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The family and type 2 diabetes: a framework for intervention
L Fisher1, C A Chesla2, R J Bartz1
1The Department of Family and Community Medicine, University of California, San Francisco (Drs Fisher, Bartz, and Skaff)
The Diabetes Educator
|November 27, 1998
Summary
Family context significantly impacts type 2 diabetes self-management. Understanding family dynamics offers a new framework to integrate patient, stress, and provider factors for better disease control.
Area of Science:
- Endocrinology
- Behavioral Medicine
- Public Health
Background:
- Self-management in type 2 diabetes is influenced by patient, stress, provider, and social factors.
- The role of social context in diabetes self-management is understudied and difficult to apply clinically.
Purpose of the Study:
- To identify the family as the primary social context for diabetes self-management.
- To review the literature on family context and its impact on type 2 diabetes outcomes.
- To propose a family-centered clinical framework for diabetes management.
Main Methods:
- Defined family context for clinical application in diabetes care.
- Conducted a literature review on family influences on chronic disease management.
- Identified key aspects of family life relevant to diabetes self-management.
Main Results:
- The family unit is a crucial, yet under-explored, social context for type 2 diabetes management.
- Family characteristics and dynamics are linked to health outcomes in chronic diseases.
- Specific areas of family life relevant to diabetes self-management were identified.
Conclusions:
- A family-centered approach can integrate all factors influencing diabetes self-management.
- This framework offers new directions for clinical practice and research in type 2 diabetes.
- Emphasizing the family context can enhance patient self-management and health outcomes.
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