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[Preprint]. 2023 Sep 12:2023.09.11.23295375.
doi: 10.1101/2023.09.11.23295375.

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

McKenzie K Roddy  1   2 , Andrew J Spieker  3 , Lyndsay A Nelson  1   2 , Robert A Greevy Jr  3 , Lauren M LeStourgeon  1   2 , Erin M Bergner  1   2 , Merna El-Rifai  1   2 , Tom A Elasy  1 , James E Aikens  4 , Ruth Q Wolever  5   6 , Lindsay S Mayberry  1   2   7
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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

McKenzie K Roddy et al. medRxiv. .

Update in

Abstract

Aims: 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.

Methods: 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.

Results: 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 ( d =-0.19) and global well-being ( d =0.21) during the intervention, with patterns of larger effects among minoritized groups. Post-intervention and sustained (15-month) improvements were driven by changes in PWDs' self-efficacy, self-care behaviors, and autonomy support. Among support persons, FAMS improved helpful involvement without increasing burden or harmful involvement.

Conclusions: 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.

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Conflict of interest statement

Declaration of competing interests:

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

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References

    1. Statistics NCfH. Interactive Summary Health Statistics for Adults-2019. In:2021.
    1. International Diabetes Federation. IDF Diabetes Atlas. 2021; 10th:https://www.diabetesatlas.org. Accessed February 7, 2022. - PubMed
    1. Perrin NE, Davies MJ, Robertson N, Snoek FJ, Khunti K. The prevalence of diabetes-specific emotional distress in people with Type 2 diabetes: a systematic review and meta-analysis. Diabet Med. 2017;34(11):1508–1520, doi:10.1111/dme.13448 - DOI - PubMed
    1. Fisher L, Skaff M, Mullan J, Arean P, Glasgow R, Masharani U. A longitudinal study of affective and anxiety disorders, depressive affect and diabetes distress in adults with type 2 diabetes. Diabetic medicine. 2008;25(9):1096–1101, doi:10.1111/j.1464-5491.2008.02533.x - DOI - PMC - PubMed
    1. Roy M, Sengupta N, Sahana PK, et al. Type 2 diabetes and influence of diabetes-specific distress on depression. Diabetes Research and Clinical Practice. 2018;143:194–198, doi:10.1016/j.diabres.2018.07.006 - DOI - PubMed

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