Family Support, Medication Adherence, and Glycemic Control Among Adults With Type 2 Diabetes

Care.diabetesjournals.org:  April 26, 2012.

RESEARCH DESIGN AND METHODS

Adults 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.

RESULTS

Perceiving 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. Read more