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Effects of a family diabetes self-management education intervention on the patients' supporters.
Families, Systems, & Health ( IF 1.3 ) Pub Date : 2020-04-13 , DOI: 10.1037/fsh0000470
Holly C Felix 1 , M Rachelle Narcisse 2 , Christopher R Long 3 , Pearl A McElfish 3
Affiliation  

INTRODUCTION Diabetes self-management education (DSME) programs that engage the families of patients with diabetes have shown to be effective in improving diabetes-related outcomes of the patients. The health effects of these "family models" of DSME on participating family members are rarely studied. Opportunity exists for the participating family members to benefit from the healthy lifestyle recommendations offered through such programs. METHOD Using data from a randomized controlled trial to assess the effect of family DSME compared to standard DSME among Marshallese adults with Type 2 diabetes, this study examined baseline to 12-month changes in A1c, body mass index (BMI), food consumption, and physical activity among participating family members, comparing outcomes of family members based on attended at least 1 (n = 98) versus attended no (n = 44) DSME sessions. RESULTS Overall, family member attendance was low. There were no differences in the level of change from baseline to 12 months for A1c, BMI, food consumption, and physical activity between groups. After controlling for attendance and sociodemographic measures, lowering of BMI was the only significant predictor of not having an A1c level indicative of diabetes at 12 months. DISCUSSION Future research on family DSME should consider ways to improve family member attendance; have them set their own health improvement goals; and integrate healthy lifestyle education, such as healthy eating and being physically active, along with the DSME core content to create an added benefit of diabetes prevention for participating family members. The limitations of this study and recommendations for future research are provided. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译:

家庭糖尿病自我管理教育干预对患者支持者的影响。

简介 糖尿病患者家属参与的糖尿病自我管理教育 (DSME) 计划已被证明可以有效改善患者的糖尿病相关结局。DSME 的这些“家庭模式”对参与家庭成员的健康影响很少被研究。参与的家庭成员有机会受益于通过此类计划提供的健康生活方式建议。方法 使用随机对照试验的数据来评估家庭 DSME 与标准 DSME 对马绍尔 2 型糖尿病成人的影响,本研究检查了 A1c、体重指数 (BMI)、食物消耗和血糖水平的基线至 12 个月的变化。参与家庭成员的体力活动,根据参加至少 1 次(n = 98)与未参加(n = 44)DSME 课程的家庭成员的结果进行比较。结果 总体而言,家庭成员的出勤率较低。各组之间的 A1c、BMI、食物消耗和体力活动从基线到 12 个月的变化水平没有差异。在控制了出勤率和社会人口统计指标后,BMI 的降低是 12 个月时 A1c 水平不存在糖尿病的唯一显着预测因素。讨论 家庭 DSME 的未来研究应考虑提高家庭成员出勤率的方法;让他们设定自己的健康改善目标;并将健康生活方式教育(例如健康饮食和身体活动)与 DSME 核心内容结合起来,为参与的家庭成员创造预防糖尿病的额外好处。提出了本研究的局限性以及对未来研究的建议。(PsycInfo 数据库记录 (c) 2020 APA,保留所有权利)。
更新日期:2020-04-13
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