{"id":"https://openalex.org/W4381376882","doi":"https://doi.org/10.2337/db23-914-p","title":"914-P: Veteran Experiences with Hybrid Closed-Loop (HCL) Insulin Delivery Systems in Type 1 Diabetes (T1D)","display_name":"914-P: Veteran Experiences with Hybrid Closed-Loop (HCL) Insulin Delivery Systems in Type 1 Diabetes (T1D)","publication_year":2023,"publication_date":"2023-06-20","ids":{"openalex":"https://openalex.org/W4381376882","doi":"https://doi.org/10.2337/db23-914-p"},"language":"en","primary_location":{"id":"doi:10.2337/db23-914-p","doi":"https://doi.org/10.2337/db23-914-p","is_oa":false,"landing_page_url":"https://doi.org/10.2337/db23-914-p","pdf_url":null,"source":{"id":"https://openalex.org/S129060628","display_name":"Diabetes","issn_l":"0012-1797","issn":["0012-1797","1939-327X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320274","host_organization_name":"American Diabetes Association","host_organization_lineage":["https://openalex.org/P4310320274"],"host_organization_lineage_names":["American Diabetes Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diabetes","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5092215227","display_name":"SHAMS AZZAWI","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"SHAMS AZZAWI","raw_affiliation_strings":["Ypsilanti, MI, Ann Arbor, MI"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ypsilanti, MI, Ann Arbor, MI","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5027696557","display_name":"Melissa J. DeJonckheere","orcid":"https://orcid.org/0000-0002-2660-3358","observed_orcids":["https://orcid.org/0000-0002-2660-3358"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"MELISSA DEJONCKHEERE","raw_affiliation_strings":["Ypsilanti, MI, Ann Arbor, MI"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ypsilanti, MI, Ann Arbor, MI","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059749686","display_name":"Holly M Thompson","orcid":"https://orcid.org/0000-0001-5563-2767","observed_orcids":["https://orcid.org/0000-0001-5563-2767"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"HOLLY THOMPSON","raw_affiliation_strings":["Ypsilanti, MI, Ann Arbor, MI"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ypsilanti, MI, Ann Arbor, MI","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5045802808","display_name":"Kathryn M. Hurren","orcid":"https://orcid.org/0000-0002-1993-6816","observed_orcids":["https://orcid.org/0000-0002-1993-6816"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"KATHRYN HURREN","raw_affiliation_strings":["Ypsilanti, MI, Ann Arbor, MI"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ypsilanti, MI, Ann Arbor, MI","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5028768290","display_name":"VIRGINIA A. LEONE","orcid":"https://orcid.org/0000-0003-0811-7708","observed_orcids":["https://orcid.org/0000-0003-0811-7708"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"VIRGINIA A. LEONE","raw_affiliation_strings":["Ypsilanti, MI, Ann Arbor, MI"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ypsilanti, MI, Ann Arbor, MI","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018561083","display_name":"Rodica Pop\u2010Busui","orcid":"https://orcid.org/0000-0002-2042-1350","observed_orcids":["https://orcid.org/0000-0002-2042-1350"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"RODICA BUSUI","raw_affiliation_strings":["Ypsilanti, MI, Ann Arbor, MI"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ypsilanti, MI, Ann Arbor, MI","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067121543","display_name":"Gretchen Piatt","orcid":"https://orcid.org/0000-0001-6641-6330","observed_orcids":["https://orcid.org/0000-0001-6641-6330"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"GRETCHEN PIATT","raw_affiliation_strings":["Ypsilanti, MI, Ann Arbor, MI"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ypsilanti, MI, Ann Arbor, MI","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5027103327","display_name":"JOYCE M. LEE","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"JOYCE M. LEE","raw_affiliation_strings":["Ypsilanti, MI, Ann Arbor, MI"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ypsilanti, MI, Ann Arbor, MI","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5057204736","display_name":"KARA R. MIZOKAMI-STOUT","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"KARA R. MIZOKAMI-STOUT","raw_affiliation_strings":["Ypsilanti, MI, Ann