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 .
A brief psychological intervention to improve adherence in type 2 diabetes.
OBJECTIVE Diabetes perceptions , acceptance and treatment motivation are changeable factors of adherence . This study aim ed to test the effects of brief psychological interventions based on diabetes threat and mastery perceptions in terms of adherence , acceptance and motivation . Physicians may find such interventions useful during a 15-minute consultation with diabetes patients . RESEARCH DESIGN AND METHODS This r and omized controlled study included 80 patients with type 2 diabetes , recruited from the hospital diabetes department , who were r and omly assigned to four intervention groups based on autobiographical recall . Those in the two intervention groups were asked to recall diabetic events based on mastery and threat perceptions , respectively , whereas those in the two control groups recalled non-diabetic events based on positive and negative emotions , respectively . Following this , all participants completed vali date d self- question naires assessing diabetes perceptions , acceptance , treatment motivation and adherence . RESULTS Patients in the threat group reported less adherence ( P<0.01 ) and less avoidance ( P<0.05 ) , and perceived diabetes as less threatening ( P<0.05 ) than those in the mastery group . Similar results were obtained when the threat group was compared with its matched negative-emotion control group ( P<0.05 , P<0.05 and P=0.087 , respectively ) . Patients in the mastery group reported feeling a stronger sense of mastery ( P<0.05 ) than those in their positive-emotion control group and greater treatment acceptance than those in the threat group ( P<0.01 ) . CONCLUSION Contrary to conventional medical belief , discussing threatening personal events with patients can yield positive results . Health professionals should take threat and mastery perceptions of diabetes into account during regular consultations with a view to improving treatment acceptance and adherence . With this brief intervention of type 2 diabetes patients , it was also more effective to alleviate their emotional difficulties than to enhance their perception of mastery
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 .