Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/34699
Title: 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.
Austin Authors: Eer, Audrey Sing Yi;Ho, Rebecca Chia Yee;Hearn, Tracey;Hachem, Mariam;Freund, Megan;Burchill, Luke James;Atkinson-Briggs, Sharon;Singh, Satpal;Eades, Sandra;O'Brien, Richard Charles;Furler, John Stuart;O'Neal, David Norman;Story, David Andrew;Zajac, Jeffrey D ;Braat, Sabine;Brown, Alex;Clarke, Phillip;Sinha, Ashim Kumar;McLean, Anna Gerardina;Twigg, Stephen Morris;Ekinci, Elif I 
Affiliation: Austin Health
Albany Health Campus, Spencer Park, WA, Australia.
The University of Melbourne, Melbourne, VIC, Australia.;Rumbalara Aboriginal Co-Operative, Mooroopna, VIC, Australia.
The University of Melbourne (Austin Health), Melbourne, VIC, Australia.;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.;The Australian Centre for Accelerating Diabetes Innovation (ACADI), The University of Melbourne, Parkville, Australia.
Research Academic, School of Medicine and Public Health, University of Newcastle, Newcastle, NSW, Australia.;Equity in Health and Wellbeing Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW, 2305, Australia.
Royal Melbourne Hospital, Parkville, VIC, Australia.;Department of Medicine (Royal Melbourne Hospital), Aboriginal Cardiovascular Health Equity Research Group, The University of Melbourne, Melbourne, VIC, Australia.
Rumbalara Aboriginal Co-Operative, Mooroopna, VIC, Australia.;Department of Medicine, The University of Melbourne, Melbourne, Australia.
Rumbalara Aboriginal Co-Operative, Mooroopna, VIC, Australia.
Faculty of Medicine Dentistry and Health Sciences, The University of Melbourne, Melbourne, VIC, Australia.;Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia.
Austin Clinical School, The University of Melbourne, Melbourne, VIC, Australia.;Graduate Programs and Executive Education, Melbourne Medical School, The University of Melbourne, Melbourne, VIC, Australia.;Lipid Services, Austin Health, Heidelberg, VIC, Australia.
Department of General Practice, Faculty of Medicine Dentisty and Health Sciences, The University of Melbourne, Melbourne, VIC, Australia.
The Australian Centre for Accelerating Diabetes Innovation (ACADI), The University of Melbourne, Parkville, Australia.;St. Vincent's Hospital Melbourne, Fitzroy, VIC, Australia.;The University of Melbourne (St. Vincent's Hospital), Melbourne, VIC, Australia.
Department of Critical Care, The University of Melbourne, Melbourne, Australia.;Melbourne Academic Centre for Health (MACH), Melbourne, VIC, Australia.
Endocrinology
Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia.;MISCH (Methods and Implementation Support for Clinical Health) research Hub, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Australia.
Indigenous Genomics, Australian National University and Telethon Kids Institute, Canberra, Australian Capital Territory, Australia.
The Australian Centre for Accelerating Diabetes Innovation (ACADI), The University of Melbourne, Parkville, Australia.;Health Economics, Nuffield Department of Public Health, Univeristy of Oxford, Oxford, UK.;Academic, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia.
Diabetes and Endocrinology, Cairns Hospital, Cairns, QLD, Australia.;James Cook University, Cairns, QLD, Australia.
Endocrinology and General Medicine, Cairns Hospital, Cairns, QLD, Australia.;Menzies School of Health Research, Darwin, NT, Australia.
The Australian Centre for Accelerating Diabetes Innovation (ACADI), The University of Melbourne, Parkville, Australia.;Department of Endocrinology, Royal Prince Alfred Hospital, Camperdown, NSW, Australia.;Endocrinology, Stan Clark Chair in Diabetes, Faculty in Diabetes, The University of Sydney, Sydney, NSW, Australia.
The Australian Centre for Accelerating Diabetes Innovation (ACADI), The University of Melbourne, Parkville, Australia.;Sir Edward Weary Dunlop Principal Research Fellow in Metabolic Medicine, University of Melbourne, Melbourne, VIC, Australia.
Issue Date: 8-Dec-2023
Date: 2023
Publication information: BMC Health Services Research 2023-12-08; 23(1)
Abstract: 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. This feasibility phenomenological study aims to understand the experiences of Indigenous Australians with T2DM using flash glucose monitoring (FGM). Indigenous Australians with T2DM receiving injectable therapy (nā€‰=ā€‰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). 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. 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.
URI: https://ahro.austin.org.au/austinjspui/handle/1/34699
DOI: 10.1186/s12913-023-10121-6
ORCID: 
Journal: BMC Health Services Research
Start page: 1377
PubMed URL: 38066492
ISSN: 1472-6963
Type: Journal Article
Subjects: Aboriginal people
Flash glucose monitoring
Indigenous Australian
Phenomenological study
Qualitative research
Type 2 diabetes mellitus
Blood Glucose/analysis
Blood Glucose Self-Monitoring/methods
Diabetes Mellitus, Type 2/therapy
Appears in Collections:Journal articles

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