Arbor, MI"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ypsilanti, MI, Ann Arbor, MI","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.11843658,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"72","issue":"Supplement_1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10560","display_name":"Diabetes Management and Research","score":0.9765999913215637,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10560","display_name":"Diabetes Management and Research","score":0.9765999913215637,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10793","display_name":"Diabetes Management and Education","score":0.022299999371170998,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11171","display_name":"Diabetes and associated disorders","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/1311","display_name":"Genetics"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/type-1-diabetes","display_name":"type 1 diabetes","score":0.9800000190734863},{"id":"https://openalex.org/keywords/veterans","display_name":"veterans","score":0.9940000176429749},{"id":"https://openalex.org/keywords/patient-experience","display_name":"patient experience","score":0.6499999761581421},{"id":"https://openalex.org/keywords/alarm-fatigue","display_name":"alarm fatigue","score":0.7129999995231628},{"id":"https://openalex.org/keywords/self-management","display_name":"self-management","score":0.5070000290870667},{"id":"https://openalex.org/keywords/network-support","display_name":"network support","score":0.7020000219345093},{"id":"https://openalex.org/keywords/inpatient-diabetes-management","display_name":"inpatient diabetes management","score":0.6890000104904175},{"id":"https://openalex.org/keywords/theory-of-planned-behavior","display_name":"theory of planned behavior","score":0.8539999723434448},{"id":"https://openalex.org/keywords/diabetes-technology-adoption","display_name":"diabetes technology adoption","score":0.49000000953674316},{"id":"https://openalex.org/keywords/diabetes-complications","display_name":"diabetes complications","score":0.38100001215934753},{"id":"https://openalex.org/keywords/medtronic","display_name":"Medtronic","score":0.5230000019073486},{"id":"https://openalex.org/keywords/tandem","display_name":"Tandem","score":0.9340000152587891},{"id":"https://openalex.org/keywords/veterans-affairs-health-care","display_name":"Veterans Affairs health care","score":0.5619999766349792},{"id":"https://openalex.org/keywords/older-adults-with-diabetes","display_name":"diabetes in older adults","score":0.6290000081062317}],"concepts":[{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.7521901726722717},{"id":"https://openalex.org/C2777495918","wikidata":"https://www.wikidata.org/wiki/Q1196129","display_name":"Spouse","level":2,"score":0.4814407229423523},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4554729759693146},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.4390052556991577},{"id":"https://openalex.org/C2780598303","wikidata":"https://www.wikidata.org/wiki/Q65921492","display_name":"Flexibility (engineering)","level":2,"score":0.43315330147743225},{"id":"https://openalex.org/C2776217022","wikidata":"https://www.wikidata.org/wiki/Q1100933","display_name":"Diabetes management","level":4,"score":0.426188200712204},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.4232170581817627},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.4086841642856598},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.3610795736312866},{"id":"https://openalex.org/C2777180221","wikidata":"https://www.wikidata.org/wiki/Q3025883","display_name":"Type 2 diabetes","level":3,"score":0.25323396921157837},{"id":"https://openalex.org/C105795698","wikidata":"https://www.wikidata.org/wiki/Q12483","display_name":"Statistics","level":1,"score":0.0},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.0},{"id":"https://openalex.org/C19165224","wikidata":"https://www.wikidata.org/wiki/Q23404","display_name":"Anthropology","level":1,"score":0.0},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.2337/db23-914-p","doi":"https://doi.org/10.2337/db23-914-p","is_oa":false,"landing_page_url":"https://doi.org/10.2337/db23-914-p","pdf_url":null,"source":{"id":"https://openalex.org/S129060628","display_name":"Diabetes","issn_l":"0012-1797","issn":["0012-1797","1939-327X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320274","host_organization_name":"American Diabetes Association","host_organization_lineage":["https://openalex.org/P4310320274"],"host_organization_lineage_names":["American