کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
6152264 | 1245931 | 2014 | 8 صفحه PDF | دانلود رایگان |
- Family involvement in adults' diabetes management can be both helpful and harmful.
- Both supportive and obstructive behaviors were associated with patients' self-care.
- Type mattered more than degree of family involvement for patients' self-care.
- Obstructive behaviors were associated with worse HbA1C.
- Supportive behaviors buffered this deleterious effect on HbA1C.
ObjectiveWe 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.MethodsIn 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.ResultsParticipants 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 = â0.28 to â0.39, 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 = â0.22, 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.ConclusionInvolving 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 implicationsOur findings endorse interventions that help family members develop actionable plans to support patients' self-care and train them to communicate productively about diabetes management.
Journal: Patient Education and Counseling - Volume 97, Issue 3, December 2014, Pages 418-425