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Review Article | DOI: https://doi.org/10.31579/2637-8892/337
1 Department of Population and Health, University of Cape Coast, Ghana.
2 Department of Health, Physical Education and Recreation, University of Cape Coast, Cape Coast, Ghana.
3 Department of Biostatistics and Epidemiology, University of Health and Allied Sciences, Ho.
*Corresponding Author: Anthony Edward Boakye, Department of Health, Physical Education and Recreation, University of Cape Coast, Cape Coast, Ghana. Contribution: conceptualise the study, methodology, data curation, formal analysis, and writing – review & editing.
Citation: Derrick A. Yeboah, Anthony E. Boakye, Rita Tekpertey, (2025), Views of Young People Living with Type 1 Diabetes on Continuous Glucose Monitor Use in Ghana, Psychology and Mental Health Care, 9(5): DOI:10.31579/2637-8892/337
Copyright: © 2025, Anthony Edward Boakye. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: 11 June 2025 | Accepted: 23 June 2025 | Published: 30 June 2025
Keywords: continuous glucose monitor; living; type 1 diabetes; use; views; young people
This study investigated views of young people living with Type 1 diabetes regarding the usability, benefits, and challenges of Continuous Glucose Monitoring (CGM) devices. Given the limited availability and high cost of CGMs in Ghana, the research aimed to understand how these young people navigate their diabetes management with this technology. Through qualitative interviews with ten (10) young people age 15-24 years, the study gathered insights into their daily use of CGMs. The findings revealed that while CGMs significantly enhance blood sugar control and increase awareness of the impact of lifestyle choices on glucose levels, they also presented challenges. Participants reported issues such as high cost of CGMs, technical difficulties, physical discomfort from sensors, and social stigma associated with wearing the devices. Despite these challenges, the study highlighted the potential of CGMs to improve diabetes management for young people, provided that the barriers of cost and usability can be addressed. The study recommends young people should read more about the CGM and how it can be used effectively
Type 1 diabetes (T1D) is a life-threatening chronic condition in which the pancreas produces little or no insulin—a hormone that controls the amount of sugar in a blood to produce energy [1,2]. There is no known prevention for T1D, however, it can be treated effectively with access to vital health services and supplies, living a healthy lifestyle, and monitoring blood sugar [3-6]. Globally, the prevalence of T1D continues to rise [7,8]. In 2022, approximately 8.75 million people were living with T1D, with 1.52 million under the age of 20 [9,10]. The exact causes of T1D are unknown [1,11-13]. However, research shows that the possibility of developing the condition increases slightly if a family member has it [11,14,15]. Also, environmental factors, such as exposure to a viral infection, can trigger an autoimmune reaction leading to T1D [12,16]. The potential of early screening and risk monitoring in treating T1D can be pivotal to reducing the risk of diabetes-related complications [17-19].A chronic non-communicable disease (NCD), diabetes can have severe and life-threatening outcomes if not properly managed [20,21]. Glucose self-monitoring, or the use of home-based diagnostic devices to routinely monitor glucose levels, is recommended for people living with diabetes to adjust treatment dosages and prevent dangerous fluctuations in glucose levels [22]. Glucose self-monitoring is, therefore, an integral component of diabetes management [23,24]. There are two broad product classes of glucose self-monitoring devices: (1) self-monitoring blood glucose (SMBG) systems whose basic technology has been the standard of care for decades; and (2) continuous glucose monitoring (CGM) systems, which are a newer, more expensive, and technologically advanced product class [23,24]. However, the CGM is one of those advanced approaches that track blood sugar levels in people with diabetes [23,25,26]. Unlike traditional finger-prick tests, CGM devices measure glucose in the fluid between body cells every few minutes. CGM is wearable technology that tracks patients’ glucose (sugar) levels over time [26-28]. It measures the glucose level in the interstitial fluid just under patient’s skin 24 hours a day while wearing the device [30,31]. Managing diabetes involves managing blood sugar levels [21]. A CGM gives the real-time information on how one’s glucose levels are changing [21]. For type 1 diabetic patients using CGM, they embrace a reduced fear of hypoglycemia and improved quality of life [32-34]. Besides, advances in CGM technology has made lives easier for people living with T1D [35]. Insulin administration and blood glucose (blood sugar) monitoring has transformed from multiple finger pricks in a day to a few swipes on a cell phone [29]. With a CGM, one can see in real time if they are trending high or low and take preventative measures against hypo and hyperglycemia [23,36,37]. Real time CGM monitoring has led to tremendous outcomes for people with diabetes who, without a CGM, may have experienced potentially