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01.12.2008 | Original Article

When Is Social Support Important? The Association of Family Support and Professional Support with Specific Diabetes Self-management Behaviors

verfasst von: Ann-Marie Rosland, MD, MS, Edith Kieffer, PhD, MPH, Barbara Israel, DrPH, MPH, Marvis Cofield, Gloria Palmisano, MA, Brandy Sinco, MS, Michael Spencer, PhD, MSW, Michele Heisler, MD, MPA

Erschienen in: Journal of General Internal Medicine | Ausgabe 12/2008

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Abstract

BACKGROUND

Social support is associated with better diabetes self-management behavior (SMB), yet interventions to increase family and friend support (FF support) have had inconsistent effects on SMB.

OBJECTIVE

To test whether FF support differentially affects specific SMBs and compare the influence of support from health professionals and psychological factors on specific SMBs to that of FF support.

DESIGN

Cross-sectional survey of people with diabetes recruited for a self-management intervention

PARTICIPANTS AND SETTING

One hundred sixty-four African-American and Latino adults with diabetes living in inner-city Detroit

MEASUREMENTS AND MAIN RESULTS

For every unit increase in FF support for glucose monitoring, the adjusted odds ratio (AOR) of completing testing as recommended was 1.77 (95% CI 1.21–2.58). FF support was not associated with four other SMBs (taking medicines, following a meal plan, physical activity, checking feet). Support from non-physician health professionals was associated with checking feet [AOR 1.72 (1.07–2.78)] and meal plan adherence [AOR = 1.61 (1.11–2.34)]. Diabetes self-efficacy was associated with testing sugar, meal plan adherence, and checking feet. Additional analyses suggested that self-efficacy was mediating the effect of FF support on diet and checking feet, but not the FF support effect on glucose monitoring.

CONCLUSIONS

The association between FF support and SMB performance was stronger for glucose monitoring than for other SMBs. Professional support and diabetes self-efficacy were each independently associated with performance of different SMBs. SMB interventions may need to differentially emphasize FF support, self-efficacy, or professional support depending on the SMB targeted for improvement.

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Titel: When Is Social Support Important? The Association of Family Support and Professional Support with Specific Diabetes Self-management Behaviors
verfasst von: Ann-Marie Rosland, MD, MS
Edith Kieffer, PhD, MPH
Barbara Israel, DrPH, MPH
Marvis Cofield
Gloria Palmisano, MA
Brandy Sinco, MS
Michael Spencer, PhD, MSW
Michele Heisler, MD, MPA
Publikationsdatum: 01.12.2008
Verlag: Springer-Verlag
Erschienen in: Journal of General Internal Medicine / Ausgabe 12/2008
Print ISSN: 0884-8734
Elektronische ISSN: 1525-1497
DOI: https://doi.org/10.1007/s11606-008-0814-7

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Abstract

BACKGROUND

OBJECTIVE

DESIGN

PARTICIPANTS AND SETTING

MEASUREMENTS AND MAIN RESULTS

CONCLUSIONS

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