Making It All Work

Thomas, Annie; Ashcraft, Alyce S.; Owen, Donna C.; Conway–Phillips, Regina

doi:10.1177/2333393617691860

Cited by 4 publications

(2 citation statements)

References 45 publications

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“…Family roles in this review were affected by a lack of appropriate formal and informal support systems and a scarcity of resources. The findings of this review are similar to Thomas et al (2017) study, which found that multifactorial events at personal, familial and social levels affected adults with DM2's experiences, including the challenge of adopting DSMP in everyday life, the struggle with limited resources including income, employment, healthcare resources, knowledge regarding DM2 and healthcare dynamics and the need for support from their families and faith communities. Hence, Vanstone et al (2017) used socioecological theory to explain how one level of support can influence the next level and how these interweaved to influence adults with DM2 and their families' experiences.…”

Section: Discussionsupporting

confidence: 85%

The role of family in supporting adherence to diabetes self‐care management practices: An umbrella review

Busebaia

Thompson

Fairbrother

et al. 2023

Journal of Advanced Nursing

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AimsSynthesize a review of reviews of the family's role in supporting adherence to diabetes self‐care management practices (DSMP) for adults with type 2 diabetes (DM2).DesignAn umbrella review.Data sourcesScopus, Web of Science including MEDLINE, CINAHL via EBSCO, PubMed and Science Direct were searched for systematic reviews from their year of establishment until June 2021.Review methodsThe review followed the Joanna Briggs Institute (JBI) guidelines for umbrella reviews. The JBI data extraction form for systematic reviews and research syntheses was used for data extraction. Methodological quality was assessed using the JBI Critical Appraisal Checklist for Systematic reviews and Research Syntheses.ResultsNineteen reviews met the inclusion criteria. The key findings were summarized using a narrative and thematic analysis methods. Four main themes were identified: family interactions and diabetes self‐management, family support as informal social support, factors affecting families’ roles, and tailoring culturally sensitive family‐based interventions.ConclusionThere appears to be a consensus regarding the impact of family on adults' self‐management of DM2. Additional research is needed to comprehend the role of the family in underrepresented populations and examine what constitutes a family and the diverse family functions in different groups.ImpactEnhancing adherence to self‐care management practices is crucial for the well‐being of adults with DM2. Family support is a key to successful self‐care management at home. However, understanding the unique needs of adults with DM2 and their families can help healthcare professionals plan appropriate support strategies and sustainable family‐based interventions.No Patient or public contributionThis review did not incorporate direct patients or public input as it summarizes evidence from previously published systematic reviews.

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Section: Discussionsupporting

confidence: 85%

The role of family in supporting adherence to diabetes self‐care management practices: An umbrella review

Busebaia

Thompson

Fairbrother

et al. 2023

Journal of Advanced Nursing

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“…Furthermore, as compared to non-Hispanic Whites, Hispanic patients are more likely to demonstrate medication nonadherence [ 18 ] and less likely to fill prescriptions [ 19 ]. It has been postulated that inadequate access to care [ 20 ], patient-physician language barriers [ 21 ], prohibitive costs [ 22 , 23 ], and distrust of the healthcare system contribute to treatment inequities among the Hispanic population. However, irrespective of the underlying causes, inadequate treatment in the setting of nonadherence can have a devastating effect on health outcomes.…”

Section: Discussionmentioning

confidence: 99%

Sociodemographic Disparities in Sodium-Glucose Co-Transporter-2 Inhibitors and Glucagon-Like Peptide-1 Receptor Agonists Prescription Patterns Among Patients With Poorly Controlled Diabetes

Antwi-Amoabeng,

Beutler,

Ghuman

et al. 2024

Cureus

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Introduction Sodium-glucose co-transporter-2 inhibitors (SGLT2Is) and glucagon-like peptide-1 receptor agonists (GLP-1RAs) are novel antihyperglycemic agents that reduce cardiovascular mortality through insulin-independent mechanisms. In this cross-sectional study, we investigated prescription patterns of these drugs and identified inequities in antihyperglycemic utilization. Methods Unique encounters for diabetes care between January 1, 2020, and December 31, 2020, were identified through a systematic query of our healthcare system’s database. All patients ≥18 years old with a hemoglobin A1C level of ≥8% were included in the sample. Demographic data, SGLT2I or GLP-1RA prescription status, diabetes-related complications, and mortality were abstracted. Results A total of 2,746 patients were included in the sample. Among these individuals, 670 (24.4%) were prescribed either an SGLT2I or a GLP-1RA (users) and 2,076 (75.6%) were not prescribed either agent (non-users). There were significantly more males than females in the cohort, but there was no significant difference in the sex distribution between users and non-users. Compared to non-users, users were younger (mean age of 65.1 ± 9.4 years versus 66.4 ± 9.9 years, p-value = 0.005), more likely to be non-Hispanic (86.3% versus 13.7%), more likely to live in a middle-income zip code, and have private insurance. The mortality rate was lower among users when compared to non-users, but the difference did not reach statistical significance (2.7% versus 5.5%, p-value = 0.62). SGLT2I use was associated with a 60% lower risk of mortality. Conclusion Ethnicity, median household income, and insurance type influence the likelihood of being prescribed an SGLT2I or a GLP-1RA. Individuals prescribed either agent appear to have better mortality outcomes than those prescribed other medications. Further investigation may reveal underlying causes and potential solutions for disparities in prescription patterns.

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Perceptions of Insulin Pen Use and Technique in Black and Hispanic/Latino Patients with Type 2 Diabetes: a Qualitative Study

Myers

Gulati

Pascarelli

et al. 2020

J. Racial and Ethnic Health Disparities

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Making It All Work

Cited by 4 publications

References 45 publications

The role of family in supporting adherence to diabetes self‐care management practices: An umbrella review

The role of family in supporting adherence to diabetes self‐care management practices: An umbrella review

Sociodemographic Disparities in Sodium-Glucose Co-Transporter-2 Inhibitors and Glucagon-Like Peptide-1 Receptor Agonists Prescription Patterns Among Patients With Poorly Controlled Diabetes

Perceptions of Insulin Pen Use and Technique in Black and Hispanic/Latino Patients with Type 2 Diabetes: a Qualitative Study

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