Marylyn Morris McEwen|Alice Pasvogel|Carolyn Murdaugh|Joseph T. Hepworth
Effects of a Family-based Diabetes Intervention on Behavioral and Biological Outcomes for Mexican American Adults
University of Arizona|University of Arizona|University of Arizona|University of Arizona
purpose purpose study investigate effects familybased selfmanagement support intervention adults type 2 diabetes t2dm methods using 2group experimental repeated measures design 157 dyads participant t2dm family member randomly assigned intervention education social support home visits telephone calls wait list control group data collected baseline postintervention 3 months 6 months postintervention series 2 3 repeated measures anovas used test hypotheses interaction contrasts assess immediate sustained intervention effects results significant changes time reported diet selfmanagement exercise selfmanagement total selfmanagement diabetes selfefficacy general health total diabetes selfefficacy physician distress regimen distress interpersonal distress total distress likewise sustained effects diet selfmanagement total selfmanagement diabetes selfefficacy general health total selfefficacy physician distress regimen distress interpersonal distress conclusions results support extend prior research documenting value culturally relevant familybased interventions improve diabetes selfmanagement substantiate need intensive longer tailored interventions achieve glycemic control