PMID- 38066492
OWN - NLM
STAT- MEDLINE
DCOM- 20231219
LR  - 20231219
IS  - 1472-6963 (Electronic)
IS  - 1472-6963 (Linking)
VI  - 23
IP  - 1
DP  - 2023 Dec 8
TI  - Feasibility and acceptability of the use of flash glucose monitoring encountered 
      by Indigenous Australians with type 2 diabetes mellitus: initial experiences from 
      a pilot study.
PG  - 1377
LID - 10.1186/s12913-023-10121-6 [doi]
LID - 1377
AB  - BACKGROUND: Type 2 diabetes mellitus (T2DM) is highly prevalent within the 
      Indigenous Australian community. Novel glucose monitoring technology offers an 
      accurate approach to glycaemic management, providing real-time information on 
      glucose levels and trends. The acceptability and feasibilility of this technology 
      in Indigenous Australians with T2DM has not been investigated. OBJECTIVE: This 
      feasibility phenomenological study aims to understand the experiences of 
      Indigenous Australians with T2DM using flash glucose monitoring (FGM). METHODS: 
      Indigenous Australians with T2DM receiving injectable therapy (n = 8) who used 
      FGM (Abbott Freestyle Libre) for 6-months, as part of a clinical trial, 
      participated in semi-structured interviews. Thematic analysis of the interviews 
      was performed using NVivo12 Plus qualitative data analysis software (QSR 
      International). RESULTS: Six major themes emerged: 1) FGM was highly acceptable 
      to the individual; 2) FGM's convenience was its biggest benefit; 3) data from FGM 
      was a tool to modify lifestyle choices; 4) FGM needed to be complemented with 
      health professional support; 5) FGM can be a tool to engage communities in 
      diabetes management; and 6) cost of the device is a barrier to future use. 
      CONCLUSIONS: Indigenous Australians with T2DM had positive experiences with FGM. 
      This study highlights future steps to ensure likelihood of FGM is acceptable and 
      effective within the wider Indigenous Australian community.
CI  - (c) 2023. The Author(s).
FAU - Eer, Audrey Sing Yi
AU  - Eer ASY
AD  - Austin Health, Heidelberg, VIC, Australia.
AD  - The University of Melbourne (Austin Health), Melbourne, VIC, Australia.
FAU - Ho, Rebecca Chia Yee
AU  - Ho RCY
AD  - Albany Health Campus, Spencer Park, WA, Australia.
FAU - Hearn, Tracey
AU  - Hearn T
AD  - The University of Melbourne, Melbourne, VIC, Australia.
AD  - Rumbalara Aboriginal Co-Operative, Mooroopna, VIC, Australia.
FAU - Hachem, Mariam
AU  - Hachem M
AD  - The University of Melbourne (Austin Health), Melbourne, VIC, Australia.
AD  - Centre for Research and Education in Diabetes and Obesity (CREDO), Faculty of 
      Dentistry Health Sciences and Medicine, The University of Melbourne, Austin 
      Health, Melbourne, Australia.
AD  - The Australian Centre for Accelerating Diabetes Innovation (ACADI), The 
      University of Melbourne, Parkville, Australia.
FAU - Freund, Megan
AU  - Freund M
AD  - Research Academic, School of Medicine and Public Health, University of Newcastle, 
      Newcastle, NSW, Australia.
AD  - Equity in Health and Wellbeing Research Program, Hunter Medical Research 
      Institute, New Lambton Heights, NSW, 2305, Australia.
FAU - Burchill, Luke James
AU  - Burchill LJ
AD  - Royal Melbourne Hospital, Parkville, VIC, Australia.
AD  - Department of Medicine (Royal Melbourne Hospital), Aboriginal Cardiovascular 
      Health Equity Research Group, The University of Melbourne, Melbourne, VIC, 
      Australia.
FAU - Atkinson-Briggs, Sharon
AU  - Atkinson-Briggs S
AD  - Rumbalara Aboriginal Co-Operative, Mooroopna, VIC, Australia.
AD  - Department of Medicine, The University of Melbourne, Melbourne, Australia.
FAU - Singh, Satpal
AU  - Singh S
AD  - Rumbalara Aboriginal Co-Operative, Mooroopna, VIC, Australia.
FAU - Eades, Sandra
AU  - Eades S
AD  - Faculty of Medicine Dentistry and Health Sciences, The University of Melbourne, 
      Melbourne, VIC, Australia.
AD  - Centre for Epidemiology and Biostatistics, Melbourne School of Population and 
      Global Health, The University of Melbourne, Melbourne, VIC, Australia.
FAU - O'Brien, Richard Charles
AU  - O'Brien RC
AD  - Austin Clinical School, The University of Melbourne, Melbourne, VIC, Australia.
AD  - Graduate Programs and Executive Education, Melbourne Medical School, The 
      University of Melbourne, Melbourne, VIC, Australia.
AD  - Lipid Services, Austin Health, Heidelberg, VIC, Australia.
FAU - Furler, John Stuart
AU  - Furler JS
AD  - Department of General Practice, Faculty of Medicine Dentisty and Health Sciences, 
      The University of Melbourne, Melbourne, VIC, Australia.