life-threatening complications [23,38-40]. CGM, since being introduced in recent years, has become a key tool in achieving optimal diabetes management for people living with diabetes [41-44]. However, managing T1D can be a challenge and take time to get used to. Constantly trying to meet blood glucose targets can lead to a feeling of burnout [45]. Yet, maintaining a healthy blood sugar range is the best way to avoid health complications [29]. It is recommended that all people living with T1D should have equitable access to the most effective diabetes management systems, including technology which is clinically appropriate, regardless of age or concessional status [46,47]. Nonetheless, the willingness of the person with T1D and their engagement with technology should be key in deciding to either start or continue all devices [48-50].While CGM is more often recommended for people with T1D [39,51-54], Deeb et al. [55], however, recognizes that there are several barriers that can lead to discontinuation of CGM, including pain, skin reactions, concerns around accuracy, sensor loss, interference with daily activity, and alarm fatigue. Besides, research on CGM has mostly focused on its usage in high-income countries, leaving a gap in our understanding of how young people living with T1D in low-resource settings like Ghana perceive the technology [56-59]. Based on this, the study aimed to fill this gap by investigating views of young people living with T1D on CGM usage, benefits and challenges in Ghana. Specifically, the study seeks to: (1) evaluate the usability of CGM among young people living with T1D in Ghana; (2) examine the benefits of using CGM among young people living with T1D in Ghana; and (3) analyse the challenges associated with CGM use among young people living with T1D in Ghana.
Research Philosophy
The study is grounded in interpretivism, a research philosophy that focuses on understanding the subjective experiences and meanings that individuals attach to their reality [60,61]. This approach is appropriate for investigating the personal and lived experiences of young people living with T1D, as the use of CGM devices is influenced by personal, social, and environmental factors [60,61]. Interpretivism allows for a more in-depth understanding of how these young people perceive the usability of CGM devices and how the devices impact their daily lives [60,61].
Study Design
This study used a cross-sectional descriptive design to investigate the views of young people living with T1D on the use of CGMs. The design was chosen because it enables researchers to gather detailed information about a phenomenon at a single point in time [63,64].
Study Area and Participants
The study focused on young people from Accra and Kumasi, the two largest cities in Ghana. These locations were chosen because CGM devices are not easily available in Ghana and are often imported at high costs. Despite these challenges, some families in these cities have managed to obtain and use. Hence, making them ideal population for the study.
Inclusion And Exclusion Criteria
In this study, participants were selected based on specific criteria to make sure they were suitable for the study. For a participant to be part of the study, he or she must be: (1) diagnosed with T1D for at least one year. (2) not less than or older than 15-24years, (3) using CGM device for at least one month and (4) willing to participate. However, young people who do not meet the criteria were excluded from the study. The study enrolled young people because they represent a vulnerable group in diabetes management. Hence, they deal with challenges such as increased independence, peer pressure, and the complexities of managing a chronic illness during a critical developmental stage [65-67].
Sampling Technique
This study employed purposive sampling and snow balling approach to select participants who met the specific inclusion criteria. Purposive sampling allows the researcher to intentionally select individuals who have relevant experiences and can provide valuable insights into the research objectives [68-70]. This study was supported by theory of saturation. This is achieved when no additional themes or insights emerge from the data collection, and all conceptual categories have been explored, identified, and completed [71].
Interview Guide
The interview guide was developed based on the research objectives and consisted open-ended questions to facilitate rich detailed responses. The guide was divided into three main sections: (1) Usability of CGM Devices (How long have you been using the CGM device? How easy or difficult is it to use the CGM in your daily life? What challenges do you face when using the device? And What features of the CGM do you find most helpful?) (2) Benefits of Using CGM Devices (How has the CGM helped you manage your diabetes? Have you noticed any changes in your glucose levels since you started using the CGM? And How has CGM use impacted your daily activities and lifestyle?) (3) Challenges of CGM Use (Have you experienced any technical issues with the device? Do you experience any physical discomfort from wearing the sensor? How do others react to you wearing a CGM device? And Is the cost of the device affordable for you and your family?)
