Family and Couple Variables Regarding Adherence in Type 2 Diabetes Patients in the Initial Stages of the Disease

Abstract

This study analyzed which family and couple variables predicted adherence to standard care treatment, in patients recently diagnosed with type 2 diabetes. The sample comprised 224 dyads assessed during the first year of diagnosis (T1) and 4 months later (T2). The results showed that family stress, dyadic adjustment, family coping, and positive support assessed by patients at T1 predicted medication adherence and glucose monitoring at T2. Positive support and dyadic adjustment, assessed by partners at T1, predicted patients' adherence to glucose monitoring and diet at T2. This study highlights the important role of the partner in patient`s adherence. Therefore, standard care in type 2 diabetes should be offered in the context of the dyad.

Factors Determining the Success of Therapeutic Lifestyle Interventions in Diabetes – Role of Partner and Family Support

“…26–30 The pragmatic understanding of the various reasons of non-adherence, changes in attitude and motivation along with intensive treatment and lifestyle interventions in group setting are evidenced to improve adherence to the lifestyle recommendations and glycaemic outcomes. 31 Overcoming these factors with a multifaceted approach can help in achieving good treatment outcomes, with improvement in quality of life for patients.…”

“…Spousal participation can be a potential source of health-enhancing support ( Figure 1 ). 23,26,31,36,38,41,49,51,68…”

Using health action process approach to determine diet adherence among patients with Type 2 diabetes

“…Barriers to diet adherence among patients include cost, lack of support and family issues, low quality of life, urbanization, lack of knowledge, social pressure on eating out, eating problems and negative perspective on diabetes, good support and dyadic adjustment, assessed by partners, poor self-discipline, financial restriction, lack of disease acceptance, and lack of regular blood glucose testing. [ 8 11 12 13 14 15 ] Diet regimens are different from patient to patient. [ 16 ] Hence, it is essential to consider theories and/or models to best fit the issue.…”

Type D personality and social relations in adults with diabetes: results from diabetes MILES – The Netherlands

“…From earlier research, we know that following diabetes medication treatment recommendations is greater among partnered people compared to people without a partner (Haines, Coppa, Harris, Wisnivesky, & Lin, 2018). Furthermore, better relationship adjustment is associated with better following of medication and diet recommendations (Pereira, Pedras, Ferreira, & Machado, 2017). On the other hand, in less adjusted relationships, partner support in self-management of diabetes may be perceived as controlling, and may therefore be interpreted negatively (Newton-John, Ventura, Mosely, Browne, & Speight, 2017;Tanaka, Trief, Scales, & Weinstock, 2017).…”