Family interventions to improve diabetes outcomes for adults

Abstract

Diabetes self-care is a critical aspect of disease management for adults with diabetes. Since family members can play a vital role in a patient’s disease management, involving them in self-care interventions may positively influence patients’ diabetes outcomes. We systematically reviewed family-based interventions for adults with diabetes published from 1994 to 2014 and assessed their impact on patients’ diabetes outcomes and the extent of family involvement. We found 26 studies describing family-based diabetes interventions for adults. Interventions were conducted across a range of patient populations and settings. The degree of family involvement varied across studies. We found evidence for improvement in patients’ self-efficacy, perceived social support, diabetes knowledge, and diabetes self-care across the studies. Owing to the heterogeneity of the study designs, types of interventions, reporting of outcomes, and family involvement, it is difficult to determine how family participation in diabetes interventions may affect patients’ clinical outcomes. Future studies should clearly describe the role of family in the intervention, assess quality and extent of family participation, and compare patient outcomes with and without family involvement.

Dietary practice and associated factors among type 2 diabetic patients in Felege Hiwot Regional Referral Hospital, Bahir Dar, Ethiopia

“…This is in agreement with the study finding in Bahrain [27]. Positive family support is the means of promoting preventive measures like good dietary practice and other diabetes self-care practices [30, 31]. …”

Building Healthier Communities: Value Co-Creation within the Chronic Care Model for Rural Under-Resourced Areas

“…For instance, we are not aware of any studies that have yet investigated the co-creation of health value specifically in relationship to support from family and friends and IT interventions. More information is needed to understand this phenomena in terms of quality, extent of family participation, and outcomes [30], [48]. The conceptual model per se is not suitable for theory or hypothesis testing.…”

“…Diabetes should be considered a family rather than individual disease [29]. Family members play a critical role in daily routines and with proper education and training can contribute to improvements in patient self-efficacy, perceived social support, diabetes knowledge and self-care activities [30]. "Using a family lens when addressing diabetes management may contribute to more effective practices and better outcomes for all involved" [28, pp.…”

“…Thus the model considers how adding an actor type (family and friends) brings new resources to the available pool of resource that can be integrated to co-create value. Specific activities may include providing social support to assist the patient with medication adherence, blood glucose monitoring, and other routines such as meal planning to improve patient diabetes self-management [29], [30], [35]- [37].…”

Wie belastend erleben Angehörige den Diabetes?

“…Von den meisten Menschen mit Diabetes wird das Interesse und Engagement durch andere, besonders durch Familienangehörige, jedoch als sehr positiv erlebt [15]. Eine Verbesserung der sozialen Unterstützung durch die Integration von Angehörigen in den therapeutischen Prozess ist daher auch eine wichtige Maßnahme zur Optimierung der Diabetestherapie [1,2,4]. Auf der anderen Seite können die Anforderungen des Diabetes und seiner Therapie auch für Angehörige eine Belastung darstellen und zu einem reduzierten Wohlbefinden, einer verminderten Lebensqualität und erhöhtem Stress führen [9,10,27].…”