{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T08:29:25Z","timestamp":1785400165770,"version":"3.56.0"},"reference-count":28,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T00:00:00Z","timestamp":1693267200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Background and aims<\/jats:title><jats:p>The aim of the study was to evaluate the satisfaction of the use of telemedicine and telenursing in children and young adults with Type 1 Diabetes (T1D) using Advanced Hybrid Closed Loop systems (AHCL) with a focus on the role of connectivity, data download and the ease of technical steps in the set and sensor change procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An online anonymous survey was administered to AHCL users. The questionnaire consisted of five Clusters: Cluster A-B-C included questions related to the general satisfaction in the use of telemedicine, Cluster D was focused on the role of data download and connectivity, Cluster E was related to satisfaction in telenursing and Cluster F to the perception of ease of execution of the technical steps like changing the infusion set and the sensor.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We collected 136 completed questionnaires. 83.8% of AHCL users were overall satisfied with the quality of the telemedicine service. 88.2% of patients downloaded AHCL data before visits and the overall quality of televisits (data sharing, connectivity, ease of use) was satisfactory for 85.3% of users. Telenursing support during set and sensor change procedures was considered effective by 98% of AHCL users. The sensor and insulin infusion set change procedure is perceived as different for the two systems: set change simpler for Medtronic (<jats:italic>p<\/jats:italic> =\u20090.011) users, while sensor change was simpler for Tandem users (<jats:italic>p<\/jats:italic> =\u20090.009).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Telemedicine and telenursing have an essential role in diabetology and are highly appreciated in AHCL users. The nurse support in the education of the use of AHCL systems is effective and must be implemented. Unfortunately, not all patients have the technological tools needed for downloading data at home and using telemedicine services; this represents an important challenge for the future of diabetology and for the equity in accessibility to care.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2023.1249299","type":"journal-article","created":{"date-parts":[[2023,8,30]],"date-time":"2023-08-30T08:44:16Z","timestamp":1693385056000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Advanced Hybrid Closed Loop users\u2019 satisfaction of telemedicine and telenursing in pediatric and young adult type 1 diabetes"],"prefix":"10.3389","volume":"11","author":[{"given":"Marta","family":"Bassi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Dufour","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marina Francesca","family":"Strati","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniele","family":"Franzone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Scalas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Lionetti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giordano","family":"Spacco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Rizza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prisca","family":"Sburlati","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emilio","family":"Casalini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Parodi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"d\u2019Annunzio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Minuto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,8,29]]},"reference":[{"key":"ref1","volume-title":"A health telematics policy in support of WHO's health-for-all strategy for global health development: Report of the WHO Group consultation on health telematics, 11\u201316 December, Geneva, 1997","year":"1998"},{"key":"ref2","article-title":"Indicazioni nazionali per l\u2019erogazione di prestazione in telemedicina. 27 ottobre. V 4.4. Allegato A Accordo Stato-Regioni","year":"2020"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"235","DOI":"10.3390\/jpm13020235","article-title":"Use of telemedicine healthcare Systems in Children and Adolescents with chronic disease or in transition stages of life: consensus document of the Italian Society of Telemedicine (SIT), of the Italian Society of Preventive and Social Pediatrics (SIPPS), of the Italian Society of Pediatric Primary Care (SICuPP), of the Italian Federation of Pediatric Doctors (FIMP) and of the syndicate of family pediatrician doctors (SIMPeF)","volume":"13","author":"Esposito","year":"2023","journal-title":"J Pers Med"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"e37631","DOI":"10.2196\/37631","article-title":"Digital technologies and the role of health care professionals: scoping review exploring Nurses' skills in the digital era and in the light of the COVID-19 pandemic","volume":"5","author":"Isidori","year":"2022","journal-title":"JMIR Nurs"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"956","DOI":"10.1136\/adc.2006.099622","article-title":"One hundred years of telemedicine: does this new technology have a place in paediatrics?","volume":"91","author":"Strehle","year":"2006","journal-title":"Arch Dis Child"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"198","DOI":"10.3390\/jpm13020198","article-title":"Use of telemedicine healthcare Systems in Pediatric Assistance at territorial level: consensus document of the Italian Society of Telemedicine (SIT), of the Italian Society of Preventive and Social Pediatrics (SIPPS), of the Italian Society of Pediatric Primary Care (SICuPP), of the Italian Federation of Pediatric Doctors (FIMP) and of the syndicate of family pediatrician doctors (SIMPeF)","volume":"13","author":"Esposito","year":"2023","journal-title":"J Pers Med"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"e22696","DOI":"10.2196\/22696","article-title":"Telemedicine in pediatrics: systematic review of randomized controlled trials","volume":"4","author":"Shah","year":"2021","journal-title":"JMIR Pediatr Parent"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"783","DOI":"10.3390\/life13030783","article-title":"Automated insulin delivery (AID) systems: use and efficacy in children and adults with type 1 diabetes and other forms of diabetes in Europe in early 2023","volume":"13","author":"Bassi","year":"2023","journal-title":"Life (Basel, Switzerland)"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"e20210295","DOI":"10.1590\/1980-220x-reeusp-2021-0295","article-title":"Digital technologies in the care of people with diabetes during the COVID-19 