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    Psychological Family Intervention for Poorly Controlled Type 2 Diabetes

    Keogh, Karen M. and Smith, Susan M. and White, Patricia and McGilloway, Sinéad and Kelly, Alan and Gibney, James and O'Dowd, Tom (2011) Psychological Family Intervention for Poorly Controlled Type 2 Diabetes. The American Journal of Managed Care, 17 (2). pp. 105-113. ISSN 1088-0224

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    OBJECTIVE: To evaluate the effectiveness of a psychological, family-based intervention to improve diabetes-related outcomes in patients with poorly controlled type 2 diabetes. METHODS: This study was a randomized controlled trial of a psychological family-based intervention targeted at individuals with poorly controlled type 2 diabetes. Recruitment and follow-up occurred at specialist diabetes clinics. Patients were randomly allocated to an intervention group (n=60) or a control group (n=61). Poor control was defined as at least 2 of the patient's last 3 glycated hemoglobin (A1C) readings at >8.0%. The intervention consisted of 2 sessions delivered by a health psychologist to the patient and a family member in the patient's home, with a third session involving a 15-minute follow-up telephone call. RESULTS: At 6-month follow-up, the intervention group reported significantly lower mean A1C levels than the control group (8.4% [SD=0.99%] vs 8.8% [SD=1.36%]; P=.04). The intervention was most effective in those with the poorest control at baseline (A1C>9.5%) (intervention 8.7% [SD=1.16%, n=15] vs control 9.9% [SD=1.31%, n=15]; P=.01). The intervention group also reported statistically significant improvements in beliefs about diabetes, psychological well-being, diet, exercise, and family support. CONCLUSIONS: After participating in a family-based intervention targeting negative and/or inaccurate illness perceptions, patients with poorly controlled type 2 diabetes showed improvements in A1C levels and other outcomes. Our results suggest that adding a psychological, family-based component to usual diabetes care may help improve diabetes management.

    Item Type: Article
    Keywords: Psychological Family Intervention; Poorly Controlled; Type 2 Diabetes;
    Academic Unit: Faculty of Science and Engineering > Psychology
    Item ID: 9283
    Depositing User: Dr. Sinéad McGilloway
    Date Deposited: 05 Mar 2018 17:13
    Journal or Publication Title: The American Journal of Managed Care
    Publisher: Managed Care and Healthcare Communications
    Refereed: Yes
    Use Licence: This item is available under a Creative Commons Attribution Non Commercial Share Alike Licence (CC BY-NC-SA). Details of this licence are available here

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