The Influence of Family Support on Therapy Adherence in Diabetes Patients: A Mixed-Methods Study
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Abstract
Effective management of diabetes requires consistent adherence to prescribed therapy, a process that can be significantly influenced by family support. This study explores the relationship between family support and therapy adherence in diabetes patients, aiming to provide a comprehensive understanding of how different forms of support impact disease management. A mixed-methods approach was employed, including a cross-sectional survey and in-depth interviews. The survey assessed therapy adherence using the Morisky Medication Adherence Scale (MMAS-8) and family support through a standardized scale. A sample of 300 diabetes patients was surveyed, and 30 participants were selected for qualitative interviews to explore their experiences and perceptions of family support. Quantitative analysis revealed a strong positive correlation between family support and therapy adherence. Patients who reported higher levels of emotional and practical support from their families exhibited better adherence to medication and lifestyle recommendations. Qualitative findings highlighted that supportive family interactions, such as encouragement and practical assistance, significantly contributed to effective disease management. However, the study also identified potential negative effects of over-involvement or controlling behaviors from family members, which could undermine adherence and increase patient stress.
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Association, A. D. (2018). 4. Lifestyle management: standards of medical care in diabetes—2018. Diabetes Care, 41(Supplement_1), S38–S50.
Bennich, B. B., Munch, L., Overgaard, D., Konradsen, H., Knop, F. K., Røder, M., Vilsbøll, T., & Egerod, I. (2020). Experience of family function, family involvement, and self‐management in adult patients with type 2 diabetes: A thematic analysis. Journal of Advanced Nursing, 76(2), 621–631.
Cohen, L., Manion, L., & Morrison, K. (2017). Surveys, longitudinal, cross-sectional and trend studies. In Research methods in education (pp. 334–360). Routledge.
Cutrona, C. E. (2000). Social support principles for strengthening families. Family Support in Disadvantaged Families, 103–122.
DeFronzo, R. A., Ferrannini, E., Groop, L., Henry, R. R., Herman, W. H., Holst, J. J., Hu, F. B., Kahn, C. R., Raz, I., & Shulman, G. I. (2015). Type 2 diabetes mellitus. Nature Reviews Disease Primers, 1(1), 1–22.
DiMatteo, M. R. (2004). Social support and patient adherence to medical treatment: a meta-analysis. Health Psychology, 23(2), 207.
Freeman, R., Gwadz, M., Francis, K., & Hoffeld, E. (2021). Forgetting to take HIV antiretroviral therapy: a qualitative exploration of medication adherence in the third decade of the HIV epidemic in the United States. SAHARA-J: Journal of Social Aspects of HIV/AIDS, 18(1), 113–130.
French, K. A., Dumani, S., Allen, T. D., & Shockley, K. M. (2018). A meta-analysis of work–family conflict and social support. Psychological Bulletin, 144(3), 284.
Gonzalez, J. S., Tanenbaum, M. L., & Commissariat, P. V. (2016). Psychosocial factors in medication adherence and diabetes self-management: Implications for research and practice. American Psychologist, 71(7), 539.
Harriss, D. J., & Atkinson, G. (2011). Update–ethical standards in sport and exercise science research. International Journal of Sports Medicine, 32(11), 819–821.
Health, B. on P., Practice, P. H., Disease, C. on L. W. with C., Disability, P. H. A. to R., Functioning, I., & Life, Q. of. (2011). Living well with chronic illness: a call for public health action. National Academies Press.
Joffe, H. (2011). Thematic analysis. Qualitative Research Methods in Mental Health and Psychotherapy: A Guide for Students and Practitioners, 209–223.
Khunti, K., Gray, L. J., Skinner, T., Carey, M. E., Realf, K., Dallosso, H., Fisher, H., Campbell, M., Heller, S., & Davies, M. J. (2012). Effectiveness of a diabetes education and self management programme (DESMOND) for people with newly diagnosed type 2 diabetes mellitus: three year follow-up of a cluster randomised controlled trial in primary care. Bmj, 344, e2333.
Martínez, Y. V, Prado-Aguilar, C. A., Rascón-Pacheco, R. A., & Valdivia-Martínez, J. J. (2008). Quality of life associated with treatment adherence in patients with type 2 diabetes: a cross-sectional study. BMC Health Services Research, 8, 1–10.
Mayberry, L. S., & Osborn, C. Y. (2012). Family support, medication adherence, and glycemic control among adults with type 2 diabetes. Diabetes Care, 35(6), 1239–1245.
Mayberry, L. S., Piette, J. D., Lee, A. A., & Aikens, J. E. (2019). Out-of-home informal support important for medication adherence, diabetes distress, hemoglobin A1c among adults with type 2 diabetes. Journal of Behavioral Medicine, 42, 493–501.
Miller, T. A., & DiMatteo, M. R. (2013). Importance of family/social support and impact on adherence to diabetic therapy. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 421–426.
Pender, N. J., Murdaugh, C. L., & Parsons, M. A. (2006). Health promotion in nursing practice.
Prince, M. J., Wu, F., Guo, Y., Robledo, L. M. G., O’Donnell, M., Sullivan, R., & Yusuf, S. (2015). The burden of disease in older people and implications for health policy and practice. The Lancet, 385(9967), 549–562.
Sandman, L., Granger, B. B., Ekman, I., & Munthe, C. (2012). Adherence, shared decision-making and patient autonomy. Medicine, Health Care and Philosophy, 15, 115–127.
Standl, E., Khunti, K., Hansen, T. B., & Schnell, O. (2019). The global epidemics of diabetes in the 21st century: Current situation and perspectives. European Journal of Preventive Cardiology, 26(2_suppl), 7–14.
Teece, D. J. (2007). Explicating dynamic capabilities: the nature and microfoundations of (sustainable) enterprise performance. Strategic Management Journal, 28(13), 1319–1350.
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