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Med."],"published-print":{"date-parts":[[2016,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To explore health professionals' views about insulin pump therapy [continuous subcutaneous insulin infusion (<jats:styled-content style=\"fixed-case\">CSII<\/jats:styled-content>)] and the types of individuals they thought would gain greatest clinical benefit from using this treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In\u2010depth interviews with staff (<jats:italic>n<\/jats:italic>\u00a0=\u00a018) who delivered the Relative Effectiveness of Pumps Over <jats:styled-content style=\"fixed-case\">MDI<\/jats:styled-content> and Structured Education (<jats:styled-content style=\"fixed-case\">REPOSE<\/jats:styled-content>) trial. Data were analysed thematically.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Staff perceived insulin pumps as offering a better self\u2010management tool to some individuals due to the drip feed of insulin, the ability to alter basal rates and other advanced features. However, staff also noted that, because of the diversity of features on offer, <jats:styled-content style=\"fixed-case\">CSII<\/jats:styled-content> is a more technically complex therapy to execute than multiple daily injections. For this reason, staff described how, alongside clinical criteria, they had tended to select individuals for <jats:styled-content style=\"fixed-case\">CSII<\/jats:styled-content> in routine clinical practice based on their perceptions about whether they possessed the personal and psychological attributes needed to make optimal use of pump technology. Staff also described how their assumptions about personal and psychological suitability had been challenged by working on the <jats:styled-content style=\"fixed-case\">REPOSE<\/jats:styled-content> trial and observing individuals make effective use of <jats:styled-content style=\"fixed-case\">CSII<\/jats:styled-content> who they would not have recommended for this type of therapy in routine clinical practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our findings add to those studies that highlight the difficulties of using patient characteristics and variables to predict clinical success using <jats:styled-content style=\"fixed-case\">CSII<\/jats:styled-content>. To promote equitable access to <jats:styled-content style=\"fixed-case\">CSII<\/jats:styled-content>, attitudinal barriers and prejudicial assumptions amongst staff about who is able to make effective use of <jats:styled-content style=\"fixed-case\">CSII<\/jats:styled-content> may need to be addressed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dme.12879","type":"journal-article","created":{"date-parts":[[2015,8,6]],"date-time":"2015-08-06T13:01:46Z","timestamp":1438866106000},"page":"243-251","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":61,"title":["Who gains clinical benefit from using insulin pump therapy? A qualitative study of the perceptions and views of health professionals involved in the Relative Effectiveness of Pumps over <scp>MDI<\/scp> and Structured Education (<scp>REPOSE<\/scp>) trial"],"prefix":"10.1111","volume":"33","author":[{"given":"J.","family":"Lawton","sequence":"first","affiliation":[{"name":"Centre for Population Health Sciences University of Edinburgh Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Kirkham","sequence":"additional","affiliation":[{"name":"Centre for Population Health Sciences University of Edinburgh Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Rankin","sequence":"additional","affiliation":[{"name":"Centre for Population Health Sciences University of Edinburgh Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. 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