Diabetes Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diabetes","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4361301733","https://openalex.org/W7129201292","https://openalex.org/W2599850051","https://openalex.org/W7163685839","https://openalex.org/W7163708616","https://openalex.org/W4283575802","https://openalex.org/W4394740357","https://openalex.org/W4388733887","https://openalex.org/W7118535443","https://openalex.org/W2809306231"],"abstract_inverted_index":{"While":[0],"HCL":[1,21,40,58,105,108,124,128,135,172,186,192,213,245],"systems":[2,22,136,214,238,246],"are":[3,10],"increasingly":[4],"recommended,":[5],"data":[6],"regarding":[7],"veteran":[8,18],"experiences":[9,19,38],"limited.":[11],"We":[12,30],"performed":[13,96],"semi-structured":[14],"interviews":[15,49],"to":[16,35,97,102,197,204],"characterize":[17],"with":[20,39,52,54,158,225,230],"at":[23,61],"the":[24,79,103,145,248],"VA":[25],"Ann":[26],"Arbor":[27],"Healthcare":[28],"System.":[29],"used":[31],"qualitative":[32],"description":[33],"methodology":[34],"elicit":[36],"participant":[37],"and":[41,85,143,203,217,325,327],"identify":[42],"factors":[43,99],"that":[44,100,134,212],"could":[45],"improve":[46,215],"practice.":[47],"Semi-structured":[48],"were":[50,130,156,194],"conducted":[51],"veterans":[53,221],"T1D":[55],"using":[56,185,236],"an":[57,177],"device":[59],"for":[60,171,190,200,244,259],"least":[62],"6":[63],"months.":[64],"The":[65],"interview":[66,93],"guide":[67],"was":[68,95],"developed":[69],"based":[70],"on":[71,255],"a":[72,195],"modified":[73],"Theory":[74],"of":[75,81,92,147,180,262,305,323],"Planned":[76],"Behavior,":[77],"examining":[78],"domains":[80],"attitudes/knowledge,":[82],"network":[83,162,257],"support,":[84],"perceived":[86],"behavioral":[87],"control.":[88],"Inductive":[89],"thematic":[90],"analysis":[91],"transcripts":[94],"understand":[98],"contribute":[101],"overall":[104],"experience.":[106],"Nine":[107],"users":[109],"(mean":[110],"age":[111],"68":[112],"years,":[113,121],"mean":[114,117],"A1c":[115],"7.4%,":[116],"diabetes":[118,183,207],"duration":[119],"30":[120],"78%":[122],"Medtronic":[123],"users,":[125],"22%":[126],"Tandem":[127,314],"users)":[129],"interviewed.":[131],"Participants":[132,155],"reported":[133,176],"ease":[137],"self-management":[138,216],"burden,":[139],"increase":[140],"lifestyle":[141],"flexibility,":[142],"enhance":[144,218],"perception":[146],"safety.":[148],"However,":[149],"challenges":[150,242],"in":[151,168,182,220,228,235,247],"alarm":[152],"fatigue":[153],"exist.":[154],"satisfied":[157],"their":[159,201],"outpatient":[160],"multidisciplinary":[161],"support":[163,170,258],"but":[164],"noted":[165],"significant":[166],"gaps":[167],"inpatient":[169,249,260],"use.":[173],"Lastly,":[174],"participants":[175],"improved":[178],"sense":[179],"confidence":[181],"management":[184],"systems.":[187],"Key":[188],"facilitators":[189],"successful":[191],"use":[193,261],"desire":[196],"stay":[198],"healthy":[199],"spouse":[202],"avoid":[205],"long-term":[206],"complications.":[208],"Our":[209],"findings":[210],"confirm":[211],"safety":[219],"as":[222,239],"well,":[223],"similar":[224],"prior":[226],"reports":[227],"non-veterans":[229],"T1D.":[231],"Veterans":[232],"felt":[233],"supported":[234],"these":[237,263],"outpatients":[240],"though":[241],"remain":[243],"setting.":[250],"Future":[251],"studies":[252],"should":[253],"focus":[254],"improving":[256],"devices.":[264],"Disclosure":[265],"S.Azzawi:":[266],"None.":[267,269,271,273,275,308,319],"M.Dejonckheere:":[268],"H.Thompson:":[270],"K.Hurren:":[272],"V.A.Leone:":[274],"R.Busui:":[276],"Board":[277],"Member;":[278],"American":[279],"Diabetes":[280,315,324],"Association,":[281],"Consultant;":[282,313],"Averitas":[283],"Pharma,":[284],"Inc.,":[285,288],"Lexicon":[286],"Pharmaceuticals,":[287],"Nevro":[289],"Corp.,":[290],"Novo":[291,300],"Nordisk,":[292,301],"Roche":[293],"Diagnostics,":[294],"Procter":[295],"&":[296],"Gamble,":[297],"Research":[298],"Support;":[299],"Medtronic,":[302],"National":[303,321],"Institutes":[304],"Health.":[306],"G.Piatt:":[307],"J.M.Lee:":[309],"Advisory":[310],"Panel;":[311],"GoodRx,":[312],"Care,":[316],"Inc.":[317],"K.R.Mizokami-stout:":[318],"Funding":[320],"Institute":[322],"Digestive":[326],"Kidney":[328],"Diseases":[329],"(P30DK020572-43S1)":[330]},"counts_by_year":[],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2023-06-21T00:00:00"}