A systematic review on the impact of commercially available hybrid closed loop systems on psychological outcomes in youths with type 1 diabetes and their parents Article Swipe
Roberto Franceschi
,
Enza Mozzillo
,
Francesca Di Candia
,
Evelina Maines
,
Letizia Leonardi
,
Martina Girardi
,
Ludovica Fedi
,
Francesco Maria Rosanio
,
M. Loredana Marcovecchio
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1111/dme.15099
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1111/dme.15099
Aim To systematically assess the impact of commercially available hybrid closed loop (HCL) systems on psychological outcomes in youths with type 1 diabetes and their parents. Methods We performed a systematic review including studies published in the last 10 years. PICOS framework was used in the selection process, and evidence was assessed using the GRADE system. Results A total of 215 studies were identified after duplicate removal, and 31 studies were included in this systematic review: 20 on first‐generation HCL and 11 on second‐generation HCL systems. According to studies with moderate‐ to high‐level quality of evidence, HCL systems led to better, or in some studies, unchanged psychological outcomes such as distress and burden related to diabetes management, fear of hypoglycemia, quality of life, satisfaction; instead, quality of sleep was perceived as improved, although results were not confirmed in studies using actigraphy. From semi‐structured interviews, answers were more homogeneous, and participants reported a positive experience and attitude towards HCL technology, which was felt to be easy to use and apt to achieve glycemic targets. Conclusions Evidence confirms the importance of evaluating the psychosocial needs of youths with diabetes and their families when starting HCL systems and during follow‐up, and to set realistic expectations of what can be achieved along with awareness of the limitations of the systems, and educate and motivate families to overcome barriers.
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Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1111/dme.15099
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/dme.15099
- OA Status
- hybrid
- Cited By
- 33
- References
- 43
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4362716769
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4362716769Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1111/dme.15099Digital Object Identifier
- Title
-
A systematic review on the impact of commercially available hybrid closed loop systems on psychological outcomes in youths with type 1 diabetes and their parentsWork title
- Type
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reviewOpenAlex work type
- Language
-
enPrimary language
- Publication year
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2023Year of publication
- Publication date
-
2023-04-08Full publication date if available
- Authors
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Roberto Franceschi, Enza Mozzillo, Francesca Di Candia, Evelina Maines, Letizia Leonardi, Martina Girardi, Ludovica Fedi, Francesco Maria Rosanio, M. Loredana MarcovecchioList of authors in order
- Landing page
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https://doi.org/10.1111/dme.15099Publisher landing page
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/dme.15099Direct link to full text PDF
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/dme.15099Direct OA link when available
- Concepts
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Medicine, Psychosocial, Glycemic, Type 1 diabetes, Critical appraisal, Clinical psychology, Applied psychology, Psychiatry, Diabetes mellitus, Alternative medicine, Psychology, Endocrinology, PathologyTop concepts (fields/topics) attached by OpenAlex
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33Total citation count in OpenAlex
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2025: 8, 2024: 21, 2023: 4Per-year citation counts (last 5 years)
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43Number of works referenced by this work
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-
10Other works algorithmically related by OpenAlex
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