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 .
Reducing stress and supporting positive relations in families of young children with type 1 diabetes: A randomized controlled study for evaluating the effects of the DELFIN parenting program
Background To assess initial efficacy and feasibility of a structured behavioural group training ( DELFIN ) for parents of children with diabetes type 1 , in order to reduce parenting stress and to improve parenting skills . Methods A r and omized controlled study was conducted between July 2008 and September 2010 , at a children ’s hospital in Hannover with parents of children with type 1 diabetes ( 2–10 yrs ) ( intervention group n = 37 ; control group n = 28 ) . Parenting skills , parents ’ psychological burden , children ’s behavioural difficulties and quality of metabolic control were assessed before , 3 months after and 12 months after participating in the training program . Results In the intervention group parenting behaviour in conflict situations improved significantly after 3 months ( Z = −3.28 ; p ≤ 0.001 ) . It remained stable over 12 months ( Z = −2.94 ; p ≤ 0.01 ) . Depression and anxiety scores of parents decreased ( Z = −1.93 ; p ≤ .05 ; Z = −2.02 ; p ≤ .05 ) . Even though the outcome in the intervention group was more positive , the differences between both study arms failed to reach statistical significance . Unexpectedly parenting behaviour in the control group improved also ( Z = −2.45 ; p ≤ .05 ) . Anxiety as well as stress scores decreased in this group ( Z = −2.02 ; p ≤ .05 and Z = −2.11 ; p ≤ .05 ) . In both groups the initial metabolic control was good and without significant differences ( A1c 7.2±0.8 % vs. 7.1±0.4 % ; p > 0.5 ) . It remained stable in the DELFIN group ( A1c 7.1±0.8 % ; p > 0.5 ) , but it increased slightly in controls ( A1c 7.3±0.5 % ; Z = −2.79 ; p = .005 ) . Conclusions This study has brought first evidence for the efficacy and feasibility of the program . A multicentre study with a larger sample is necessary to confirm these first results
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 .