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

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.

SUBMITTER: Roddy MK

PROVIDER: S-EPMC8821125 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature

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

Roddy McKenzie K MK Nelson Lyndsay A LA Greevy Robert A RA Mayberry Lindsay S LS

Journal of behavioral medicine 20210813 1

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 inter ...[more]

PMID: 34386838

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

Publications

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

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