Well-being outcomes of a family-focused intervention for persons with type 2 diabetes and support persons: Main, mediated, and subgroup effects from the FAMS 2.0 RCT.
Well-being outcomes of a family-focused intervention for persons with type 2 diabetes and support persons: Main, mediated, and subgroup effects from the FAMS 2.0 RCT.
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针对 2 型糖尿病患者和支持人员的以家庭为中心的干预措施的福祉结果：FAMS 2.0 RCT 的主要效应、中介效应和亚组效应。
DOI：
10.1101/2023.09.11.23295375
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Mayberry,LindsayS
中科院分区：
文献类型：
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作者：
Roddy,McKenzieK;Spieker,AndrewJ;Nelson,LyndsayA;GreevyJr,RobertA;LeStourgeon,LaurenM;Bergner,ErinM;El-Rifai,Merna;Elasy,TomA;Aikens,JamesE;Wolever,RuthQ;Mayberry,LindsayS
目标 2 型糖尿病自我管理发生在社会环境中。我们试图测试家庭/朋友激活激励自我护理 (FAMS)（一种通过手机提供的自我护理支持干预措施）对糖尿病患者 (PWD) 及其支持人员心理社会结果的影响。方法PWD 可以选择与朋友/家人一起作为支持人员参加为期 15 个月的随机对照试验，以评估 FAMS 与强化常规护理的比较。 FAMS 包括为残疾人提供为期 9 个月的每月电话辅导和短信支持，以及为登记的支持人员提供短信支持。结果 残疾人 (N = 329) 中 52% 为男性，39% 为少数族裔或民族； 50% 的参与者患有严重的糖尿病困扰。支持人员 (N = 294) 中 26% 为男性，33% 为少数族裔或族裔。 FAMS 在干预期间改善了残疾人的糖尿病困扰 (d= -0.19) 和整体福祉 (d= 0.21)，对少数群体的影响更大。干预后（9 个月）和持续（15 个月）的改善是由残疾人的自我效能、自我护理行为和自主支持的变化推动的。在支持人员中，FAMS 在不增加负担或有害参与的情况下改善了有益的参与。结论 FAMS 改善了残疾人的社会心理健康，通过提高自我效能、自我护理和自主支持来推动干预后和持续改善。支持人员增加了有益的参与，而没有产生不利影响。
AimsType 2 diabetes self-management occurs within social contexts. We sought to test the effects of Family/friend Activation to Motivate Self-care (FAMS), a self-care support intervention delivered via mobile phones, on psychosocial outcomes for persons with diabetes (PWDs) and their support persons.MethodsPWDs had the option to enroll with a friend/family member as a support person in a 15-month RCT to evaluate FAMS versus enhanced usual care. FAMS included 9 months of monthly phone coaching and text message support for PWDs, and text message support for enrolled support persons.ResultsPWDs (N = 329) were 52% male and 39% reported minoritized race or ethnicity ; 50% enrolled with elevated diabetes distress. Support persons (N = 294) were 26% male and 33% reported minoritized race or ethnicity. FAMS improved PWDs’ diabetes distress (d= -0.19) and global well-being (d= 0.21) during the intervention, with patterns of larger effects among minoritized groups. Post-intervention (9-month) and sustained (15-month) improvements were driven by changes in PWDs’ self-efficacy, self-care behaviors, and autonomy support. Among support persons, FAMS improved helpful involvement without increasing burden or harmful involvement.ConclusionsFAMS improved PWDs’ psychosocial well-being, with post-intervention and sustained improvements driven by improved self-efficacy, self-care, and autonomy support. Support persons increased helpful involvement without adverse effects.