Changes in family involvement occasioned by FAMS mobile health intervention mediate changes in glycemic control over 12 months.
J Behav Med
; 45(1): 28-37, 2022 02.
Article
en En
| MEDLINE
| ID: mdl-34386838
ABSTRACT
Mobile phone-delivered interventions have proven effective in improving glycemic control (HbA1c) in the short term among adults with type 2 diabetes (T2D). Family systems theory suggests engaging family/friend in adults' diabetes self-care may enhance or sustain improvements. In secondary analysis from a randomized controlled trial (N = 506), we examined intervention effects on HbA1c via change in diabetes-specific helpful and harmful family/friend involvement. We compared a text messaging intervention that did not target family/friend involvement (REACH), REACH plus family-focused intervention components targeting helpful and harmful family/friend involvement (REACH + FAMS), and a control condition. Over 6 months, both intervention groups experienced improvement in HbA1c relative to control, but at 12 months neither did. However, REACH + FAMS showed an indirect effect on HbA1c via change in helpful family/friend involvement at both 6 and 12 months while REACH effects were not mediated by family/friend involvement. Consistent with family systems theory, improvements in HbA1c mediated by improved family/friend involvement were sustained.
Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Telemedicina
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Diabetes Mellitus Tipo 2
/
Envío de Mensajes de Texto
Tipo de estudio:
Clinical_trials
Límite:
Adult
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Humans
Idioma:
En
Revista:
J Behav Med
Año:
2022
Tipo del documento:
Article
País de afiliación:
Estados Unidos