Quantitative and qualitative analysis of the quality of life of Type 1 diabetes patients using insulin pumps and of those receiving multiple daily insulin injections.
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2022-08
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Abstract
Introduction
Insulin pump therapy represents an alternative to multiple daily injections and can improve glycemic control and quality of life (QoL) in Type 1 diabetes mellitus (T1DM) patients. We aimed to explore the differences and factors related to the T1DM-specific QoL of such patients in Latvia.Design and methods
A mixed-method cross-sectional study on 87 adult T1DM patients included 20 pump users and 67 users of injections who participated in the quantitative part of the study; 8 pump users and 13 injection users participated in the qualitative part. Patients were invited to participate using a dedicated digital platform. Their QoL and self-management habits were assessed using specially developed questionnaires adapted to Latvian conditions. Multiple logistic regression models were built to investigate the association between social and self-management factors and patients' QoL. In addition, qualitative analysis of answers was performed.Results
Insulin pump users were younger, had higher incomes, and reported higher T1DM expenses than users of multiple daily injections. There were no differences in self-management between the groups; Total QoL differed at the 0.1 significance level. In fully adjusted multiple logistic regression models, the most important factor that increased Total QoL was lower T1DM-related expenses (odds ratio, OR 7.02 [95% confidence interval 1.29; 38.0]). Men and those with more years of living with T1DM had better QoL (OR 9.62 [2.20; 42.1] and OR 1.16 [1.05; 1.29], respectively), but the method of administration was not significantly associated with QoL (OR 7.38 [0.87; 62.9]). Qualitative data supported the results of quantitative analysis.Conclusions
QoL was the main reason to use an insulin pump, while the expense was the main reason to avoid the use of it or to stop using it. Reimbursement policies thus should be considered to enable patients to choose the more convenient method for themselves.Type
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Tzivian, Lilian, Jelizaveta Sokolovska, Anna E Grike, Agate Kalcenaua, Abraham Seidmann, Arriel Benis, Martins Mednis, Ieva Danovska, et al. (2022). Quantitative and qualitative analysis of the quality of life of Type 1 diabetes patients using insulin pumps and of those receiving multiple daily insulin injections. Health and quality of life outcomes, 20(1). p. 120. 10.1186/s12955-022-02029-2 Retrieved from https://hdl.handle.net/10161/33091.
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Arriel Benis
Dr. Arriel Benis is a researcher and educator working at the intersection of medical informatics, digital health, and artificial intelligence, advancing health systems and biomedical engineering innovation. His work leverages AI, data science, and knowledge management to improve health-related decision-making at the individual, population, and public health levels.
His research focuses on developing data-driven healthcare solutions that enhance patient care, optimize clinical processes, and promote sustainable systems. Dr. Benis has engineered (a) clinical decision support systems with direct patient and healthcare partitioners impact such as ADHD, PTSD, and diabetes patient management and health communication, (b) MIMO -the Medical Informatics and Digital Health Multilingual Ontology- integrating more than 3500 terms and concepts across 30+ languages, actively deployed in healthcare organizations for AI-powered training and international projects support, (c) smart home and smart city health monitoring approach from a One Health viewpoint. Dr. Benis is a pioneer of the One Digital Health framework, which strategically links digital health innovation with environmental monitoring.
His past academic positions include serving as a department head and track director in biomedical and health informatics. He holds various leadership roles in the international medical informatics community, is a fellow of the International Academy for Health Sciences Informatics, and is the Editor-in-Chief of JMIR Medical Informatics. Dr. Benis is committed to training the next generation of innovators in digital health and medical informatics.
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