FAU - O'Neal, David Norman
AU  - O'Neal DN
AD  - The Australian Centre for Accelerating Diabetes Innovation (ACADI), The 
      University of Melbourne, Parkville, Australia.
AD  - St. Vincent's Hospital Melbourne, Fitzroy, VIC, Australia.
AD  - The University of Melbourne (St. Vincent's Hospital), Melbourne, VIC, Australia.
FAU - Story, David Andrew
AU  - Story DA
AD  - Austin Health, Heidelberg, VIC, Australia.
AD  - Department of Critical Care, The University of Melbourne, Melbourne, Australia.
AD  - Melbourne Academic Centre for Health (MACH), Melbourne, VIC, Australia.
FAU - Zajac, Jeffrey David
AU  - Zajac JD
AD  - The University of Melbourne (Austin Health), Melbourne, VIC, Australia.
AD  - Division of Medicine, Medical Services CSU and Department of Endocrinology, 
      Austin Health, Heidelberg, VIC, Australia.
FAU - Braat, Sabine
AU  - Braat S
AD  - Centre for Epidemiology and Biostatistics, Melbourne School of Population and 
      Global Health, The University of Melbourne, Melbourne, VIC, Australia.
AD  - MISCH (Methods and Implementation Support for Clinical Health) research Hub, 
      Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, 
      Melbourne, Australia.
FAU - Brown, Alex
AU  - Brown A
AD  - Indigenous Genomics, Australian National University and Telethon Kids Institute, 
      Canberra, Australian Capital Territory, Australia.
FAU - Clarke, Phillip
AU  - Clarke P
AD  - The Australian Centre for Accelerating Diabetes Innovation (ACADI), The 
      University of Melbourne, Parkville, Australia.
AD  - Health Economics, Nuffield Department of Public Health, Univeristy of Oxford, 
      Oxford, UK.
AD  - Academic, Melbourne School of Population and Global Health, The University of 
      Melbourne, Melbourne, VIC, Australia.
FAU - Sinha, Ashim Kumar
AU  - Sinha AK
AD  - Diabetes and Endocrinology, Cairns Hospital, Cairns, QLD, Australia.
AD  - James Cook University, Cairns, QLD, Australia.
FAU - McLean, Anna Gerardina
AU  - McLean AG
AD  - Endocrinology and General Medicine, Cairns Hospital, Cairns, QLD, Australia.
AD  - Menzies School of Health Research, Darwin, NT, Australia.
FAU - Twigg, Stephen Morris
AU  - Twigg SM
AD  - The Australian Centre for Accelerating Diabetes Innovation (ACADI), The 
      University of Melbourne, Parkville, Australia.
AD  - Department of Endocrinology, Royal Prince Alfred Hospital, Camperdown, NSW, 
      Australia.
AD  - Endocrinology, Stan Clark Chair in Diabetes, Faculty in Diabetes, The University 
      of Sydney, Sydney, NSW, Australia.
FAU - Ekinci, Elif Ilhan
AU  - Ekinci EI
AD  - Austin Health, Heidelberg, VIC, Australia. elif.ekinci@unimelb.edu.au.
AD  - The Australian Centre for Accelerating Diabetes Innovation (ACADI), The 
      University of Melbourne, Parkville, Australia. elif.ekinci@unimelb.edu.au.
AD  - Sir Edward Weary Dunlop Principal Research Fellow in Metabolic Medicine, 
      University of Melbourne, Melbourne, VIC, Australia. elif.ekinci@unimelb.edu.au.
LA  - eng
PT  - Journal Article
DEP - 20231208
PL  - England
TA  - BMC Health Serv Res
JT  - BMC health services research
JID - 101088677
RN  - 0 (Blood Glucose)
SB  - IM
MH  - Humans
MH  - Australia
MH  - Blood Glucose/analysis
MH  - *Blood Glucose Self-Monitoring/methods
MH  - *Diabetes Mellitus, Type 2/therapy
MH  - Feasibility Studies
MH  - Pilot Projects
MH  - Australian Aboriginal and Torres Strait Islander Peoples
PMC - PMC10704698
OTO - NOTNLM
OT  - Aboriginal people
OT  - Flash glucose monitoring
OT  - Indigenous Australian
OT  - Phenomenological study
OT  - Qualitative research
OT  - Type 2 diabetes mellitus
COIS- The authors declare no competing interests.
EDAT- 2023/12/09 10:42
MHDA- 2023/12/17 09:44
PMCR- 2023/12/08
CRDT- 2023/12/09 00:03
PHST- 2022/12/16 00:00 [received]
PHST- 2023/10/05 00:00 [accepted]
PHST- 2023/12/17 09:44 [medline]
PHST- 2023/12/09 10:42 [pubmed]
PHST- 2023/12/09 00:03 [entrez]
PHST- 2023/12/08 00:00 [pmc-release]
AID - 10.1186/s12913-023-10121-6 [pii]
AID - 10121 [pii]
AID - 10.1186/s12913-023-10121-6 [doi]
PST - epublish
SO  - BMC Health Serv Res. 2023 Dec 8;23(1):1377. doi: 10.1186/s12913-023-10121-6.