pandemic: a scoping review","volume":"55","author":"Negreiros","year":"2021","journal-title":"Revista da Escola de Enfermagem da U S P"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"1083","DOI":"10.1111\/pedi.13084","article-title":"COVID-19 outbreak and pediatric diabetes: perceptions of health care professionals worldwide","volume":"21","author":"Elbarbary","year":"2020","journal-title":"Pediatr Diabetes"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1016\/j.ijnurstu.2018.01.003","article-title":"The role of telenursing in the management of diabetes type 1: a randomized controlled trial","volume":"80","author":"Kotsani","year":"2018","journal-title":"Int J Nurs Stud"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"857561","DOI":"10.3389\/fpubh.2022.857561","article-title":"Patient satisfaction of telemedicine in pediatric and young adult type 1 diabetes patients during Covid-19 pandemic","volume":"10","author":"Bassi","year":"2022","journal-title":"Front Public Health"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1089\/dia.2015.0123","article-title":"Use of telemedicine to improve adherence to American Diabetes Association standards in pediatric type 1 diabetes","volume":"18","author":"Wood","year":"2016","journal-title":"Diabetes Technol Ther"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"385","DOI":"10.1089\/dia.2015.0425","article-title":"CoYoT1 clinic: innovative telemedicine care model for young adults with type 1 diabetes","volume":"18","author":"Raymond","year":"2016","journal-title":"Diabetes Technol Ther"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"136","DOI":"10.1089\/dia.2021.0258","article-title":"Improvement in mean CGM glucose in young people with type 1 diabetes during 1 year of the COVID-19 pandemic","volume":"24","author":"Kaushal","year":"2022","journal-title":"Diabetes Technol Ther"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1089\/dia.2021.0229","article-title":"Diabetes technology use in remote pediatric patients with type 1 diabetes using clinic-to-clinic telemedicine","volume":"24","author":"Cobry","year":"2022","journal-title":"Diabetes Technol Ther"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"587","DOI":"10.1016\/j.jped.2022.02.001","article-title":"Teleconsultation for pediatric patients with type 1 diabetes mellitus during the COVID-19 pandemic: experience of a university hospital in Brazil","volume":"98","author":"Santana","year":"2022","journal-title":"J Pediatr"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"468","DOI":"10.4274\/jcrpe.galenos.2020.2020.0160","article-title":"The value of telemedicine for the follow-up of patients with new onset type 1 diabetes mellitus during COVID-19 pandemic in Turkey: a report of eight cases","volume":"13","author":"Evin","year":"2021","journal-title":"J Clin Res Pediatr Endocrinol"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"e24374","DOI":"10.2196\/24374","article-title":"Shaping workflows in digital and remote diabetes care during the COVID-19 pandemic via service design: prospective, longitudinal, open-label feasibility trial","volume":"9","author":"Braune","year":"2021","journal-title":"JMIR Mhealth Uhealth"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"642","DOI":"10.1089\/dia.2021.0080","article-title":"Adoption of telemedicine for type 1 diabetes care during the COVID-19 pandemic","volume":"23","author":"Lee","year":"2021","journal-title":"Diabetes Technol Ther"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"1115","DOI":"10.1111\/pedi.13272","article-title":"ISPAD Jenious group. Telemedicine and COVID-19 pandemic: the perfect storm to mark a change in diabetes care. Results from a world-wide cross-sectional web-based survey","volume":"22","author":"Giani","year":"2021","journal-title":"Pediatr Diabetes"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"831","DOI":"10.1055\/a-1149-8814","article-title":"Assessing the benefits and challenges of video consultations for the treatment of children with type 1 diabetes - a qualitative study among diabetes professionals","volume":"129","author":"Frielitz","year":"2021","journal-title":"Exp Clin Endocrinol Diab Off J Ger Soc Endocrinol German Diab Assoc"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"337","DOI":"10.2337\/dc19-0739","article-title":"Diabetes group of SAEDYN (Andalusian Society of Endocrinology, diabetes, and nutrition). Randomized study to evaluate the impact of telemedicine Care in Patients with Type 1 diabetes with multiple doses of insulin and suboptimal HbA1c in Andalusia (Spain): PLATEDIAN study","volume":"43","author":"Ruiz de Adana","year":"2020","journal-title":"Diabetes Care"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"e48","DOI":"10.1111\/bjh.17208","article-title":"Telemedicine in patients with haematological diseases during the coronavirus disease 2019 (COVID-19) pandemic: selection criteria and patients' satisfaction","volume":"192","author":"Palandri","year":"2021","journal-title":"Br J Haematol"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1002\/nur.20147","article-title":"The content validity index: are you sure you know What\u2019s being reported? Critique and recommendations","volume":"29","author":"Polit","year":"2006","journal-title":"Res Nurs Health"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"731","DOI":"10.1089\/dia.2021.0189","article-title":"Influence of telemedicine on the number of visits and HbA1c determinations in Latin American children with type 1 diabetes","volume":"23","author":"Hirschler","year":"2021","journal-title":"Diabetes Technol Ther"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"1229","DOI":"10.1111\/pedi.13418","article-title":"ISPAD clinical practice consensus guidelines 2022: diabetes education in children and adolescents","volume":"23","author":"Lindholm Olinder","year":"2022","journal-title":"Pediatr Diabetes"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"1373","DOI":"10.1111\/pedi.13428","article-title":"ISPAD clinical practice consensus guidelines 2022: psychological care of children, adolescents and young adults with diabetes","volume":"23","author":"de Wit","year":"2022","journal-title":"Pediatr Diabetes"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2023.1249299\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,30]],"date-time":"2023-08-30T08:44:20Z","timestamp":1693385060000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2023.1249299\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,29]]},"references-count":28,"alternative-id":["10.3389\/fpubh.2023.1249299"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2023.1249299","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,29]]},"article-number":"1249299"}}