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 .
Family intervention to control type 2 diabetes: a controlled clinical trial.
PURPOSE Chilean patients with type 2 diabetes mellitus ( T2DM ) have a low rate of blood sugar control . We studied the effectiveness of a culturally sensitive family oriented intervention design ed to improve metabolic control in primary care patients with uncontrolled T2DM . METHODS Patients with T2DM from three primary care clinics in Santiago , Chile were r and omly selected for inclusion if they had a recent HbA1c ≥7 % , were between 18 and 70 years old and lived with a family member . Patients from one clinic received the family oriented intervention ;  patients from the other two ( control ) clinics received st and ard care . The intervention involved family members in care and included family counselling during clinic visits , family meetings and home visits . The primary outcome was HbA1c , measured at 6 and 12 months . RESULTS A total of 243 patients were enrolled and 209 ( 86 % ) completed the study . The intervention was fully administered to only 34 % of patients in the intervention clinic . The reduction in the HbA1c from baseline to 12 months was not significantly different between clinics . During the second 6-month period , when the intervention was more intensive , the patients in the intervention clinic significantly improved their HbA1c ( P < 0.001 ) compared to the control patients . CONCLUSIONS A family intervention for the control of T2DM was associated with a significant reduction in HbA1c when the intervention was provided . Incomplete implementation , low statistical power and potential confounding variables between groups could be some of the main factors that explain the lack of difference between clinics in the 12-month period
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 .