Faculty and Student Publications
Document Type
Article
Publication Date
3-1-2022
Abstract
Background: Family support for adults’ diabetes care is associated with improved self-management and outcomes, but healthcare providers lack structured ways to engage those supporters. Objective: Assess the impact of a patient-supporter diabetes management intervention on supporters’ engagement in patients’ diabetes care, support techniques, and caregiving experience. Design: Multivariate regression models examined between-group differences in support-related measures observed as part of a larger trial randomizing participants to a dyadic intervention versus usual care. Participants: A total of 239 adults with type 2 diabetes and either A1c >8% or systolic blood pressure >160mmHg enrolled with a family supporter. Intervention: Health coaches provided training on positive support techniques and facilitated self-management information sharing and goal-setting. Main Measures: Patient and supporter reports at baseline and 12 months of supporter roles in diabetes care and caregiving experience. Results: At 12 months, intervention-assigned patients had higher odds of reporting increased supporter involvement in remembering medical appointments (AOR 2.74, 95% CI 1.44, 5.21), performing home testing (AOR 2.40, 95% CI 1.29, 4.46), accessing online portals (AOR 2.34, 95% CI 1.29, 4.30), deciding when to contact healthcare providers (AOR 2.12, 95% CI 1.15, 3.91), and refilling medications (AOR 2.10, 95% CI 1.14, 3.89), but not with attending medical appointments or with healthy eating and exercise. Intervention-assigned patients reported increased supporter use of autonomy supportive communication (+0.27 points on a 7-point scale, p=0.02) and goal-setting techniques (+0.30 points on a 5-point scale, p=0.01). There were no differences at 12 months in change scores measuring supporter distress about patients’ diabetes or caregiving burden. Intervention-assigned supporters had significantly larger increases in satisfaction with health system support for their role (+0.88 points on a 10-point scale, p=0.01). Conclusions: A dyadic patient-supporter intervention led to increased family supporter involvement in diabetes self-management and increased use of positive support techniques, without increasing caregiver stress.
Relational Format
journal article
Recommended Citation
Zupa, M. F., Lee, A., Piette, J. D., Trivedi, R., Youk, A., Heisler, M., & Rosland, A.-M. (2022). Impact of a dyadic intervention on family supporter involvement in helping adults manage type 2 diabetes. Journal of General Internal Medicine, 37(4), 761–768. https://doi.org/10.1007/s11606-021-06946-8
DOI
10.1007/s11606-021-06946-8
Accessibility Status
Searchable text