Lost in translation—the role of family in interventions among adults with diabetes: a systematic review

Torenholt, Rikke; Schwennesen, Nete; Willaing, Ingrid

doi:10.1111/dme.12290

Cited by 66 publications

(76 citation statements)

References 40 publications

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“…Therefore, more studies with good quality experimental designs and ample sample size are needed to strengthen the evidence base. Furthermore, the interventions need to be tailored to the culture, family structure and health beliefs of the patient [62]. Interventions could include supportive communication techniques and recognise the interdependence of family members as interaction affects them both [13, 20].…”

Section: Discussionmentioning

confidence: 99%

Supportive and non-supportive interactions in families with a type 2 diabetes patient: an integrative review

Bennich

Röder

Overgaard

et al. 2017

Diabetol Metab Syndr

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BackgroundType 2 diabetes and its management affect the patient and the close family potentially causing either psychological distress or increased sense of responsibility and collaboration in these families. Interactions between patient and family play an important role in maintaining lifestyle changes and diabetes self-management. The purpose of this integrative review was to summarise and assess published studies on the intra-family perspective of supportive and non-supportive interactions in families with a type 2 diabetes patient.MethodsIncluded in the review were published qualitative and quantitative studies that examined the intra-family perspective on supportive and non-supportive interactions. We searched the literature from 2000 to 2016 and the search strategy comprised the following databases: Cochrane, PubMed, CINAHL, Web of Science, PsycINFO and Psyc-ARTICLES as well as hand searching of reference lists. Quality assessment, data extraction and analysis were undertaken on all included studies.ResultsWe identified five eligible research papers. Employing content analysis three categories describing interactions were refined: Impact of practical action, impact of emotional involvement, and impact of communication content. Supportive interactions included encouraging communication and family collaboration in managing diet, medications, and blood glucose checking. Non-supportive interactions were visible irritation, nagging behaviour and refusing to share the burden of living with diabetes.ConclusionThe findings stress the importance of including both patient and family in clinical practice to target diabetes self-management adherence and well-being of the whole family. The majority of self-management occurs within the family environment. Therefore, the intra-family perspective of supportive and non-supportive interactions should be understood and addressed as the family members are interdependent and affected by each other. Future research assessing the impact of professional support and the family function will have the potential to improve the daily life and well-being of patients with type 2 diabetes as well as the whole family.

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Section: Discussionmentioning

confidence: 99%

Supportive and non-supportive interactions in families with a type 2 diabetes patient: an integrative review

Bennich

Röder

Overgaard

et al. 2017

Diabetol Metab Syndr

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“…Family-based interventions for adults with diabetes are relatively new, have tried various approaches, and have not been effective at reducing HbA 1C [37]. While complex family characteristics affect adults’ diabetes management (e.g., family relationship quality and conflict resolution) [9, 35], these constructs are relatively stable and resistant to health behavior interventions.…”

Section: Discussionmentioning

confidence: 99%

Family involvement is helpful and harmful to patients’ self-care and glycemic control

Mayberry

Osborn

2014

Patient Education and Counseling

114

146

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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<.001). In adjusted analyses, supportive family behaviors were associated with adherence to different self-care behaviors (β=0.20–0.50, p<.05), whereas obstructive family behaviors were associated with less adherence to self-care behaviors (β=−0.28–−0.39, p<.01) and worse HbA1C (β=0.18, p<.05). Supportive behaviors protected against the detrimental effect of obstructive behaviors on HbA1C (interaction β=−0.22, p<.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 compromise patients’ self-care and 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.

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“…We supplemented our electronic database search with a hand search of issues from selected journals with a high likelihood of publishing diabetes self-management intervention studies (Diabetes Care and The Diabetes Educator). We also hand searched related articles and references cited in previously published systematic reviews of familybased interventions 20,31,40,52,57,60,65,[71][72][73] .…”

Section: Methodsmentioning

confidence: 99%

Family interventions to improve diabetes outcomes for adults

Baig

Benitez

Quinn

et al. 2015

Annals of the New York Academy of Sciences

245

257

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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.

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Lost in translation—the role of family in interventions among adults with diabetes: a systematic review

Cited by 66 publications

References 40 publications

Supportive and non-supportive interactions in families with a type 2 diabetes patient: an integrative review

Supportive and non-supportive interactions in families with a type 2 diabetes patient: an integrative review

Family involvement is helpful and harmful to patients’ self-care and glycemic control

Family interventions to improve diabetes outcomes for adults

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