Family Involvement is Helpful and Harmful to Patients' Self-care and Glycemic Control

Overview

Journal Patient Educ Couns

Publisher Elsevier

Specialties Health Services
Nursing

Date 2014 Oct 6

PMID 25282327

Citations 57

Authors

Lindsay Satterwhite Mayberry

Chandra Y Osborn

Affiliations

Soon will be listed here.

Abstract

Objective: We assessed the relationships between supportive and obstructive family behaviors and patients' diabetes self-care activities and HbA1C, and potential interaction effects and differences by demographic characteristics.

Methods: In a cross-sectional study, 192 adults with type 2 diabetes completed the Diabetes Family Behavior Checklist-II, the Summary of Diabetes Self-Care Activities, and a glycemic control (HbA1C) test.

Results: Participants reported similar rates of supportive and obstructive behaviors that were positively correlated (rho=0.61, p<0.001). In adjusted analyses, supportive family behaviors were associated with adherence to different self-care behaviors (β=0.20 to 0.50, p<0.05), whereas obstructive family behaviors were associated with less adherence to self-care behaviors (β=-0.28 to -0.39, p<0.01) and worse HbA1C (β=0.18, p<0.05). Supportive behaviors protected against the detrimental effect of obstructive behaviors on HbA1C (interaction β=-0.22, p<0.001). Non-Whites reported more supportive and obstructive behaviors than Whites, but race did not affect the relationships between family behaviors and self-care or HbA1C.

Conclusion: Involving family members in patients' diabetes management may impede patients' self-care and compromise their glycemic control unless family members are taught to avoid obstructive behaviors.

Practice Implications: Our findings endorse interventions that help family members develop actionable plans to support patients' self-care and train them to communicate productively about diabetes management.

Citing Articles

Integrating literature and family insights: exploring the needs of families supporting adults with diabetes.

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Diabetes-specific family functioning typology associated with intervention engagement and effects: secondary analyses from a randomized controlled trial.

Roddy M, Spieker A, Greevy Jr R, Nelson L, Berg C, Mayberry L Ann Behav Med. 2024; 59(1).

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Shah R, Finlay A, Ali F, Otwombe K, Nixon S, George L Diabetes Obes Metab. 2024; 27(2):652-662.

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Diabetes self-care intervention strategies and their effectiveness in Sub-Saharan Africa: A systematic review.

Ageru T, Le C, Wattanapisit A, Woticha E, Truong N, Stanikzai M PLoS One. 2024; 19(10):e0305860.

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Diabetes self-management and its influencing factors among adults with type 2 diabetes mellitus in rural Sri Lanka: A cross-sectional study.

Premadasa S, Masingboon K, Samartkit N Belitung Nurs J. 2024; 10(4):448-455.

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