Effects of a Family-based Diabetes Intervention on Behavioral and Biological Outcomes for Mexican American Adults

Abstract

Purpose The purpose of the study was to investigate the effects of a family-based self-management support intervention for adults with type 2 diabetes (T2DM). Methods Using a 2-group, experimental repeated measures design, 157 dyads (participant with T2DM and family member) were randomly assigned to an intervention (education, social support, home visits, and telephone calls) or a wait list control group. Data were collected at baseline, postintervention (3 months), and 6 months postintervention. A series of 2 × 3 repeated measures ANOVAs were used to test the hypotheses with interaction contrasts to assess immediate and sustained intervention effects. Results Significant changes over time were reported in diet self-management, exercise self-management, total self-management, diabetes self-efficacy for general health and total diabetes self-efficacy, physician distress, regimen distress, interpersonal distress, and total distress. There were likewise sustained effects for diet self-management, total self-management, diabetes self-efficacy for general health, total self-efficacy, physician distress, regimen distress, and interpersonal distress. Conclusions Results support and extend prior research documenting the value of culturally relevant family-based interventions to improve diabetes self-management and substantiate the need for intensive, longer, tailored interventions to achieve glycemic control.

Association of support from family and friends with self-leadership for making long-term lifestyle changes in patients with colorectal cancer

“…Support from family and friends to perform exercise (i.e., exercising together, providing rewards for exercising) appears to improve a patient's self‐leadership; in particular, family rewards lead the patient to actually perform exercise. This may be interpreted in terms of social cognitive theory (SCT) (Bandura, ), which emphasises the importance of social interactions, as in several previous studies (McEwen, Pasvogel, Murdaugh, & Hepworth, ; Woda, Belknap, Haglund, Sebern, & Lawrence, ). Friendly companionship can evoke feelings of relaxation and happiness, provide distraction from worry and improve mood, all of which can alleviate depressive symptoms (Woda et al., ) and increase the adoption and maintenance of healthy behaviours (McEwen et al., ).…”

“…This may be interpreted in terms of social cognitive theory (SCT) (Bandura, ), which emphasises the importance of social interactions, as in several previous studies (McEwen, Pasvogel, Murdaugh, & Hepworth, ; Woda, Belknap, Haglund, Sebern, & Lawrence, ). Friendly companionship can evoke feelings of relaxation and happiness, provide distraction from worry and improve mood, all of which can alleviate depressive symptoms (Woda et al., ) and increase the adoption and maintenance of healthy behaviours (McEwen et al., ). According to SCT, when family and friends participate in specific behaviours with an individual and provide encouragement, this can increase self‐efficacy, improve goal setting, lower perceived barriers and provide a social model for performing and maintaining exercise, all of which are central constructs of SCT (Bandura, ).…”

Psychosocial interventions for reducing diabetes distress in vulnerable people with type 2 diabetes mellitus: a systematic review and meta-analysis

“…At baseline, mean age was 56±4 and mean duration of T2DM was 11±2.5 years. DD was measured with DDS in two studies50,54 and with PAID in 16 studies. Baseline mean DD measured by the 20-item PAID scale was 39±10.8.…”

Incorporating an Increase in Plant-Based Food Choices into a Model of Culturally Responsive Care for Hispanic/Latino Children and Adults Who Are Overweight/Obese

“…Household/Family Tailoring of the Diet to affect the Household Context of the Patient: The “Familismo” Effect [ 31 , 32 , 33 ]…”

“…The “Familismo” Effect [ 31 ] in the Hispanic/Latino cultural context introduces the idea that “family comes first” and has been cited in the design of family-based, culturally tailored interventions. For example, an intervention that utilized a family-based diabetes intervention on behavioral and biological outcomes in Mexican adults indicated significant changes ( p = 0.043) over time for behaviors such as self-managements in diet, exercise, and diabetes care compared to the control group (based on Diabetes Self-Care Activities Questionnaire) [ 33 , 34 ]. This study also found sustained self-management of general health, and a significant decrease in physician, regimen, and interpersonal distress [ 33 , 34 ].…”