Perceived support from family and friends among adults with type 2 diabetes

Authors

  • Bjørg Oftedal

DOI:

https://doi.org/10.1002/edn.247

Keywords:

type 2 diabetes, focus groups, self-management, social support, family and friends

Abstract

Abstract

The aim of this study was to describe how adults with type 2 diabetes perceive support provided by family and friends and how such support can influence their diabetes management. Diabetes management behaviours have been described as challenging, and many individuals with type 2 diabetes fail to attain optimal glycaemic control. It has therefore been suggested that support from family and friends is critical for effective diabetes management. However, there is little empirical evidence from a patient perspective of how support provided by family and friends is perceived and how support can influence patients’ diabetes management.

The study was comprised of a descriptive qualitative design that included three focus groups, which were used to collect data. The sample consisted of 19 adults with type 2 diabetes, and the data was analysed using qualitative content analysis.

The findings revealed three themes reflecting perceived support from family and friends: mixed practical support; non-constructive emotional support, and intrusive informational support. Furthermore, the findings indicated that participants’ perceived mixed practical support, eg diet and exercise, from family and friends, as helpful and valuable. Thus, this kind of practical support stimulates effective diabetes management. However, many participants reported that they did not receive such support, which in turn, reduced their diabetes regulation efforts. Emotional support was perceived as non-constructive and appears to demotivate participants’ diabetes management. Finally, the findings indicated that informational support was perceived as intrusive and did not meet their needs for support in diabetes managemen

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References

American Diabetes Association. Standards of medical care in diabetes. Diabetes Care 2010; 3:12–44.

Oftedal B, Bru E, Karlsen B. Motivation for diet and exercise management among adults with type 2 diabetes. Scandinavian Journal of Caring Sciences 2011;25: 735–44.

Rintala TM, Jaatinen P, Paavilainen E, Ustedt-Kurki P. Interrelation between adult persons with diabetes and their family: a systematic review of the Literature. Journal of Family Nursing 2013;19:3–28.

Stopford R, Winkley K, Ismail K. Social support and glycemic control in type 2 diabetes: A sys-tematic review of observational studies. Patient Education & Counseling 2013; 93:549–58.

Rosland A-M, Kieffer E, Israel B, et al When is social support important? The association of family support and professional support with specific diabetes self-management behaviors. Journal of General Internal Medicine 2008; 23:1992–9.

Tang TS, Brown MB, Funnell MM, Anderson RM. Social support, quality of life, and self-care behaviors among African Americans with type 2 diabetes. Diabetes Educator 2008;34:266–76.

King DK, Glasgow RE, Toobert DJ, et al Self-effi-cacy, problem solving, and social-environmental support are associated with diabetes self-man-agement behaviors. Diabetes Care 2010; 33:751–3.

Shaw BA, Gallant MP, Rileyrjacome M, Spokane LS. Assessing sources of support for diabetes self-care in urban and rural underserved com-munities. Journal of Community Health 2006; 31:393–412.

Costa V, Pereira MG, Pedras S. Partner support, social-cognitive variables and their role in adher-ence to self-monitoring of blood glucose in type 2 diabetes. European Diabetes Nursing 2012; 9:81–6.

Bai Y Chiou C, Chang Y Self-care behaviour and related factors in older people with type 2 diabetes. J Gun Nurs 2009; 18:3308–15.

Beverly EA, Miller CK, Wray LA. Spousal sup-port and food-related behavior change in mid-dle-aged and older adults living with type 2 dia-betes. Health Education & Behavior 2008; 35 (5) 707–20.

Xu Y Toobert D, Savage C, Pan W, Whitmer K. Factors influencing diabetes self-management in Chinese people with type 2 diabetes. Research in Nursing & Health 2008;31:613–25.

Göz F, Karaoz S, Goz M, Ekiz S, Cetin I. Effects of the diabetic patients' perceived social support on their quality-of-life. Journal of Clinical Nursing 2007;16:1353–60.

Strom JL, Egede LE. The impact of social sup-port on outcomes in adult patients with type 2 diabetes: a systematic review. Current Diabetes Reports 2012;12:769–81.

Neufeld A, Harrison MJ, Hughes K, Stewart M. Non-supportive interactions in the experience of women family caregivers. Health & Social Care in the Community 2007;15:530–41.

Sandberg J, Trief PM, Greenberg RP, Graff K, Weinstock RS. "He said, she said": the impact of gender on spousal support in diabetes management Journal of Couple & Relationship Therapy 2006;5: 23–42.

De Ridder DTD, Schreurs KMG, Kuijer RG. Is spousal support always helpful to patients with asthma or diabetes? A prospective study. Psychology & Health 2005;20:497–508.

Sabone MB. The illness demands of diabetes on couples in Botswana. Journal of Family Nursing 2008;14:363–82.

Lohri-Posey B. Middle-aged appalachians living with diabetes mellitus: A family affair. Family and Community Health 2006;29:214–20.

"Helsefremmmende og forebyggende psykisk helsearbeid i lokalsamfunnet". Elverum, Hogskolen i Hedmark, 2007; Report no(1):137–159.

Hummelvoll JK, Severinsson E. Researchers' experience of co-operative inquiry in acute mental health care. Journal of Advanced Nursing 2005;52:180–8.

Graneheim UH, Lundman B. Qualitative con-tent analysis in nursing research: concepts, pro-cedures and measures to achieve trustworthi-ness. Nurse Education Today 2004;24:105–12.

Oftedal B, Bru E, Karlsen B. Social support as a motivator of self-management among adults with type 2 diabetes. Nurs and Healthc Chronic Illn 2011;3:12–22.

Malecki CK, Demaray MK. What type of support do they need? Investigating student adjustment as related to emotional, informational, appraisal, and instrumental support. School Psychology Quarterly 2003;18:231–52.

Teixeira ME, Budd GM. Obesity stigma: A newly recognized barrier to comprehensive and effec-tive type 2 diabetes management J Am Acad Nurse Pract 2010; 22: 527–33.

Mata J, Silva MN, Vieira PN, et al Motivational "spill-over" during weight control: Increased self-determination and exercise intrinsic motiva-tion predict eating self-regulation. Health Psychology 2009;28:709–16.

Cohen O, Birnbaum GE, Meyuchas R, et al Attachment orientations and spouse support in adults with type 2 diabetes. Psychology, Health & Medicine 2005; 10:161–5.

Mayberry LS, Osborn CY. Family support, med-ication adherence, and glycemic control among adults with type 2 diabetes. Diabetes Care 2012;35:1239–45.

Veinot TCE, Kim YM, Meadowbrooke CC. Health information behavior in families: supportive or irritating? Proceedings ASIS&T 2011;48: 1–10.

Goetz K, Szecsenyi J, Campbell S, et al The importance of social support for people with type 2 diabetes - a qualitative study with general practitioners, practice nurses and patients. Psycho-Social Medicine2012;9.

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Published

2014-08-01

How to Cite

Oftedal, B. (2014). Perceived support from family and friends among adults with type 2 diabetes. International Diabetes Nursing, 11(2), 43–48. https://doi.org/10.1002/edn.247

Issue

Section

Research Article