Data Collection Procedure
Semi-structured interviews were used as the primary method of data collection. This approach was selected because it allows for flexibility in the conversation while ensuring that all key topics related to the research objectives are covered [72,73]. Semi-structured interviews enable participants to express their thoughts and experiences openly, providing in-depth insights into their use of CGM devices [72]. The interviews were conducted through phone interviews, depending on the participants’ preferences and availability. The interviews were conducted in the English language and lasted for 10 minutes. Also, the interviews were recorded for transcription. Interview guide was used to ensure consistency. However, follow-up questions were asked to encourage participants to elaborate on their experiences. The choice of a qualitative method allowed for a deeper exploration of personal experiences, providing rich data that goes beyond mere statistics to understand the nuanced ways in which these young people interact with CGM technology [74,75]. The use of phone interviews ensured that participants could comfortably share their experiences without the pressure of face-to-face interactions, which can sometimes inhibit honest responses [76-78]. This method also allowed for flexibility in scheduling, accommodating the busy lives of the adolescents, many of whom are balancing school, work, and diabetes management [79,80].
The data collected through the phone interviews were analyzed using deductive thematic analysis, a qualitative method that involves identifying, analyzing, and reporting patterns (themes) within the data [81,82]. Thematic analysis was chosen because it allows for the systematic exploration of key themes related to the usability, benefits, and challenges of CGM devices [83,84]. This process involves careful steps to ensure that the findings accurately reflect the lived experiences of the participants. The process usually starts with transcription, followed by familiarization thus carefully readings of the transcripts multiple times to understand patterns in the data. The data was coded by highlighting significant phrases and labelling them with short descriptions. These codes were then grouped into broader themes that represented the key issues discussed by the participants, such as economic challenges, psychological benefits, and social difficulties related to CGM use. Finally, the findings were reported, with direct quotes from participants to illustrate the main themes.
Ethical Consideration
Ethical issues were key part of the study. As a result of this, the research protocol was submitted to The University of Health and Allied Sciences Ethical Review Committee (UHAS-REC) for ethical approval. This was done to assure that the study was in accordance with ethics. Following the submission of the research protocol, The UHAS-REC approve the research protocol and granted ethical clearance with ID number UHAS-REC A./111/21-22. However, in the field, an oral informed consent was obtained from participants age 18-24 while participants below 18years assented after their parents had consented. Also, participation was made voluntary due to this, participants were not restricted from withdrawing from the study at any time they deemed appropriate without any consequences. Again, participants’ privacy and confidentiality were guaranteed. They were told that the information they provide would be used for academic purpose alone and that whatever information they provide would be kept confidential from third parties. On anonymity, data collected were devoid of names, contacts and anything which could identify a participant to a data. Then, the results were also reported in a manner that protected the identities of the participants.
Trustworthiness
To ensure trustworthiness of the study, effort was made to satisfy the four dimensions of trustworthiness in qualitative study. Namely: Credibility, transferability, dependability, and confirmability. To achieve credibility, we employed rigorous in-depth interviews to gather comprehensive and accurate data. Additionally, we considered member checking where some participants were made to review and verify the accuracy of our interpretations just to ensure that the findings align with participants’ views. Further, on transferability, we made sure we provided detailed descriptions of the research context, including the setting, participants enrolled, and relevant background information. We were convinced that by offering thorough contextual information, readers can assess the applicability of the findings to their own contexts or populations hence, transferability. Further more, we ensured dependability by maintaining clear and transparent documentation of the research process, including data collection procedures, data analysis techniques, and interpretation methods. By documenting each step of the research process, we assumed it will enable others to replicate the study and verify its findings. Then, on confirmability, we maintained reflexivity, where we critically reflected on our own biases and assumptions throughout the research process. Also, we engaged in peer debriefing or member checking, where colleagues or participants reviewed and provided feedback on the interpretations we made to the data.
