A systematic review and meta-analysis of trials of social network interventions in type 2 diabetes

Spencer‐Bonilla, Gabriela; Ponce, Oscar J.; Rodríguez-Gutiérrez, René; Alvarez‐Villalobos, Neri Alejandro; Erwin, Patricia J.; Larrea-Mantilla, Laura; Rogers, Anne; Montori, Víctor M.

doi:10.1136/bmjopen-2017-016506

Cited by 55 publications

(47 citation statements)

References 51 publications

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“…The framework of network mechanisms proved useful for exploring actions and also showed fields of network‐related actions that participants did not use. This corresponds with research that shows that most actions in networks are aimed at individuals and directed at the existing network and that few actions council participants to break social ties or to find new ties (Latkin & Knowlton, ; Spencer‐Bonilla et al, ). This study shows how participants find it hard to navigate the neighbourhood in search of informal caregivers.…”

Section: Discussionsupporting

confidence: 76%

Actions to influence the care network of home‐dwelling elderly people: A qualitative study

Kemper-Koebrugge

Adriaansen

Laurant

et al. 2019

Health Soc Care Community

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Positive impact of care networks of home‐dwelling elderly people may be based on several network mechanisms: navigation to resources, negotiation between participants and contagion of behaviours. Little is known about actions of participants—elderly people, informal caregivers or formal care providers—to activate such mechanisms and generate support. Aim of this study was to identify actions in relation to these network mechanisms. A cross‐sectional qualitative study of 48 interviews with home‐dwelling elderly people, informal caregivers and formal care providers in the eastern parts of the Netherlands was conducted between March and September 2016. A framework analysis on network mechanisms categorised actions. Actions were reviewed by network party and compared between networks to explore relations between actions and networks. Results showed that participants navigated through existing relations to seek support. Actions on negotiation were aimed at ameliorating existing relations. Few examples and no actions on contagion of behaviours were found. Actions seemed driven by incidents and existing relations. Elderly people rarely initiated actions, informal caregivers felt hampered by their position in the network. Consistent patterns of relations between actions and network characteristics did not emerge. We concluded that the full potential of network‐based support of elderly people is probably underused. Particularly promising seem: navigating the neighbourhood for new informal care, using opposite opinions as a catalyst for change and bringing quality of life and dilemma's into dialogue in the network.

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Section: Discussionsupporting

confidence: 76%

Actions to influence the care network of home‐dwelling elderly people: A qualitative study

Kemper-Koebrugge

Adriaansen

Laurant

et al. 2019

Health Soc Care Community

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“…This finding indicates that, from the perspective of the patients, living with T2DM could be synonymous with feeling alone with poor social support from significant others, 7 Journal of Diabetes Research regardless of evidence that psychosocial support is helpful in adaptive behaviours by patients with T2DM [49]. Support and care from the social networks of patients including health care professionals, family, friends, neighbours, colleagues, and fellow patients with T2DM could help them take positive stances, build resilience, relieve distress, and improve on their well-being [50,51]. Furthermore, care and support from formal and familial contacts have positive effects on the medication adherence behaviour in patients with T2DM due to the encouragement of optimism in such patients [52].…”

Section: Discussionmentioning

confidence: 99%

The Association between Diabetes-Related Distress and Medication Adherence in Adult Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Study

Kretchy

Koduah

Ohene-Agyei

et al. 2020

Journal of Diabetes Research

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Background. Type 2 diabetes mellitus (T2DM) is a major public health problem associated with distress. T2DM can affect health outcomes and adherence to medications. Little is however known about the association between diabetes distress and medication adherence among patients with T2DM in Ghana. Objective. The objective of the present study is twofold: to estimate distress associated with T2DM and to examine its association with medication adherence. Methods. A hospital-based crosssectional study was conducted among 188 patients with T2DM recruited from a diabetes specialist outpatient clinic at the Pantang Hospital in Accra, Ghana. Data were obtained using the Problem Areas In Diabetes (PAID) scale and the Medication Adherence Report Scale. Results. The findings showed that about 44.7% of the patients showed high levels of diabetes-related distress. Poor adherence to medications was recorded in 66.5% of the patients. Patients who were highly distressed had 68% lower odds of adhering to their medications compared to those who were not (OR: 0.32, 95% CI: 0.15-0.65). A principal component analysis revealed four areas of T2DM distress which were conceptualized as negative emotions about diabetes, dietary concerns and diabetes care, dissatisfaction with external support, and diabetes management helplessness. Conclusion. Our findings suggest that diabetes distress is a significant determinant of medication adherence behaviour in patients with T2DM. Thus, incorporating routine screening for distress into the standard diabetes care within the Ghanaian health system and having health practitioners adopt holistic approaches to diabetes management will be important context-specific interventions to improve adherence and health outcomes of people living and coping with T2DM.

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“…When DSMP is reviewed as a shared responsibility with the whole family, older persons may adopt DSMP activities more easily and feel more self-confident in managing diabetes [52]. As family-focused interventions may be more effective in improving DSMP performance than individual-focused interventions, including family members or friends in education programmes should be considered [53][54][55][56].…”

Section: Plos Onementioning

confidence: 99%

Does social support effect knowledge and diabetes self-management practices in older persons with Type 2 diabetes attending primary care clinics in Cape Town, South Africa?

Werfalli

Kalula²,

Manning

et al. 2020

PLoS ONE

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BackgroundIn South Africa with one of the most rapidly ageing populations in Africa despite the demographic impact of the HIV/AIDS epidemic, diabetes is a major cause of morbidity and mortality. Self-management is challenging for all those with the condition but is likely to create a higher demand for those who may have existing co-morbidities associated with age, and long-standing chronic diseases. ObjectiveTo determine the relationship of social support, especially that of family and friends with their self-management. MethodsThis cross-sectional study was undertaken in the Cape Town metropole primary care clinics. The sample comprised 406 people drawn from four community health centres (CHC) that are served by Groote Schuur Hospital at the tertiary level. ResultsOf the 406 participants, 68.5% were females, 60.5% were living with a family member, and almost half were married. The mean duration of diabetes from diagnosis was eight years. More than half (57.4%) had no or only primary education. Half the participants (50.2%) had poor knowledge level in relation to symptoms and complications of diabetes. Multivariable linear regression showed older age was associated with poor knowledge (®: -1.893, 95% CI-3.754; -0.031) and higher income was associated with self-management practice (®: PLOS ONEPLOS ONE | https://doi.

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A systematic review and meta-analysis of trials of social network interventions in type 2 diabetes

Cited by 55 publications

References 51 publications

Actions to influence the care network of home‐dwelling elderly people: A qualitative study

Actions to influence the care network of home‐dwelling elderly people: A qualitative study

The Association between Diabetes-Related Distress and Medication Adherence in Adult Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Study

Does social support effect knowledge and diabetes self-management practices in older persons with Type 2 diabetes attending primary care clinics in Cape Town, South Africa?

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