Overall , family support had a positive impact on healthy diet , increased perceived support , higher self-efficacy , improved psychological well-being and better glycemic control .
This systematic review found evidence that DSME with family support improved self-management behaviors and health outcomes among uncontrolled glycaemia T2D patients .
The rate of type-2 diabetes mellitus ( T2D ) is dramatically increasing worldwide .
Continuing diabetes mellitus ( DM ) care needs effective self-management education and support for both patients and family members .
This study aim ed to review and describe the impacts of diabetes mellitus self-management education ( DSME ) that involve family members on patient outcomes related to patient health behaviors and perceived self-efficacy on self-management such as medication adherence , blood glucose monitoring , diet and exercise changes , health outcomes including psychological well-being and self-efficacy , and physiological markers including body mass index , level of blood pressure , cholesterol level and glycemic control .
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.
BACKGROUND Although there is a significant correlation between the degree of family support and clinical outcome , little research has focused on the effectiveness of family partnership intervention care ( FPIC ) for patients with poorly controlled type 2 diabetes . OBJECTIVES This study aim ed to compare FPIC with conventional care ( CC ) across a number of outcome measures in patients with poorly controlled type 2 diabetes . DESIGN The study was performed using a r and omized controlled trial design . PARTICIPANTS Patients with poorly controlled type 2 diabetes who were solely treated with oral antidiabetic agents and had at least two out of three hemoglobin A1C readings equal to or above 7 % in the previous 12 months , were r and omly assigned to the FPIC group ( n=28 ) and to the  CC group ( n=28 ) . METHODS Baseline and 6-month follow-up scores were compared using the following outcome measures : ( 1 ) hemoglobin A1C , ( 2 ) BMI , ( 3 ) lipid profile , ( 4 ) family supportive behaviours , ( 5 ) , knowledge of and attitudes toward diabetes , and ( 6 ) diabetes self-care behaviours . Descriptive and non-parametric statistics were employed to compare differences in outcome measures between the groups . RESULTS There were no significant differences in the reduction of hemoglobin A1C levels ( p=0.46 ) , lipid profile values ( p>0.05 ) , and improvement of diabetes self-care behaviours ( p=0.61 ) between the groups at 6 months post-intervention . However , there were significant differences in the scores of family supportive behaviours ( p=0.031 ) and patients ' knowledge of and attitudes toward diabetes between the groups ( p<0.05 ) . CONCLUSION These findings support the use of FPIC to enhance family supportive behaviours , and to improve patients ' knowledge of and attitudes toward diabetes . Thus , the study is of value in helping policy decision-makers to develop more effective diabetes control intervention programmes
Overall , family support had a positive impact on healthy diet , increased perceived support , higher self-efficacy , improved psychological well-being and better glycemic control .
This systematic review found evidence that DSME with family support improved self-management behaviors and health outcomes among uncontrolled glycaemia T2D patients .
The rate of type-2 diabetes mellitus ( T2D ) is dramatically increasing worldwide .
Continuing diabetes mellitus ( DM ) care needs effective self-management education and support for both patients and family members .
This study aim ed to review and describe the impacts of diabetes mellitus self-management education ( DSME ) that involve family members on patient outcomes related to patient health behaviors and perceived self-efficacy on self-management such as medication adherence , blood glucose monitoring , diet and exercise changes , health outcomes including psychological well-being and self-efficacy , and physiological markers including body mass index , level of blood pressure , cholesterol level and glycemic control .