583-P: Unique Technology Preferences in Older Adults with Type 1 Diabetes

Abstract

Older adults with type 1 diabetes (OAwT1D) face challenges such as hypoglycemia, cognitive dysfunction, and physical limitations. Limited data on their technology use is available. We evaluated technology preferences in OAwT1D stratified by tech-savviness. Adults ≥ 65 years old (n=26) were enrolled at two sites during the COVID-19 pandemic. Subjects were stratified as tech-savvy or non-tech savvy based on the Pew Technology Survey. Health-related quality of life was assessed by the SF-36 Survey. Semi-structured telephone interviews were conducted (n=23) and analyzed for thematic content using ATLAS.ti v8.0. Individuals were all well-educated; those in the tech-savvy group were younger, more likely to be employed, and reported better physical functioning (Table 1). Per interview data, all subjects used a computer, smartphone, or the internet; the non-savvy group relied more on others to help download information or navigate content. Subjects preferred in-person training, menu systems with data access in 3 steps, flexibility of data access and entry, and/or a help menu. For device management, 6/23 subjects downloaded their data to share with care teams and 14/23 subjects cited healthcare providers as their primary tech support. OAwT1D have unique preferences for technology use and training. Customized training for device use and patient support should be considered to maximize device benefits in this high-risk group. Disclosure D. C. Brooks: None. B. Bequette: None. W. W. Hung: None. D. S. King: None. S. Polsky: Advisory Panel; Self; Medtronic, Consultant; Self; National Institutes of Health, Research Support; Self; Dexcom, Inc., Eli Lilly and Company, JDRF, Medtronic, National Institute of Diabetes and Digestive and Kidney Diseases, Sanofi US, T1D Exchange. C. J. Levy: Advisory Panel; Self; Dexcom, Inc., Eli Lilly and Company, Employee; Spouse/Partner; AbbVie Inc., Other Relationship; Self; Dexcom, Inc., Research Support; Self; Abbott Diabetes, Dexcom, Inc., Insulet Corporation, Tandem Diabetes Care. K. Albright: None. S. J. Ogyaadu: None. D. W. Lam: None. C. Levister: Research Support; Self; Abbott Diabetes, Insulet Corporation. G. O’malley: Research Support; Self; Abbott Diabetes, Dexcom, Inc., Horizon Therapeutics plc, Tandem Diabetes Care. M. Mcrae: None. V. Shah: Advisory Panel; Self; Medscape, Sanofi, Research Support; Self; Dexcom, Inc., Eli Lilly and Company, Insulet Corporation, Novo Nordisk, Sanofi, vTv Therapeutics. L. Sher: None. Funding JDRF (3-SRA-2020-888-M-B)