Version 2011. Results: Thirty-five potential articles identified from titles and abstracts were reviewed. Of these, 13 articles were included in the final review. Psychosocial facilitators of insulin pump therapy included the flexibility and freedom it provided for living with diabetes, enhancing social situations and daily management. In contrast, challenges included the demands of pump therapy, self-consciousness in wearing the pump and fear of hypoglycaemia and pump failure. Conclusion: Findings can be used by health professionals to inform people embarking on insulin pump therapy and prepare them with regard to expectations of the treatment. Further research is required to explore the role of diabetes health professional in providing psychosocial support to people with type 1 diabetes on insulin pump therapy.

KW - CSII therapy

KW - Diabetes educator

KW - Diabetes health professional

KW - Insulin pump

KW - Integrative review

KW - Literature review

KW - Nurse

KW - Psychosocial

KW - Type 1 diabetes

U2 - 10.1111/jan.13463

DO - 10.1111/jan.13463

M3 - Article

VL - 74

SP - 528

EP - 538

JO - Journal of Advanced Nursing

T2 - Journal of Advanced Nursing

JF - Journal of Advanced Nursing

SN - 0309-2402

IS - 3

ER -