Ospelt, E, Rioles, N, Scott, M, Schmitt, J, Malik, F,S, Cossen, K,M, Ogburn, S, Hsieh, S, Sanchez, J, Ebekozien, O

Introduction: The use of smart insulin pens (SIPs) in clinical practice has the potential to improve medication adherence, glycemic management, dose accuracy, and virtual care opportunities for patients living with diabetes. However, barriers to successful use exist, and these must be identified and addressed in order to be alleviated.

Objectives: The purpose of this study was to identify barriers and operational challenges to successful SIP use by assessing diabetes care team perceptions at participating pediatric clinics within the T1D Exchange Quality Improvement Collaborative.

Methods: The study was conducted by a phased mixed-methods approach. Focus groups were conducted among four pediatric clinics during the first phase, and an online survey was completed by 17 pediatric clinics in the second phase. Focus groups were transcribed, coded, and analyzed for common themes using NVivo qualitative analysis software. Summary statistics, including frequency and rate for categorical variables, were calculated for all clinical characteristics.

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