Will People With Type 2 Diabetes Speak to Family Members About Health Risk?

Whitford, David L; McGee, Hannah; O'Sullivan, Bernadette

doi:10.2337/dc08-1200

Cited by 29 publications

(50 citation statements)

References 13 publications

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“…As reported elsewhere[18], three quarters of patients with type 2 diabetes were willing to take on this health-promoting role within families. This study indicates that relatives of patients with type 2 diabetes are also supportive of being informed by their relatives of their risk and of strategies to help reduce this risk.…”

Section: Discussionmentioning

confidence: 75%

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Reducing health risk in family members of patients with type 2 diabetes: views of first degree relatives

2009

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BackgroundPatients with type 2 diabetes can have an important role in discussing health risk within families. This study aimed to establish the acceptability to first degree relatives towards their relative with type 2 diabetes intervening as health promoters in their own families, using the Health Belief Model as a theoretical framework for evaluation.MethodsCross-sectional questionnaire design. Survey questionnaire for first degree relative (sibling or child) mailed to a random sample of patients with type 2 diabetes registered with an urban hospital diabetes clinic (n = 607 eligible patients). Patients were asked to pass on questionnaires to one to two first degree relatives.ResultsQuestionnaires were returned from 257 families (42% response rate) with two responses provided by 107 families (a total of 364 questionnaires). The majority (94%) of first degree relatives of patients with type 2 diabetes would like to be informed about reducing their risk. Half (48%) of respondents reported being spoken to by a relative with type 2 diabetes about their risk of diabetes. Those spoken to were more likely to see themselves at risk of diabetes, to worry about developing diabetes and to view diabetes as a serious condition.ConclusionsA role for patients with type 2 diabetes in discussing health risk in their family appears to be acceptable to many relatives. Discussion of risk and interventions to reduce health risk with their relatives should be encouraged in patients with type 2 diabetes.

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Section: Discussionmentioning

confidence: 75%

“…In this study we used patients with type 2 diabetes involved in an associated study[18] as the basis for sampling. This patient population was a random sample of patients with type 2 diabetes (n = 607 eligible patients) registered with a hospital diabetes clinic (Figure 1).…”

Section: Methodsmentioning

confidence: 99%

Reducing health risk in family members of patients with type 2 diabetes: views of first degree relatives

2009

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“…The studies demonstrated that professional and comprehensive education of families and caregivers who support diabetes patients at home is a measure preventing the risk of errors in patient care [49] and promoting better implementation of medical recommendations [50]. The education of patient families helps to improve their competences, effective care and nursing and involvement in the basic and secondary prevention of diabetes.…”

Section: Discussionmentioning

confidence: 99%

The Family Knowledge about the Disease and Complications Risk among Diabetic Patients-in Poland

Abramczyk¹

2013

J Data Mining Genomics Proteomics

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Taking care of diabetic patients involves a family which is perceived as an environment, whose support is a factor that best forecasts implementation of required recommendations for diabetes care. The ability of family to support patients' effort can improve diabetes care results. The aim of this work is to indicate how family knowledge about the disease diversifies a medical condition and complications risk among diabetic patients. Research has been carried out within the scope of NCSR grant no. 6P05D02320, under the leadership of the work's author, among 1366 families/ caregivers of diabetic patients randomly chosen from 61 primary healthcare centres in Poland. For the purpose of this work, the research has been carried out based on: anonymous questionnaires among patients' families/caregivers, analysis of medical records. Results:The majority of families supporting the patient have no knowledge about the disease (56.2%). Among families with higher (moderate) knowledge level a statistical analysis demonstrated that the patient takes more care about oral hygiene (p<0.00001), participates in self-control (p<0.00001) and self-monitoring (p<0.05), is more efficient and independent (p<0.00001), have no somatic (p<0.005) or psycho-emotional health complains (p<0.005) or additional medical conditions (p<0.005) and his/her weight (p<0.0005) blood pressure (p<0.005) and triglycerides level (p<0.05) are in the normal range.

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“…Possibly, the information need is low due to underestimation of the seriousness of the condition [33] or limited awareness about the role of genetics and shared environment in the aetiology [34,35]. Recent trends indicating a growing awareness of family risk and worry about the development of T2DM in offspring [36,37] is not yet reflected in our results. Possibly, people found genetic information about T2DM, GDM or MODY/MIDD/LADA subtypes on other websites than the one we studied.…”

Section: Discussionmentioning

confidence: 90%

"I am pregnant and my husband has diabetes. Is there a risk for my child?" A qualitative study of questions asked by email about the role of genetic susceptibility to diabetes

2010

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BackgroundDiabetes Mellitus is a global health problem. Scientific knowledge on the genetics of diabetes is expanding and is more and more utilised in clinical practice and primary prevention strategies. Health consumers have become increasingly interested in genetic information. In the Netherlands, the National Genetic Research and Information Center provides online information about the genetics of diabetes and thereby offers website visitors the opportunity to ask a question per email. The current study aims at exploring people's need of (additional) information about the role of inheritance in diabetes. Results may help to tailor existing clinical and public (online) genetic information to the needs of an increasing population at risk for diabetes.MethodsA data base with emailed questions about diabetes and inheritance (n = 172) is used in a secondary content analysis. Questions are posted in 2005-2009 via a website providing information about more than 600 inheritable disorders, including all diabetes subtypes. Queries submitted were classified by contents as well as persons' demographic profiles.ResultsQuestions were received by diabetes patients (49%), relatives (30%), and partners (21%). Questioners were relatively young (54.8% ≤ 30 years) and predominantly female (83%). Most queries related to type 1 diabetes and concerned topics related to (future) pregnancy and family planning. Questioners mainly asked for risk estimation, but also clarifying information (about genetics of diabetes in general) and advice (mostly related to family planning) was requested. Preventive advice to reduce own diabetes risk was hardly sought.ConclusionsGenetic information on diabetes provided by professionals or public health initiatives should address patients, as well as relatives and partners. In particular women are receptive to genetic information; they worry about the diabetes related health of (future) offspring. It seems important that information on the contribution of genetics to type 1 diabetes is more readily available. Considering the high prevalence of type 2 diabetes with strong evidence for a genetic predisposition, more effort seems needed to promote awareness around familial clustering and primary prevention.

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Will People With Type 2 Diabetes Speak to Family Members About Health Risk?

Cited by 29 publications

References 13 publications

Reducing health risk in family members of patients with type 2 diabetes: views of first degree relatives

Reducing health risk in family members of patients with type 2 diabetes: views of first degree relatives

The Family Knowledge about the Disease and Complications Risk among Diabetic Patients-in Poland

"I am pregnant and my husband has diabetes. Is there a risk for my child?" A qualitative study of questions asked by email about the role of genetic susceptibility to diabetes

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