{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T11:56:40Z","timestamp":1777982200376,"version":"3.51.4"},"reference-count":63,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,10,20]],"date-time":"2024-10-20T00:00:00Z","timestamp":1729382400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100018436","name":"Ministerio de Sanidad, Pol\u00edtica Social e Igualdad","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100018436","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing &amp;amp; Health Sciences"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>This work provides a synthesis of the perceptions of people with type 1 diabetes mellitus (T1DM) and healthcare professionals about the acceptability, implementation, and equity of continuous subcutaneous insulin infusion (CSII). A qualitative evidence synthesis was carried out. Three online databases (Medline, Embase, and Web of Science) were searched. Qualitative articles which were available in Spanish or English were included. A descriptive thematic synthesis was conducted according to PRISMA and ENTREQ guidelines. Thirty\u2010two references met the inclusion criteria of the study and were included out of an initial 345 identified references. Seven main themes were identified: (a) acceptability, (b) adaptation to the insulin pump, (c) facilitators for the adequate use of insulin pump, (d) variability of acceptability, (e) barriers for the use of insulin pump, (f) feasibility and implementation considerations, and (g) equity. CSII is well accepted by most people with T1DM, with some exceptions. CSII can relieve management burden, increase autonomy and flexibility and improve family relationships. There were multiple perceived barriers to its continued use. Future studies should continue to analyze inequalities in access and use of the CSII.<\/jats:p>","DOI":"10.1111\/nhs.13177","type":"journal-article","created":{"date-parts":[[2024,10,20]],"date-time":"2024-10-20T23:33:03Z","timestamp":1729467183000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A Qualitative Evidence Synthesis of Continuous Subcutaneous Insulin Infusion: Acceptability, Implementation, Equity"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2395-3907","authenticated-orcid":false,"given":"Ana","family":"Toledo\u2010Chavarri","sequence":"first","affiliation":[{"name":"Canary Islands Health Research Institute Foundation Fundacion Canaria Instituto de Investigacion Sanitaria de Canarias  Santa Cruz de Tenerife Spain"},{"name":"Network for Research on Chronicity, Primary Care, and Health Promotion Red de Investigacion en Cronicidad Atencion Primaria y Prevencion y Promocion de la Salud  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3681-8571","authenticated-orcid":false,"given":"Janet","family":"Delgado","sequence":"additional","affiliation":[{"name":"Yamaguchi University, Graduate School of Medicine, Ube  Yamaguchi Japan"},{"name":"University of Granada, Department of Philosophy Campus Universitario de Cartuja  Granada Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2321-9211","authenticated-orcid":false,"given":"Mar\u00eda","family":"Padilla","sequence":"additional","affiliation":[{"name":"Network for Research on Chronicity, Primary Care, and Health Promotion Red de Investigacion en Cronicidad Atencion Primaria y Prevencion y Promocion de la Salud  Barcelona Spain"},{"name":"Research and Innovation Unit University Hospital Costa del Sol. 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