与干预参与和影响相关的糖尿病特异性家庭功能类型学:随机对照试验的二次分析
McKenzie K Roddy1,2, Andrew J Spieker3, Robert A Greevy3
1Department of Medicine, Vanderbilt University Medical Center, Nashville, TN 37203, United States.
概括
一个新的家庭功能类型学有助于量身定制糖尿病自我管理干预措施. 一些家庭类型从支持中受益最多,而其他类型的家庭则显示出很少或没有任何改善,指导未来的个性化护理.
科学领域:
- 行为医学是一种行为医学.
- 临床心理学 临床心理学
- 公共卫生 公共卫生
背景情况:
- 家庭和社会支持对于糖尿病自我管理至关重要,但针对这些领域的干预措施取得了不一致的成功.
- 一种针对糖尿病的新型家庭功能类型学可以对家庭动态进行分类,以确定可能从以家庭为中心的干预中受益最多的个人.
研究的目的:
- 根据基线家庭功能类型,研究以家庭为中心的干预措施的差异性影响.
- 为2型糖尿病患者制定量身定制的干预措施提供信息.
主要方法:
- 一项随机临床试验 (RCT) 包括318名2型糖尿病成年人.
- 参与者被随机分配到通常的增强治疗或为期9个月的手机交付,以家庭为中心,自我护理支持干预.
- 糖尿病特异性家族功能类型在基线时使用验证的类型学工具进行了评估. 研究了类型,参与度,心理社会结果和血糖控制之间的关联.
主要成果:
- 在不同的家庭运作类型中观察到干预参与和结果的变化.
- "想要更多参与"类型的家庭从干预中获得了最大的好处.
- "满意LowInvolvement"经历了最初的改善,但并没有持续.
- "协作和帮助"和"关键参与"类型显示的好处最小,后者可能会受到伤害.
结论:
- 该研究验证了一种新的糖尿病特异性家庭功能类型学,用于预测干预反应.
- 研究结果支持在糖尿病自我管理的精密行为医学中采用系统层面的方法.
- 该类型学可以指导未来的假设生成,个性化的以家庭为中心的干预.
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