Family Inclusion in Diabetes Education: A Nationwide Survey of Diabetes Educators

Denham, Sharon A.; Ware, Lezlee J.; Raffle, Holly; Leach, Kimberly

doi:10.1177/0145721711411312

Cited by 27 publications

(34 citation statements)

References 27 publications

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“…Given the high prevalence of T2DM among Hispanics and the value placed on the family, nurses including diabetes educators and other health care providers need to emphasize family self-efficacy for diabetes management to positively affect diabetes outcomes (Denham et al, 2011). Future testing of the FSE with this population is needed to elucidate the influence of family self-efficacy on behavior changes for successful diabetes management.…”

Section: Resultsmentioning

confidence: 99%

“…The Hispanic family and familism values exert critical influence on health status, decision making about individual health care, and the procurement of health services made by the family (Perez & Cruess, 2014; Wen et al, 2004). A growing body of research elucidates the necessity of considering family values and the integration of family into treatment regimens (Perez & Cruess, 2014) and design of diabetes educational interventions (Denham, Ware, Raffle, & Leach, 2011; Hu et al, 2014; Wen et al, 2004). Building family self-efficacy for T2DM management can yield significant behavior change in the family environment that influences T2DM disease management.…”

Section: Discussionmentioning

confidence: 99%

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Family Self-Efficacy for Diabetes Management: Psychometric Testing

McEwen

Pasvogel²,

Murdaugh³

2016

j nurs meas

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Background and Purpose Type 2 diabetes mellitus (T2DM) self-management among Hispanic adults occurs in a family context. Self-efficacy (SE) affects T2DM self-management behaviors; however, no instruments are available to measure family diabetes self-efficacy. The study’s purpose was to test the psychometric properties of the Family Self-Efficacy for Diabetes Scale (FSE). Methods Family members (n = 113) of adults with T2DM participated. Psychometric analysis included internal consistency reliability and concurrent and construct validity. Results Internal consistency reliability was .86. Items loaded on 2 factors, Family SE for Supporting Healthy Behaviors and Family SE for Supporting General Health, accounting for 71% of the variance. FSE correlated significantly with 3 diabetes-related instruments. Conclusions The FSE is a reliable and valid instrument. Further testing is needed in diverse populations and geographic areas.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Family Self-Efficacy for Diabetes Management: Psychometric Testing

McEwen

Pasvogel²,

Murdaugh³

2016

j nurs meas

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“…Multiple approaches to family interventions as to improve diabetes self-management have been examined [13]. However, theoretical knowledge about family theory and family-based education seem to be lacking among diabetes educators influencing the impact of the intervention [14]. …”

Section: Introductionmentioning

confidence: 99%

Supportive and non-supportive interactions in families with a type 2 diabetes patient: an integrative review

Bennich

Röder

Overgaard

et al. 2017

Diabetol Metab Syndr

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BackgroundType 2 diabetes and its management affect the patient and the close family potentially causing either psychological distress or increased sense of responsibility and collaboration in these families. Interactions between patient and family play an important role in maintaining lifestyle changes and diabetes self-management. The purpose of this integrative review was to summarise and assess published studies on the intra-family perspective of supportive and non-supportive interactions in families with a type 2 diabetes patient.MethodsIncluded in the review were published qualitative and quantitative studies that examined the intra-family perspective on supportive and non-supportive interactions. We searched the literature from 2000 to 2016 and the search strategy comprised the following databases: Cochrane, PubMed, CINAHL, Web of Science, PsycINFO and Psyc-ARTICLES as well as hand searching of reference lists. Quality assessment, data extraction and analysis were undertaken on all included studies.ResultsWe identified five eligible research papers. Employing content analysis three categories describing interactions were refined: Impact of practical action, impact of emotional involvement, and impact of communication content. Supportive interactions included encouraging communication and family collaboration in managing diet, medications, and blood glucose checking. Non-supportive interactions were visible irritation, nagging behaviour and refusing to share the burden of living with diabetes.ConclusionThe findings stress the importance of including both patient and family in clinical practice to target diabetes self-management adherence and well-being of the whole family. The majority of self-management occurs within the family environment. Therefore, the intra-family perspective of supportive and non-supportive interactions should be understood and addressed as the family members are interdependent and affected by each other. Future research assessing the impact of professional support and the family function will have the potential to improve the daily life and well-being of patients with type 2 diabetes as well as the whole family.

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“…14 Research has shown the behavioral influence of family members on diabetes self-management of patients with diabetes 15 (Chesla, Fisher, 2003). Thus, including family members in the diabetes education programs may improve patients’ adherence to diabetes self-management regimens 16 (Denham, Ware, Raffle & Leach, 2011). Providing accurate information on diabetes and risk factors associated with diabetes to family members may enhance family support and develop healthy behaviors for the entire family Denham, 2003; 16,17 Denham, Ware, Raffle & Leach, 2011).…”

mentioning

confidence: 99%

A Family-Based, Culturally Tailored Diabetes Intervention for Hispanics and Their Family Members

Amirehsani

Wallace

et al. 2016

Diabetes Educ

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Purpose The purpose of this study was to test efficacy of a family-based, culturally tailored intervention for Hispanics with type 2 diabetes and their family members. Methods Hispanic patients with type 2 diabetes and their family members recruited from community clinics and ethnic churches were assigned to groups (N=186). The intervention group received an 8-week culturally tailored diabetes educational program delivered in Spanish while the attention control group received 8-week sessions on general health information and two sessions on diabetes after completion of the study. Data were collected at baseline, after intervention and at 1- and 6-month follow-ups for both patients and families. Comparisons of change over time were performed using growth curve analyses after propensity score adjustment. Results Intervention patients improved in diabetes knowledge and diabetes self-efficacy over time (but did not sustain at 6-month follow-up). A1C was lower at 1-month follow-up. Family members had improvements in diabetes knowledge and physical health-related quality of life. Conclusions Including families in the interventions may improve glycemic control, diabetes knowledge, self-efficacy and physical health-related quality of life. However, strategies for sustaining improvements are need.

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Family Inclusion in Diabetes Education: A Nationwide Survey of Diabetes Educators

Cited by 27 publications

References 27 publications

Family Self-Efficacy for Diabetes Management: Psychometric Testing

Family Self-Efficacy for Diabetes Management: Psychometric Testing

Supportive and non-supportive interactions in families with a type 2 diabetes patient: an integrative review

A Family-Based, Culturally Tailored Diabetes Intervention for Hispanics and Their Family Members

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