The role of family in supporting adherence to diabetes self‐care management practices: An umbrella review

Abstract

AimsSynthesize a review of reviews of the family's role in supporting adherence to diabetes self‐care management practices (DSMP) for adults with type 2 diabetes (DM2).DesignAn umbrella review.Data sourcesScopus, Web of Science including MEDLINE, CINAHL via EBSCO, PubMed and Science Direct were searched for systematic reviews from their year of establishment until June 2021.Review methodsThe review followed the Joanna Briggs Institute (JBI) guidelines for umbrella reviews. The JBI data extraction form for systematic reviews and research syntheses was used for data extraction. Methodological quality was assessed using the JBI Critical Appraisal Checklist for Systematic reviews and Research Syntheses.ResultsNineteen reviews met the inclusion criteria. The key findings were summarized using a narrative and thematic analysis methods. Four main themes were identified: family interactions and diabetes self‐management, family support as informal social support, factors affecting families’ roles, and tailoring culturally sensitive family‐based interventions.ConclusionThere appears to be a consensus regarding the impact of family on adults' self‐management of DM2. Additional research is needed to comprehend the role of the family in underrepresented populations and examine what constitutes a family and the diverse family functions in different groups.ImpactEnhancing adherence to self‐care management practices is crucial for the well‐being of adults with DM2. Family support is a key to successful self‐care management at home. However, understanding the unique needs of adults with DM2 and their families can help healthcare professionals plan appropriate support strategies and sustainable family‐based interventions.No Patient or public contributionThis review did not incorporate direct patients or public input as it summarizes evidence from previously published systematic reviews.

Family Support and Dietary Adherence in Individuals with Type 2 Diabetes Mellitus in Banten, Indonesia

“…Family support increases the dietary adherence of patients with T2DM (Susanti & Sulistyarini 2013). When the families of adults with T2DM2 participated in culturally appropriate family-based interventions, it helped families better understand the needs of the individuals with T2DM2, and it encouraged family behaviors that made it possible for the adults with T2DM2 to live healthy lives (Busebaia et al 2023). There may be a connection between the increased risk of diabetes and noncommunicable illnesses in a partner and family due to comparable dietary habits, lifestyles, and micro-and macro-environments.…”

“…Family support is a form of an active role in the successful management of Diabetes Mellitus. Enrolling in culturally relevant family-based interventions helped increase understanding of the requirements of adults with T2DM2 and encouraged family behaviors that made those needs possible (Busebaia et al 2023).…”

Improving Adherence to Treatment in Patients With Diabetes: Practical Strategies

“…Meanwhile, family support, as one of the most important sources of social support, plays a significant role in increasing self-confidence and adaptation to the disease in people with diabetes. The coordination and cooperation of family members, especially in relation to understanding the physical and mental conditions of the patient, following the diet and remembering to take the appropriate and timely dose of medicine, helps a lot to adherence to treatment in the patient with diabetes [7]. In this regard, one of the most important ways to increase compliance with treatment is to increase the level of awareness of the patient, family and society about the nature, control and transmission of this disease.…”

“…Disappointment in the effectiveness of treatment, job burnout, dependence on others, old age, depression and imposing an additional burden due to treatment often provide difficult and stressful conditions for patients with diabetes, which prevents continuous adherence to treatment. In this regard, self-management is an individual solution that can be useful in minimising the emotional load resulting from stress in patients and prevent negative behaviours in them [7]. Therefore, self-management is an effective tool that includes physical activity, healthy eating, adherence to treatment and medical orders, regular blood glucose monitoring and personal health-related problem solving, and its proper training to patients with diabetes can play an effective role in their healthy lifestyle.…”