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Gepubliceerd in:

13-08-2021

Changes in family involvement occasioned by FAMS mobile health intervention mediate changes in glycemic control over 12 months

Auteurs: McKenzie K. Roddy, Lyndsay A. Nelson, Robert A. Greevy, Lindsay S. Mayberry

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 1/2022

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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.
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Metagegevens
Titel
Changes in family involvement occasioned by FAMS mobile health intervention mediate changes in glycemic control over 12 months
Auteurs
McKenzie K. Roddy
Lyndsay A. Nelson
Robert A. Greevy
Lindsay S. Mayberry
Publicatiedatum
13-08-2021
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 1/2022
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-021-00250-w

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