Trust in hybrid closed loop among people with diabetes: Perspectives of experienced system users

J Health Psychol. 2020 Mar;25(4):429-438. doi: 10.1177/1359105317718615. Epub 2017 Jul 12.


Automated closed loop systems will greatly change type 1 diabetes management; user trust will be essential for acceptance of this new technology. This qualitative study explored trust in 32 individuals following a hybrid closed loop trial. Participants described how context-, system-, and person-level factors influenced their trust in the system. Participants attempted to override the system when they lacked trust, while trusting the system decreased self-management burdens and decreased stress. Findings highlight considerations for fostering trust in closed loop systems. Systems may be able to engage users by offering varying levels of controls to match trust preferences.

Keywords: automated systems; hybrid closed-loop; technology acceptance; trust; type 1 diabetes.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Diabetes Mellitus, Type 1 / therapy*
  • Female
  • Humans
  • Male
  • Patient Acceptance of Health Care*
  • Qualitative Research
  • Self-Management / methods
  • Self-Management / psychology*
  • Trust*