Family communication as strategy in diabetes prevention: An observational study in families with Dutch and Surinamese South-Asian ancestry

Esch, Suzanne C. M. van; Cornel, Martina C.; Geelhoed-Duijvestijn, Petronella; Snoek, Frank J.

doi:10.1016/j.pec.2011.07.025

Cited by 16 publications

(24 citation statements)

References 34 publications

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“…For instance, in the assessment of the migrants at the migration source, we observed that “subjunctive community” (composed by migrants’ social network) [35] and the “key person” play a very important role in the ideas of the group.The researchers purposely arranged for the “key person” to communicate with the HIV-positive migrant, and encouraged them to exploit the “subjunctive community” in peer education. Simultaneously, in rural migration destinations, education is promoted by social and family support.The information exchange and emotional communication among family members has an important effect on individual perceptions, beliefs, and behaviors [36]. Intervention of family members can not only provide migrants with a more powerful support system, but also acts to reduce the possibility of HIV transmission from migrants to their family members.…”

Section: Discussionmentioning

confidence: 99%

A Cross-Site Intervention in Chinese Rural Migrants Enhances HIV/AIDS Knowledge, Attitude and Behavior

Wang

et al. 2014

IJERPH

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Background: With the influx of rural migrants into urban areas, the spread of HIV has increased significantly in Shaanxi Province (China). Migrant workers are at high risk of HIV infection due to social conditions and hardships (isolation, separation, marginalization, barriers to services, etc.). Objective: We explored the efficacy of a HIV/AIDS prevention and control program for rural migrants in Shaanxi Province, administered at both rural and urban sites. Methods: Guidance concerning HIV/AIDS prevention was given to the experimental group (266 migrants) for 1 year by the center of disease control, community health agencies and family planning department. The intervention was conducted according to the HIV/AIDS Prevention Management Manual for Rural Migrants. A control group of migrants only received general population intervention. The impact of the intervention was evaluated by administering HIV/AIDS knowledge, attitudes and sexual behavior (KAB) questionnaires after 6 and 12 months. Results: In the experimental group; 6 months of intervention achieved improvements in HIV/AIDS related knowledge. After 12 months; HIV/AIDS-related knowledge reached near maximal scores. Attitude and most behaviors scores were significantly improved. Moreover; the experimental group showed significant differences in HIV-AIDS knowledge; attitude and most behavior compared with the control group. Conclusions: The systematic long-term cross-site HIV/AIDS prevention in both rural and urban areas is a highly effective method to improve HIV/AIDS KAB among rural migrants.

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Section: Discussionmentioning

confidence: 99%

A Cross-Site Intervention in Chinese Rural Migrants Enhances HIV/AIDS Knowledge, Attitude and Behavior

Wang

et al. 2014

IJERPH

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Section: Discussionmentioning

confidence: 99%

“…Previous research shows that people from certain cultural backgrounds may be more likely to discuss familial risk of type 2 diabetes with their relatives [39,41,42]. For example, Surinamese patients expressed more concern about their relatives' risk of diabetes, compared to Dutch patients [41]. Another study showed that people from Bahrain are less likely to take responsibility to prevent type 2 diabetes and to be influenced by medical advice in comparison to people from Ireland [42].…”

Section: Discussionmentioning

confidence: 99%

Interventions for prevention of type 2 diabetes in relatives: A systematic review

Dimova

Mohan

Swanson

et al. 2017

Primary Care Diabetes

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The relatives and partners of people with type 2 diabetes are at increased risk of developing type 2 diabetes. This systematic review examines randomized controlled trials, written in English that tested an intervention, which aimed to modify behaviors known to delay or prevent type 2 diabetes, among the relatives or partners of people with type 2 diabetes. Study quality was assessed using the Cochrane Collaboration's tool for assessing risk of bias. Seven studies met the inclusion criteria. The majority of studies were at low risk of bias. Six studies tested an intervention in first-degree relatives of people with type 2 diabetes and one in partners. Intervention components and intervention intensity across studies varied, with those targeting diet and physical activity reporting the most significant changes in primary outcomes. Only one study did not observe significant changes in primary outcomes. There were three main recruitment approaches: advertising in the community, recruiting people through their relatives with diabetes, or identifying people as high risk by screening of their own health care contacts. Some evidence was found for potentially successful interventions to prevent type 2 diabetes among the relatives and partners of people with type 2 diabetes, although finding simple and effective methods to identify and recruit them remains a challenge. Future studies should explore the effect of patients' perceptions on their family members' behavior and capitalize on family relationships in order to increase intervention effectiveness.

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“…Nevertheless, professionals are right in stating that the effect of using FH in preventive communications targeting specific populations remains undetermined [10-12]. We only know that in families with different ethnic backgrounds (e.g., South-Asian, Middle-Eastern), family communication about T2D is not a taboo and patients seem willing to pass on risk and preventive information in their family [18,30]. …”

Section: Discussionmentioning

confidence: 99%

“…This means that relatives are reached via the index patient, who informs them about increased familial susceptibility to a disease and the preventive options. Research already has indicated that the majority of patients with T2D seems willing to disseminate risk and preventive information in their family [18,19]. Adult offspring generally appears receptive to be informed about reducing their diabetes risk via the family system [20].…”

Section: Introductionmentioning

confidence: 99%

Health care providers’ perspective on using family history in the prevention of type 2 diabetes: a qualitative study including different disciplines

et al. 2013

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BackgroundFamily history (FH) is considered an important factor to detect individuals at increased risk developing type 2 diabetes (T2D). Moreover, FH information could be used to personalise risk messages, which are assumed to increase risk-reducing behaviours. In this study, we aimed to explore Dutch health care professionals’ attitudes regarding current or future uptake of a more extensive use of FH information and the family system in diabetes prevention.MethodsSemi-structured interviews were conducted with nineteen health care professionals from six general practices and four outpatient diabetes clinics. The use of FH information in opportunistic screening for T2D was explored, as well as the usability of a direct versus patient-mediated targeting strategy to reach persons with a FH of T2D. Three researchers analysed the interview transcripts separately.ResultsDutch health care professionals considered FH an important risk factor in opportunistic screening for T2D. However, none of them used FH to promote risk-reducing behaviours. Directly targeting and educating patients known to have a FH of T2D was desirable for most primary care professionals, but not considered feasible. Findings indicated that FH information was not systematically gathered in primary care settings and electronic medical records were not equipped to retrieve persons with T2D running in their family. The idea of asking patients to pass on risk and preventive information was new to all interviewees, but was considered an acceptable strategy to reach persons with a FH of diabetes. Nevertheless, there were concerns about the accuracy of the messages delivered by the patients to their relatives. Practical barriers with regard to time, expertise, and financial reimbursement were also mentioned.ConclusionsThere is great interest among healthcare professionals in primary as well as secondary care about the use of FH to prevent T2D, but there are significant barriers against such use. The removal of these barriers would depend on evidence showing the cost-effectiveness of FH-based strategies designed to prevent T2D.

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Family communication as strategy in diabetes prevention: An observational study in families with Dutch and Surinamese South-Asian ancestry

Cited by 16 publications

References 34 publications

A Cross-Site Intervention in Chinese Rural Migrants Enhances HIV/AIDS Knowledge, Attitude and Behavior

A Cross-Site Intervention in Chinese Rural Migrants Enhances HIV/AIDS Knowledge, Attitude and Behavior

Interventions for prevention of type 2 diabetes in relatives: A systematic review

Health care providers’ perspective on using family history in the prevention of type 2 diabetes: a qualitative study including different disciplines

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