A Qualitative Evidence Synthesis of Continuous Subcutaneous Insulin Infusion: Acceptability, Implementation, Equity Toledo‐Chavarri, Ana Delgado Rodríguez, Janet Padilla-Ruiz, María del Carmen Rodríguez‐Martín, Beatriz acceptability adults with type 1 diabetes implementation insulin pump This work provides a synthesis of the perceptions of people with type 1 diabetes mellitus (T1DM) and healthcare professionals about the acceptability, implementation, and equity of continuous subcutaneous insulin infusion (CSII). A qualitative evidence synthesis was carried out. Three online databases (Medline, Embase, and Web of Science) were searched. Qualitative articles which were available in Spanish or English were included. A descriptive thematic synthesis was conducted according to PRISMA and ENTREQ guidelines. Thirty-two references met the inclusion criteria of the study and were included out of an initial 345 identified references. Seven main themes were identified: (a) acceptability, (b) adaptation to the insulin pump, (c) facilitators for the adequate use of insulin pump, (d) variability of acceptability, (e) barriers for the use of insulin pump, (f) feasibility and implementation considerations, and (g) equity. CSII is well accepted by most people with T1DM, with some exceptions. CSII can relieve management burden, increase autonomy and flexibility and improve family relationships. There were multiple perceived barriers to its continued use. Future studies should continue to analyze inequalities in access and use of the CSII. 2024-11-18T07:51:54Z 2024-11-18T07:51:54Z 2024-10-20 journal article Toledo Chavarri, A. et. al. Nursing & Health Sciences, 2024; 26:e13177. [https://doi.org/10.1111/nhs.13177] https://hdl.handle.net/10481/96958 10.1111/nhs.13177 eng http://creativecommons.org/licenses/by-nc/4.0/ open access Atribución-NoComercial 4.0 Internacional Wiley Online Library