Socio-Demographic Characteristics of Participants
The study comprised 60
The study revealed that CGMs are generally easy to use for most young people living with type 1 diabetes, especially after gotten used to the device. The participants appreciated that CGMs allowed them to check their blood sugar levels without having to prick their fingers all the time. This is a significant advantage because frequent finger-pricking can be painful and disruptive, especially for adolescents who need to monitor their blood sugar several times a day. The convenience of CGMs makes it easier for participants to keep track of their blood sugar levels throughout the day, which is crucial for managing their diabetes effectively. This finding corroborated with previous researches which found that half of the participants (14 out of 28) found the functionality and services of the CGM device extremely convenient, particularly appreciating the memo feature that allowed them to record changes in blood sugar levels in real-time, thereby gaining confidence in its accuracy [85,86]. This finding purport that when a medical device is easy to use, it increases the likelihood that people will consistently use it. However, a significant proportion of the participants narrated the challenges they encountered with CGMs use. The most cited was connectivity which indicates that the sensor might not be close to the transmitter. If it happens, it might not make the device to be able to track their blood sugar levels continuously. Mostly, when the device loses connection, it causes anxiety because the users might not be sure if their blood sugar levels are being monitored accurately. For young people, who may already be feeling stressed about managing their diabetes, these technical problems can add to their frustration and make them less likely to trust the device. Improving the reliability of CGMs, particularly the stability of the connection between the sensor and the transmitter, could significantly enhance the user experience. If the devices work more consistently, it would likely increase users’ confidence in the technology, leading to better and more consistent use of the device. This outcome agrees with a previous study which found that multiple barriers lead to underuse of CGM which includes pain, skin complications related to adhesive strips, alarm fatigue, concerns about accuracy, loss of sensor connectivity, discrepancies compared to capillary glucose readings, and interference with daily activity and exercise [87]. The study found that young people living with diabetes were able to use their CGMs effectively. This finding commemorates the clear guidance they had from healthcare providers and the information found online. Receiving knowledge about CGMs from the right source could play a significant role in the effectiveness and easiness use of the devices. When users, especially young users, are well-informed about how to use a device, they are more likely to use it correctly and get the most benefit from it. This highlights the need for healthcare providers to offer comprehensive training and ongoing support to ensure that users are comfortable with their CGMs and know how to use them properly. For many adolescents, using a CGM might be their first experience with advanced medical technology, and it can be challenging to learn how to use it. Without proper guidance, they might struggle with the device, leading to frustration and possibly even abandonment of the technology. Healthcare providers play a key role in this process. By providing clear instructions, answering questions, and offering continued support, they can help teenagers feel more confident in using CGMs, which can improve their overall diabetes management. This finding is in line with a previous study that structured education programs that accompany CGM have shown to improve glycemic management, improve patient knowledge and self-management skills [88]. The study found better control of blood sugar levels as one of the benefits. CGMs provide real-time information about blood sugar levels, allowing users to make immediate adjustments to their insulin doses, diet, or physical activity. This real-time monitoring is especially important for adolescents, who may experience rapid changes in blood sugar levels due to their active lifestyles and changing bodies [23]. By providing continuous data, CGMs help prevent both high and low blood sugar levels, which are critical to avoiding complications and staying healthy. This benefit is supported by other research, which shows that CGMs can significantly improve blood sugar control in people with diabetes. By using a CGM, adolescents can keep their blood sugar levels more stable, which reduces the risk of both short-term problems, like fainting from low blood sugar, and long-term complications, like damage to the eyes or kidneys from high blood sugar. For young people who are still learning how to manage their diabetes, having a tool that provides real-time feedback can be incredibly valuable. This finding corroborated with previous studies which found that CGM and intermittently scanned CGM (is-CGM) have shown to effectively manage diabetes in the specialty setting [39,89,90]. Further, the study found that CGMs helped young people become more aware of how their lifestyle choices affected their blood sugar levels. For example, participants noticed how different foods or activities impacted their blood sugar, which helped them make better decisions about what to eat and how active to be. This kind of awareness is crucial for managing diabetes effectively because it allows participants to see the direct consequences of their actions on their health. This increased awareness empowers young people to take more control over their diabetes management aligning with a study which found that diabetes education is crucial for understanding and controlling T1D. It includes personalized