Value in the Lived Experience of Wearable Diabetes Technology for Adolescents with Type 1 Diabetes and Caregivers

Radu, Simona (2023). Value in the Lived Experience of Wearable Diabetes Technology for Adolescents with Type 1 Diabetes and Caregivers. Postgraduate Research Poster Competition, The Open University.


Service marketing and public management studies progressively recognise value as a key research priority (Ostrom et al., 2015). Given the accelerated development of the digitalised healthcare, it is important to understand the value emerging from the customers’ experience with wearable technology, particularly in the context of chronic illnesses, such as Type 1 Diabetes (T1D). This project aims to understand value in the lived experience of wearable diabetes technology (insulin pumps and blood glucose monitors) for adolescents with Type 1 Diabetes and caregivers. It seeks to clarify what positive and negative value means for the participants and how it is created and emerges within the situated realities. This study explores and expands on previous service marketing and public management literature including Service Logic, Customer Dominant Logic and Public Service Logic (Grönroos, 2008; Voima et al, 2010; Osborne, 2018).

This project adopts a phenomenological approach into the dynamic, subjective, and socially constructed nature of value arising from customer’s lived experience. It commenced with an Advisory Phase, seeking the contribution of adolescents and caregivers with regards to various aspects of research design. The main study included 24 semi-structured online interviews with 14 caregivers and 10 adolescents as well as diaries collected from 6 adolescents. Data analysis followed van Manen’s (2016) recommendations and employed the five phenomenological lifeworld dimensions as valuable tools for reflection (embodiment, sociality, spatiality, temporality and materiality). The findings of this study revealed the multifaceted, heterogenous nature of value that takes positive and negative notes within the lifeworld of the participants, contingent on their idiosyncratic interaction with the world. The findings also highlight the emergent and active process of value creation, revealing what the customers do in response to negative value arising from their lived experience. This research makes an original contribution to existing knowledge by responding to the strong imperative to understand the long-term use of wearable technology and promoting the voice of adolescents in research.

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