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.


Journal

medRxiv : the preprint server for health sciences
Titre abrégé: medRxiv
Pays: United States
ID NLM: 101767986

Informations de publication

Date de publication:
12 Sep 2023
Historique:
medline: 25 9 2023
pubmed: 25 9 2023
entrez: 25 9 2023
Statut: epublish

Résumé

Type 2 diabetes self-management occurs within social contexts. We sought to test the effects of Family/friends 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. PWDs 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. PWDs (N=329) were 52% male and 39% from minoritized racial or ethnic groups; 50% enrolled with elevated diabetes distress. Support persons (N=294) were 26% male and 33% minoritized racial or ethnic groups. FAMS improved PWDs' diabetes distress ( FAMS 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.

Identifiants

pubmed: 37745314
doi: 10.1101/2023.09.11.23295375
pmc: PMC10516078
pii:
doi:

Types de publication

Preprint

Langues

eng

Subventions

Organisme : NIDDK NIH HHS
ID : R01 DK119282
Pays : United States

Commentaires et corrections

Type : UpdateIn

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Auteurs

McKenzie K Roddy (MK)

Department of Medicine, Vanderbilt University Medical Center, Nashville, TN.
Center for Health Behavior and Health Education, Vanderbilt University Medical Center, Nashville, TN.

Andrew J Spieker (AJ)

Department of Biostatistics, Vanderbilt University Medical Center, Nashville, TN.

Lyndsay A Nelson (LA)

Department of Medicine, Vanderbilt University Medical Center, Nashville, TN.
Center for Health Behavior and Health Education, Vanderbilt University Medical Center, Nashville, TN.

Robert A Greevy (RA)

Department of Biostatistics, Vanderbilt University Medical Center, Nashville, TN.

Lauren M LeStourgeon (LM)

Department of Medicine, Vanderbilt University Medical Center, Nashville, TN.
Center for Health Behavior and Health Education, Vanderbilt University Medical Center, Nashville, TN.

Erin M Bergner (EM)

Department of Medicine, Vanderbilt University Medical Center, Nashville, TN.
Center for Health Behavior and Health Education, Vanderbilt University Medical Center, Nashville, TN.

Merna El-Rifai (M)

Department of Medicine, Vanderbilt University Medical Center, Nashville, TN.
Center for Health Behavior and Health Education, Vanderbilt University Medical Center, Nashville, TN.

Tom A Elasy (TA)

Department of Medicine, Vanderbilt University Medical Center, Nashville, TN.

James E Aikens (JE)

Department of Family Medicine, University of Michigan, Ann Arbor, MI.

Ruth Q Wolever (RQ)

Department of Physical Medicine and Rehabilitation, Vanderbilt University Medical Center, Nashville, TN.
Osher Center for Integrative Health at Vanderbilt, Vanderbilt University Medical Center, Nashville, TN.

Lindsay S Mayberry (LS)

Department of Medicine, Vanderbilt University Medical Center, Nashville, TN.
Center for Health Behavior and Health Education, Vanderbilt University Medical Center, Nashville, TN.
Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN.

Classifications MeSH