Family Support, Medication Adherence, and Glycemic Control Among Adults With Type 2 Diabetes
Open accessAbstract
OBJECTIVE: We used a mixed-methods approach to explore the relationships between participants’ perceptions of family members’ diabetes self-care knowledge, family members’ diabetes-specific supportive and nonsupportive behaviors, and participants’ medication adherence and glycemic control (A1C). RESEARCH DESIGN AND METHODS: Adults with type 2 diabetes participated in focus group sessions that discussed barriers and facilitators to diabetes management (n = 45) and/or completed surveys (n = 61) to collect demographic information, measures of diabetes medication adherence, perceptions of family members’ diabetes self-care knowledge, and perceptions of family members’ diabetes-specific supportive and nonsupportive behaviors. Most recent A1C was extracted from the medical record. RESULTS: Perceiving family members were more knowledgeable about diabetes was associated with perceiving family members performed more diabetes-specific supportive behaviors, but was not associated with perceiving family members performed fewer nonsupportive behaviors. Perceiving family members performed more nonsupportive behaviors was associated with being less adherent to one’s diabetes medication regimen, and being less adherent was associated with worse glycemic control. In focus groups, participants discussed family member support and gave examples of family members who were informed about diabetes but performed sabotaging or nonsupportive behaviors. CONCLUSIONS: Participant reports of family members’ nonsupportive behaviors were associated with being less adherent to one’s diabetes medication regimen. Participants emphasized the importance of instrumental help for diabetes self-care behaviors and reported that nonsupportive family behaviors sabotaged their efforts to perform these behaviors. Interventions should inform family members about diabetes and enhance their motivation and behavioral skills around not interfering with one's diabetes self-care efforts.
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The importance of social support from various entities is supported by other literature.
“This is supported by other literature [71–73].”
From Barriers and facilitators to diet, physical activity and lifestyle behavior intervention adherence: a qualitative systematic review of the literature (2023) · cites this paper as [72]
The Conclusions (page not provided) say social support matters for diabetes self-care and glycemic control, and the Results describe support from family members. The paper supports the importance of family support, but these passages do not establish support from various types of entities. (LLM, conf=0.82)
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References 31 · Cited by 441
Research works printed but not linked: 25
- [2]Ruggiero L Prochaska JO Readiness for change: application of the transtheoretical model to diabetes. Diabetes Spectrum. 1993; 6: 22– 60
- [3]Tillotson LM Smith MS Locus of control, social support, and adherence to the diabetes regimen. Diabetes Educ 1996; 22: 133– 139 8697963
- [4]Osborn CY Egede LE Validation of an information-motivation-behavioral skills model of diabetes self-care (IMB-DSC). Patient Educ Couns 2010; 79: 49– 54 19699601 PMC3042801
- [5]Tang TS Brown MB Funnell MM Anderson RM Social support, quality of life, and self-care behaviors among African Americans with type 2 diabetes. Diabetes Educ 2008; 34: 266– 276 18375776
- [6]Fisher L Chesla CA Bartz RJ The family and type 2 diabetes: a framework for intervention. Diabetes Educ 1998; 24: 599– 607 9830956
- [7]Fisher L Chesla CA Skaff MM The family and disease management in Hispanic and European-American patients with type 2 diabetes. Diabetes Care 2000; 23: 267– 272 10868849
- [10]van Dam HA van der Horst FG Knoops L Ryckman RM Crebolder HFJM van den Borne BHW Social support in diabetes: a systematic review of controlled intervention studies. Patient Educ Couns 2005; 59: 1– 12 16198213
- [11]Armour TA Norris SL Jack LJ Jr Zhang X Fisher L The effectiveness of family interventions in people with diabetes mellitus: a systematic review. Diabet Med 2005; 22: 1295– 1305 16176186
