OBJECTIVEdWe used a mixed-methods approach to explore the relationships between
participants’ perceptions of family members’ diabetes self-care knowledge, family members’ diabetesspecific
supportive and nonsupportive behaviors, and participants’ medication adherence and
glycemic control (A1C).
RESEARCH DESIGN AND METHODSdAdults with type 2 diabetes participated in
focus group sessions that discussed barriers and facilitators to diabetes management (n = 45)
and/or completed surveys (n = 61) to collect demographic information, measures of diabetes
medication adherence, perceptions of family members’ diabetes self-care knowledge, and perceptions
of family members’ diabetes-specific supportive and nonsupportive behaviors. Most
recent A1C was extracted from the medical record.
RESULTSdPerceiving family members were more knowledgeable about diabetes was associated
with perceiving family members performed more diabetes-specific supportive behaviors,
but was not associated with perceiving family members performed fewer nonsupportive behaviors.
Perceiving family members performed more nonsupportive behaviors was associated with
being less adherent to one’s diabetes medication regimen, and being less adherent was associated
with worse glycemic control. In focus groups, participants discussed family member support and
gave examples of family members who were informed about diabetes but performed sabotaging
or nonsupportive behaviors.
CONCLUSIONSdParticipant reports of family members’ nonsupportive behaviors were
associated with being less adherent to one’s diabetes medication regimen. Participants emphasized
the importance of instrumental help for diabetes self-care behaviors and reported that
nonsupportive family behaviors sabotaged their efforts to perform these behaviors. Interventions
should inform family members about diabetes and enhance their motivation and behavioral skills
around not interfering with one’s diabetes self-care efforts.
OBJECTIVEdWe used a mixed-methods approach to explore the relationships betweenparticipants’ perceptions of family members’ diabetes self-care knowledge, family members’ diabetesspecificsupportive and nonsupportive behaviors, and participants’ medication adherence andglycemic control (A1C).RESEARCH DESIGN AND METHODSdAdults with type 2 diabetes participated infocus group sessions that discussed barriers and facilitators to diabetes management (n = 45)and/or completed surveys (n = 61) to collect demographic information, measures of diabetesmedication adherence, perceptions of family members’ diabetes self-care knowledge, and perceptionsof family members’ diabetes-specific supportive and nonsupportive behaviors. Mostrecent A1C was extracted from the medical record.RESULTSdPerceiving family members were more knowledgeable about diabetes was associatedwith perceiving family members performed more diabetes-specific supportive behaviors,but was not associated with perceiving family members performed fewer nonsupportive behaviors.Perceiving family members performed more nonsupportive behaviors was associated withbeing less adherent to one’s diabetes medication regimen, and being less adherent was associatedwith worse glycemic control. In focus groups, participants discussed family member support andgave examples of family members who were informed about diabetes but performed sabotagingหรือพฤติกรรม nonsupportiveCONCLUSIONSdParticipant รายงาน nonsupportive ลักษณะการทำงานของสมาชิกในครอบครัวได้เกี่ยวข้องกับเป็นสาวกน้อยการของโรคเบาหวานยาปกครอง เน้นผู้เรียนความสำคัญของการบรรเลงช่วยสำหรับพฤติกรรมการดูแลตนเองโรคเบาหวาน และรายงานว่าพฤติกรรมครอบครัว nonsupportive sabotaged พยายามทำพฤติกรรมเหล่านี้ แทรกแซงควรแจ้งให้สมาชิกในครอบครัวเกี่ยวกับโรคเบาหวาน และเสริมสร้างแรงจูงใจและพฤติกรรมทักษะรอบไม่รบกวนความพยายามดูแลตนเองโรคเบาหวานของ
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