sessions, webinars, group classes, and clinics that provide customized therapies. Comprehensive education enhances glycemic control and family dynamics. Nevertheless, the implementation of diabetes education for families requires specific standards, especially in the field of nursing [91]. When patients can see how their choices affect their blood sugar levels, they are more likely to make healthy decisions and stick to their treatment plans. This sense of control is especially important for adolescents, who are at a stage in life where they are seeking more independence. By using CGMs, they can take charge of their health in a way that feels empowering rather than restrictive. The study also highlighted psychological benefits of using CGMs. Many participants reported feeling less anxious about their blood sugar levels because the CGM continuously monitored their glucose levels. This reduction in anxiety allowed them to participate more fully in daily activities, such as sports, social events, and school, without constantly worrying about their diabetes [92-94]. This improved quality of life is a major benefit of using CGMs, as it helps adolescents live more normal, active lives while managing their diabetes. Other studies have also found that CGMs can reduce the stress and burden of diabetes management by providing continuous monitoring and reducing the need for frequent finger-prick tests. By making diabetes management easier and less intrusive, CGMs can help adolescents feel more confident and less overwhelmed by their condition [95-98]. The study found high cost, and physical discomfort as major challenges associated with CGMs use among young people living with diabetes. The reason for participants reporting high cost of the CGMs as a challenge reason could be that they found CGMs and its sensors to be expensive and that replacing them was not easy for them. Hence, serving as a significant barrier for participants. This outcome refuted previous studies which found that cost was not a major reason for noncompliance with the CGM use [55,99]. On the contrary, the outcome corroborated with previous researches which found that cost, concerns related to accuracy and reliability of measurements, insertion, adhesion and removal issues all emerged as barriers to CGM use. Further, the authors affirmed that the high cost of CGM imposes a heavy financial burden on patients for long-term use [100,101]. While CGMs offer many advantages, their high price makes them inaccessible to many people who could benefit from them. This is particularly problematic in low-income regions, where access to advanced medical technology is already limited. The high cost of CGMs can prevent many families from using this potentially life-changing technology, which could widen the gap in health outcomes between those who can afford the devices and those who cannot. The physical discomfort reported by young people living with type 1 diabetes could affect the wearing of the sensors consistently thereby affecting how well the CGMs work. This issue of discomfort is also supported by other researches, which has found that some users experience irritation or discomfort from the sensors, especially after wearing them for several days [85,97,102]. For young people, who are already dealing with the challenges of managing a chronic condition, this additional discomfort can be discouraging and may lead to inconsistent use of the device. The study found that young people felt uncomfortable in social situations using the CGMs. The reason for this finding could be that participants were not pleased and that felt awkward or embarrassed with the questions people ask them about the device or stare at them. This social stigma can deter young people living with T1D to stop using the CGMs. This social stigma can be a significant challenge for some young persons who might already be having ill-feeling about their peers because of their health condition. This social discomfort is a significant issue that calls on healthcare professionals to help educate the general public to refrain from the stigmatization so as to enable young people living with T1D use their CGMs effectively to help monitor their glucose levels. Hence, if they embarrassed about wearing the device, they might avoid using it in public or even stop using it altogether. And if it does happen, it can lead to poorer management of diabetes and increased health risks. Addressing this social challenge will be crucial for ensuring that young people living with T1D feel comfortable and confident to use their CGMs in all aspects of their endeavors. This finding corroborated with a previous study which found that curiosity of others can make CGMs use uncomfortable and potentially limit their social interactions with others [103].
The findings of this study demonstrate that CGM devices offer significant benefits, particularly in improving glucose management and reducing the frequency of hyperglycemic and hypoglycemic episodes. Participants reported feeling they were in control of their diabetes, as the real-time feedback provided by CGMs allowed them to make more informed decisions about their insulin use, diet, and physical activities. This sense of control contributed to an improved quality of life, as participants were able to engage in daily activities with less anxiety about their blood sugar levels. However, the study also revealed some challenges associated with CGM use. The high cost of CGM devices and sensors was a major barrier for many participants, making it difficult for them to use the technology consistently. Technical issues such as device malfunctions and the need to stay within close proximity to the sensor were also reported as significant challenges. Additionally, the social stigma associated with wearing a visible medical device was a concern for some participants leading to feelings of self-consciousness and discomfort in social situations.