- [12]Kang C-M Chang S-C Chen P-L Comparison of family partnership intervention care vs. conventional care in adult patients with poorly controlled type 2 diabetes in a community hospital: a randomized controlled trial. Int J Nurs Stud 2010; 47: 1363– 1373 20371056
- [13]Wing RR Marcus MD Epstein LH Jawad AA A “family-based” approach to the treatment of obese type II diabetic patients. J Consult Clin Psychol 1991; 59: 156– 162 2002132
- [14]Gilliland SS Azen SP Perez GE Carter JS Strong in body and spirit: lifestyle intervention for Native American adults with diabetes in New Mexico. Diabetes Care 2002; 25: 78– 83 11772905
- [15]Mayberry LS Kripalani S Rothman RL Osborn CY Bridging the digital divide in diabetes: family support and implications for health literacy. Diabetes Technol Ther 2011; 13: 1005– 1012 21718098 PMC3182674
- [16]Glasgow RE Toobert DJ Social environment and regimen adherence among type II diabetic patients. Diabetes Care 1988; 11: 377– 386 3391088
- [17]Schafer LC Kevin MS Mccaul D Glasgow RE Supportive and non-supportive family behaviors: relationships to adherence metabolic control in persons with type 1 diabetes. Diabetes Care 1986; 9: 225– 234 3698784
- [18]Kripalani S Risser J Gatti ME Jacobson TA Development and evaluation of the Adherence to Refills and Medications Scale (ARMS) among low-literacy patients with chronic disease. Value Health 2009; 12: 118– 123 19911444
- [20]Strauss A Corbin J Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory. 2nd ed. Thousand Oaks, CA, Sage Publications, 1998
- [21]Patton MQ Enhancing the quality and credibility of qualitative analysis. Health Serv Res 1999; 34: 1189– 1208 10591279 PMC1089059
- [22]Lincoln YS Guba EG Naturalistic Inquiry. Newbury Park, CA, Sage Publications, 1985
- [23]American Diabetes Association Standards of medical care in diabetes—2012. Diabetes Care 2012; 35(Suppl. 1): S11– S63 22187469 PMC3632172
- [24]Harris MA The family's involvement in diabetes care and the problem of ‘miscarried helping’. Business Briefing: European Endocrine Review 2006;Reference Section(January):1–3
- [25]Anderson BJ, Coyne JC. “Miscarried helping” in families of children and adolescents with chronic diseases. In Advances in Child Health Psychology Johnson JH, Johnson SB, Eds. Gainesville, FL, University of Florida Press, 1991, p. 167–177
- [26]Lyons RR Sullivan MJL Ritvo PG Coyne JC Relationships in Chronic Illness and Disability. Thousand Oaks, CA, Sage Publications, 1995
- [27]Krueger RA Casey MA Focus Groups: A Practical Guide for Applied Research. 4th ed. Thousand Oaks, CA, Sage Publications, 2009
- [28]Osborn CY Amico KR Fisher WA Egede LE Fisher JD An information-motivation-behavioral skills analysis of diet and exercise behavior in Puerto Ricans with diabetes. J Health Psychol 2010; 15: 1201– 1213 20453056 PMC3086815
- [29]Wen LK Parchman ML Shepherd MD Family support and diet barriers among older Hispanic adults with type 2 diabetes. Fam Med 2004; 36: 423– 430 15181555
- Authors
- Mayberry, L. S., & Osborn, C. Y.
- Affiliations
- Vanderbilt University (US)
- Vanderbilt University Medical Center (US)
- Corresponding author
- Osborn, Chandra Y.
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2012-05-11
- Volume
- 35
- Issue
- 6
- Pages
- 1239-1245
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- PMC
- PMC3357235
- OpenAlex
- W2154916315
- Cited by
- 441
- References
- 31
- Citations by year
- 2026: 23 · 2025: 24 · 2024: 27 · 2023: 28 · 2022: 40 · 2021: 45 · 2020: 39 · 2019: 39 · 2018: 39 · 2017: 40 · 2016: 31 · 2015: 22 · 2014: 26 · 2013: 12 · 2012: 6
- FWCI
- 16.94
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Diabetes Care (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5p60dk020593-31)
- National Institute of Diabetes and Digestive and Kidney Diseases (K01DK087894, P60-DK020593, K01-DK-087894-01A1, P30DK092986, P30DK020593)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- type 2 diabetes, family support, medication adherence, glycemic control, HbA1c, diabetes self-care, supportiveness, family conflict, instrumental support
- MeSH terms
- Adult, Aged, Blood Glucose, Diabetes Mellitus, Type 2, Family, Female, Glycated Hemoglobin, Humans, Male, Middle Aged, Surveys and Questionnaires, Self Care, Social Support, Blood Glucose Self-Monitoring, Drug Monitoring, Focus Groups, Medication Adherence
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