Challenges and Lessons Learned in the Development and Implementation of a Couples-Focused Telephone Intervention for Adults with Type 2 Diabetes: The Diabetes Support Project.

Challenges and Lessons Learned in the Development and Implementation of a Couples-Focused Telephone Intervention for Adults with Type 2 Diabetes: The Diabetes Support Project.
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DOI:
10.1007/s13142-011-0057-8
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发表时间:
2011-09-01
影响因子:
3.6
通讯作者:
Trief PM
Trief PM
中科院分区:
医学3区
文献类型:
--
作者:
Trief PM

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2型糖尿病(T2 DM)研究报告称,婚姻/家庭支持与血糖控制、依从性和生活质量有关。然而,很少有关于以夫妇为重点的干预措施的报告。描述在实施基于理论的夫妻干预措施时所面临的挑战和吸取的教训。350对夫妇(其中一方患有血糖控制不佳的T2 DM)被随机分配至夫妇干预、个体干预或加强常规护理。所有的联系都是通过电话,以增加联系。结局:医学(如血糖控制)、心理社会(如糖尿病困扰)和行为(如方案依从性)。介绍了在招募、评估和干预夫妇方面的挑战,并就如何解决这些挑战提出了建议。预计2013年将得出关于夫妻干预的功效和成本效益、对伴侣的影响以及已证明的变化的可能机制的结论。干预者需要特定的技能,与夫妇合作,以促进社区应对和增加有效的夫妇干预的可能性。
Type 2 diabetes (T2DM) studies report that marital/family support relates to glycemic control, adherence and quality-of-life. Yet, there are few reports of couples-focused interventions. To describe the challenges faced and lessons learned in the implementation of a theoretically-based, couples intervention. 350 couples (one partner has T2DM in poor glycemic control) are randomized to a couples intervention, individual intervention, or enhanced usual care. All contacts are by telephone, to increase reach. Outcomes: medical (e.g. glycemic control), psychosocial (e.g. diabetes distress), and behavioral (e.g. regimen adherence). Challenges in recruitment, assessment and intervention with couples are described, with suggestions about how to address them. Findings concerning the efficacy and cost-effectiveness of the couples intervention, its effect on partners, and possible mechanisms of demonstrated changes, are anticipated in 2013. Interventionists need specific skills to work with couples to promote communal coping and increase the likelihood of an efficacious couples intervention.
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