Limitations of the Study
This study has a few limitations which are; small sample size, geographic limitation, and limited duration. The study only included ten participants. While we gained detailed insights from these participants, the small number of participants means that the findings might not apply to all young people with Type 1 diabetes in Ghana. The experiences of these ten individuals might not represent everyone else’s experiences. Also, the study was conducted only in Accra and Kumasi, two large cities in Ghana. These cities may have better access to healthcare and resources than rural areas. So, the findings might not reflect the experiences of young people living in smaller towns or villages, where managing diabetes could be even more challenging. The study was also conducted over a short period. Because of this, we might not have captured how the participants’ experiences with CGM devices change over time. This study provides useful insights into how CGM devices are used by young people living with T1D in Ghana, these limitations suggest that the findings should be interpreted with some caution. Future studies could include more participants from different areas and take place over a longer period
Recommendations For healthcare providers, this study suggests that more support and information are needed to help young people living with T1D to use CGMs effectively. Providing training and ongoing support can help users overcome initial challenges and use the devices to their full potential. Additionally, making CGMs more affordable and improving their design to reduce discomfort and social stigma could help more young people living with T1D benefit from this technology.
Recommendations for Future Research
Future research could explore ways to make CGMs more affordable and comfortable to use, especially in low-income settings. It could also look at strategies to reduce the social stigma associated with wearing CGMs, perhaps by developing more discreet designs or by increasing public awareness about the benefits of the technology. Additionally, studies could examine the long-term impact of CGM use on health outcomes and quality of life for young people living with T1D.Declaration
Abbreviations
CGM Continuous Glucose Monitor
CGMs Continuous Glucose Monitors
IDF International Diabetes Federation
SMBG Self-Monitoring Blood Glucose
T1D Type 1 Diabetes
UHAS-REC University of Health and Allied Sciences Ethical Review Committee
Ethical Approval
The study obtained ethical clearance with ID number (UHAS-REC A./111/21-22.) from the University of Health and Allied Sciences Ethical Review Committee (UHAS-REC). This was done to assure that the study was in accordance with ethics. This approval process assure that the survey adheres to ethical guidelines and protects the rights of participants.
Consent for publication
Participants were informed that the information they provide would be used for academic purposes thus to satisfy a requirement for an undergraduate certificate and also for publication just to add to academic literature.
Availability of Data and Materials
The study made used of primary data which restricted sharing it publicly hence it contains some sensitive information about the participants. However, it can be made available upon request from the corresponding author through [email protected] (Anthony Edward Boakye) University of Cape Coast, Ghana.
Competing Interests
No conflict of interest was declared.
Funding
The authors did not receive any fund.
Authors’ Contributions
Derrick Anim Yeboah Contribution: conceptualise the study, methodology, data curation, formal analysis, and writing – review & editing.
Anthony Edward Boakye Contribution: conceptualise the study, methodology, data curation, formal analysis, and writing – review & editing.
Rita Tekpertey Contribution: Writing – original draft, formal analysis, data curation, and proof reading.
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We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.
I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.
I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.
I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.
Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.
“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.
Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.
I would like to offer my testimony in the support. I have received through the peer review process and support the editorial office where they are to support young authors like me, encourage them to publish their work in your esteemed journals, and globalize and share knowledge globally. I really appreciate your journal, peer review, and editorial office.
Dear Agrippa Hilda- Editorial Coordinator of Journal of Neuroscience and Neurological Surgery, "The peer review process was very quick and of high quality, which can also be seen in the articles in the journal. The collaboration with the editorial office was very good."
I would like to express my sincere gratitude for the support and efficiency provided by the editorial office throughout the publication process of my article, “Delayed Vulvar Metastases from Rectal Carcinoma: A Case Report.” I greatly appreciate the assistance and guidance I received from your team, which made the entire process smooth and efficient. The peer review process was thorough and constructive, contributing to the overall quality of the final article. I am very grateful for the high level of professionalism and commitment shown by the editorial staff, and I look forward to maintaining a long-term collaboration with the International Journal of Clinical Case Reports and Reviews.
