Psychological family intervention for poorly controlled type 2 diabetes.
Authors
Keogh, Karen MSmith, Susan M
White, Patricia
McGilloway, Sinead
Kelly, Alan
Gibney, James
O'Dowd, Tom
Affiliation
Department of Public Health and Primary Care, Trinity College Dublin, Trinity College Centre for Health Sciences, AMNCH, Tallaght, Dublin 24, Ireland. keoghkm@tcd.ieIssue Date
2011-02MeSH
AdultAged
Behavioral Medicine
Blood Glucose Self-Monitoring
Diabetes Mellitus, Type 2
Family Therapy
Female
Health Knowledge, Attitudes, Practice
Hemoglobin A, Glycosylated
Humans
Hypoglycemic Agents
Intervention Studies
Ireland
Male
Middle Aged
Patient Education as Topic
Prospective Studies
Socioeconomic Factors
Treatment Outcome
Young Adult
Metadata
Show full item recordCitation
Psychological family intervention for poorly controlled type 2 diabetes. 2011, 17 (2):105-13 Am J Manag CareJournal
The American journal of managed carePubMed ID
21473660Additional Links
http://www.ncbi.nlm.nih.gov/pubmed/21473660Abstract
To evaluate the effectiveness of a psychological, family-based intervention to improve diabetes-related outcomes in patients with poorly controlled type 2 diabetes.This study was a randomized controlled trial of a psychological family-based intervention targeted at individuals with poorly controlled type 2 diabetes. Recruitment and follow-up occurred at specialist diabetes clinics. Patients were randomly allocated to an intervention group (n=60) or a control group (n=61). Poor control was defined as at least 2 of the patient's last 3 glycated hemoglobin (A1C) readings at >8.0%. The intervention consisted of 2 sessions delivered by a health psychologist to the patient and a family member in the patient's home, with a third session involving a 15-minute follow-up telephone call.
At 6-month follow-up, the intervention group reported significantly lower mean A1C levels than the control group (8.4% [SD=0.99%] vs 8.8% [SD=1.36%]; P=.04). The intervention was most effective in those with the poorest control at baseline (A1C>9.5%) (intervention 8.7% [SD=1.16%, n=15] vs control 9.9% [SD=1.31%, n=15]; P=.01). The intervention group also reported statistically significant improvements in beliefs about diabetes, psychological well-being, diet, exercise, and family support.
After participating in a family-based intervention targeting negative and/or inaccurate illness perceptions, patients with poorly controlled type 2 diabetes showed improvements in A1C levels and other outcomes. Our results suggest that adding a psychological, family-based component to usual diabetes care may help improve diabetes management.
Item Type
ArticleLanguage
enISSN
1936-2692Collections
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