{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T02:20:01Z","timestamp":1788315601218,"version":"build-2803163510"},"reference-count":38,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,11,25]],"date-time":"2024-11-25T00:00:00Z","timestamp":1732492800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet Med"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To identify from a parental perspective facilitators and barriers of effective implementation of advanced hybrid closed\u2010loop (AHCL) therapy in children and adolescents with type 1 diabetes (T1D) with elevated glycaemia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Semi\u2010structured interviews were conducted with parents of participants while in a post\u2010trial extension phase of the CO\u2010PILOT randomized controlled trial. The Capability, Opportunity, Motivation, Behaviour Model and Theoretical Domain Framework informed the interviews and framework analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eleven parents of 9 children and adolescents were interviewed. The median age of their children and adolescents was 14.2\u2009years (IQR 13.3\u201314.7) with median HbA1c 78\u2009mmol\/mol (IQR 75\u201386) (9.3% IQR 9\u201310) before starting AHCL. Facilitators of implementing AHCL therapy included the following: (1) knowledge acquired from training, (2) establishing routines and action plans, (3) remote glucose monitoring, (4) achievement of glycaemic goals through automation, (5) children\/adolescents' capability to use AHCL independently, (6) improved outcomes incentivized continued AHCL, (7) optimism about sustained improvements and (8) social support from healthcare providers, school staff, peers and parents. Barriers to AHCL implementation included the following: (1) challenges with device usability, (2) need for technical support, (3) forgotten knowledge and skills, (4) non\u2010adherence to best practices, (5) negative social influences, (6) physical and psychosocial burden and (7) negative emotions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study provides comprehensive insights into parental perspectives of influences on implementing AHCL therapy in children and adolescents with elevated glycaemia. As parents remain key partners in diabetes care, these findings inform successful implementation of AHCL and development of future diabetes technology.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dme.15448","type":"journal-article","created":{"date-parts":[[2024,11,26]],"date-time":"2024-11-26T00:20:30Z","timestamp":1732580430000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Parental perspectives following the implementation of advanced hybrid closed\u2010loop therapy in children and adolescents with type 1 diabetes and elevated glycaemia"],"prefix":"10.1111","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1046-9454","authenticated-orcid":false,"given":"Sin\u2010ting Tiffany","family":"Lai","sequence":"first","affiliation":[{"name":"Department of Women's and Children's Health, Dunedin School of Medicine University of Otago  Dunedin New 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