To Dear Erin Aust, I would like to express my heartfelt appreciation for the opportunity to have my work published in this esteemed journal. The entire publication process was smooth and well-organized, and I am extremely satisfied with the final result. The Editorial Team demonstrated the utmost professionalism, providing prompt and insightful feedback throughout the review process. Their clear communication and constructive suggestions were invaluable in enhancing my manuscript, and their meticulous attention to detail and dedication to quality are truly commendable. Additionally, the support from the Editorial Office was exceptional. From the initial submission to the final publication, I was guided through every step of the process with great care and professionalism. The team's responsiveness and assistance made the entire experience both easy and stress-free. I am also deeply impressed by the quality and reputation of the journal. It is an honor to have my research featured in such a respected publication, and I am confident that it will make a meaningful contribution to the field.
"I am grateful for the opportunity of contributing to [International Journal of Clinical Case Reports and Reviews] and for the rigorous review process that enhances the quality of research published in your esteemed journal. I sincerely appreciate the time and effort of your team who have dedicatedly helped me in improvising changes and modifying my manuscript. The insightful comments and constructive feedback provided have been invaluable in refining and strengthening my work".
I thank the ‘Journal of Clinical Research and Reports’ for accepting this article for publication. This is a rigorously peer reviewed journal which is on all major global scientific data bases. I note the review process was prompt, thorough and professionally critical. It gave us an insight into a number of important scientific/statistical issues. The review prompted us to review the relevant literature again and look at the limitations of the study. The peer reviewers were open, clear in the instructions and the editorial team was very prompt in their communication. This journal certainly publishes quality research articles. I would recommend the journal for any future publications.
Dear Jessica Magne, with gratitude for the joint work. Fast process of receiving and processing the submitted scientific materials in “Clinical Cardiology and Cardiovascular Interventions”. High level of competence of the editors with clear and correct recommendations and ideas for enriching the article.
We found the peer review process quick and positive in its input. The support from the editorial officer has been very agile, always with the intention of improving the article and taking into account our subsequent corrections.
My article, titled 'No Way Out of the Smartphone Epidemic Without Considering the Insights of Brain Research,' has been republished in the International Journal of Clinical Case Reports and Reviews. The review process was seamless and professional, with the editors being both friendly and supportive. I am deeply grateful for their efforts.
To Dear Erin Aust – Editorial Coordinator of Journal of General Medicine and Clinical Practice! I declare that I am absolutely satisfied with your work carried out with great competence in following the manuscript during the various stages from its receipt, during the revision process to the final acceptance for publication. Thank Prof. Elvira Farina
Dear Jessica, and the super professional team of the ‘Clinical Cardiology and Cardiovascular Interventions’ I am sincerely grateful to the coordinated work of the journal team for the no problem with the submission of my manuscript: “Cardiometabolic Disorders in A Pregnant Woman with Severe Preeclampsia on the Background of Morbid Obesity (Case Report).” The review process by 5 experts was fast, and the comments were professional, which made it more specific and academic, and the process of publication and presentation of the article was excellent. I recommend that my colleagues publish articles in this journal, and I am interested in further scientific cooperation. Sincerely and best wishes, Dr. Oleg Golyanovskiy.
Dear Ashley Rosa, Editorial Coordinator of the journal - Psychology and Mental Health Care. " The process of obtaining publication of my article in the Psychology and Mental Health Journal was positive in all areas. The peer review process resulted in a number of valuable comments, the editorial process was collaborative and timely, and the quality of this journal has been quickly noticed, resulting in alternative journals contacting me to publish with them." Warm regards, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. I appreciate the journal (JCCI) editorial office support, the entire team leads were always ready to help, not only on technical front but also on thorough process. Also, I should thank dear reviewers’ attention to detail and creative approach to teach me and bring new insights by their comments. Surely, more discussions and introduction of other hemodynamic devices would provide better prevention and management of shock states. Your efforts and dedication in presenting educational materials in this journal are commendable. Best wishes from, Farahnaz Fallahian.
