OBJECTIVE The purpose of this study was to rigorously explore psychosocial factors associated with automated insulin delivery systems among people living with type 1 diabetes.

RESEARCH DESIGN AND METHODS Across four sites in the U.S. and U.K., 284 participants completed structured interviews or focus groups on expectations, desired features, potential benefits, and perceived burdens of automated insulin delivery systems. Recorded audio files were transcribed and analyzed using NVivo.

RESULTS Three themes were identified as critical for uptake of automated insulin delivery: considerations of trust and control, system features, and concerns and barriers to adoption. Children and adolescents with type 1 diabetes primarily identified needs specific to their life stage and social contexts (e.g., school). Adults with type 1 diabetes, parents of youth with type 1 diabetes, and partners of adults with type 1 diabetes were most concerned about the accuracy, adaptability, and algorithm quality alongside expectations that systems stabilize glucose levels and reduce risk for long-term complications.

CONCLUSIONS Incorporating stakeholder perspectives on use of automated insulin delivery systems will improve the adoption of devices, quality of life, and likelihood of optimal health. Efforts to build trust in systems, optimize user-system interactions, and provide clear guidance about device capabilities and limitations may help potential users achieve optimal glycemic outcomes.

目的本研究的目的是严格探讨与1型糖尿病患者相关的自动胰岛素输送系统相关的社会心理因素。

研究设计和方法在美国和英国的四个站点中，有284名参与者完成了关于自动胰岛素输送系统的期望，期望功能，潜在收益和可感知负担的结构化访谈或焦点小组。使用NVivo转录并分析记录的音频文件。

结果确定了三个主题对采用自动胰岛素递送至关重要：对信任和控制，系统功能以及采用的关注和障碍的考虑。患有1型糖尿病的儿童和青少年主要根据其生活阶段和社交环境（例如，学校）确定需求。患有1型糖尿病的成年人，患有1型糖尿病的年轻人的父母以及患有1型糖尿病的成年人的伴侣最关心准确性，适应性和算法质量，以及对系统稳定血糖水平并降低长期并发症风险的期望。

结论将利益相关者的观点纳入自动胰岛素输送系统的使用将改善设备的采用，生活质量以及最佳健康的可能性。建立对系统的信任，优化用户与系统的交互以及提供有关设备功能和限制的明确指南的工作可能会帮助潜在用户获得最佳的血糖结果。