Dear Maria Emerson, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. I am delighted to have published our manuscript, "Acute Colonic Pseudo-Obstruction (ACPO): A rare but serious complication following caesarean section." I want to thank the editorial team, especially Maria Emerson, for their prompt review of the manuscript, quick responses to queries, and overall support. Yours sincerely Dr. Victor Olagundoye.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. Many thanks for publishing this manuscript after I lost confidence the editors were most helpful, more than other journals Best wishes from, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Agrippa Hilda, Editorial Coordinator, Journal of Neuroscience and Neurological Surgery. The entire process including article submission, review, revision, and publication was extremely easy. The journal editor was prompt and helpful, and the reviewers contributed to the quality of the paper. Thank you so much! Eric Nussbaum, MD
Dr Hala Al Shaikh This is to acknowledge that the peer review process for the article ’ A Novel Gnrh1 Gene Mutation in Four Omani Male Siblings, Presentation and Management ’ sent to the International Journal of Clinical Case Reports and Reviews was quick and smooth. The editorial office was prompt with easy communication.
Dear Erin Aust, Editorial Coordinator, Journal of General Medicine and Clinical Practice. We are pleased to share our experience with the “Journal of General Medicine and Clinical Practice”, following the successful publication of our article. The peer review process was thorough and constructive, helping to improve the clarity and quality of the manuscript. We are especially thankful to Ms. Erin Aust, the Editorial Coordinator, for her prompt communication and continuous support throughout the process. Her professionalism ensured a smooth and efficient publication experience. The journal upholds high editorial standards, and we highly recommend it to fellow researchers seeking a credible platform for their work. Best wishes By, Dr. Rakhi Mishra.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. The peer review process of the journal of Clinical Cardiology and Cardiovascular Interventions was excellent and fast, as was the support of the editorial office and the quality of the journal. Kind regards Walter F. Riesen Prof. Dr. Dr. h.c. Walter F. Riesen.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. Thank you for publishing our article, Exploring Clozapine's Efficacy in Managing Aggression: A Multiple Single-Case Study in Forensic Psychiatry in the international journal of clinical case reports and reviews. We found the peer review process very professional and efficient. The comments were constructive, and the whole process was efficient. On behalf of the co-authors, I would like to thank you for publishing this article. With regards, Dr. Jelle R. Lettinga.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, I would like to express my deep admiration for the exceptional professionalism demonstrated by your journal. I am thoroughly impressed by the speed of the editorial process, the substantive and insightful reviews, and the meticulous preparation of the manuscript for publication. Additionally, I greatly appreciate the courteous and immediate responses from your editorial office to all my inquiries. Best Regards, Dariusz Ziora
Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation, Auctores Publishing LLC, We would like to thank the editorial team for the smooth and high-quality communication leading up to the publication of our article in the Journal of Neurodegeneration and Neurorehabilitation. The reviewers have extensive knowledge in the field, and their relevant questions helped to add value to our publication. Kind regards, Dr. Ravi Shrivastava.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, Auctores Publishing LLC, USA Office: +1-(302)-520-2644. I would like to express my sincere appreciation for the efficient and professional handling of my case report by the ‘Journal of Clinical Case Reports and Studies’. The peer review process was not only fast but also highly constructive—the reviewers’ comments were clear, relevant, and greatly helped me improve the quality and clarity of my manuscript. I also received excellent support from the editorial office throughout the process. Communication was smooth and timely, and I felt well guided at every stage, from submission to publication. The overall quality and rigor of the journal are truly commendable. I am pleased to have published my work with Journal of Clinical Case Reports and Studies, and I look forward to future opportunities for collaboration. Sincerely, Aline Tollet, UCLouvain.
Dear Ms. Mayra Duenas, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. “The International Journal of Clinical Case Reports and Reviews represented the “ideal house” to share with the research community a first experience with the use of the Simeox device for speech rehabilitation. High scientific reputation and attractive website communication were first determinants for the selection of this Journal, and the following submission process exceeded expectations: fast but highly professional peer review, great support by the editorial office, elegant graphic layout. Exactly what a dynamic research team - also composed by allied professionals - needs!" From, Chiara Beccaluva, PT - Italy.
Dear Maria Emerson, Editorial Coordinator, we have deeply appreciated the professionalism demonstrated by the International Journal of Clinical Case Reports and Reviews. The reviewers have extensive knowledge of our field and have been very efficient and fast in supporting the process. I am really looking forward to further collaboration. Thanks. Best regards, Dr. Claudio Ligresti
