The family and type 2 diabetes: a framework for intervention

Four broad groups of factors have been linked with self-management behavior in type 2 diabetes over time: (1) characteristics of patients, (2) amount and management of stress, (3) characteristics of providers and provider-patient relationships, and (4) characteristics of the social network/context i...

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Veröffentlicht in:The Diabetes educator 1998-09, Vol.24 (5), p.599-607
Hauptverfasser: Fisher, L. (University of California, San Francisco, CA.), Chesla, C.A, Bartz, R.J, Gilliss, C, Skaff, M.A, Sabogal, F, Kanter, R.A, Lutz, C.P
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container_end_page 607
container_issue 5
container_start_page 599
container_title The Diabetes educator
container_volume 24
creator Fisher, L. (University of California, San Francisco, CA.)
Chesla, C.A
Bartz, R.J
Gilliss, C
Skaff, M.A
Sabogal, F
Kanter, R.A
Lutz, C.P
description Four broad groups of factors have been linked with self-management behavior in type 2 diabetes over time: (1) characteristics of patients, (2) amount and management of stress, (3) characteristics of providers and provider-patient relationships, and (4) characteristics of the social network/context in which disease management takes place. Of these four, social network/context has received the least amount of study and has been described in terms not easily applicable to intervention. In this paper, we identified the social network/context of diabetes management as residing within the family. We defined the family for clinical purposes, reviewed the literature concerning what is known about the link between properties of the family context of care and outcomes in type 2 diabetes and other chronic diseases, and identified areas of family life that are relevant to diabetes management. This information was then used to demonstrate how a family context of care can serve as a clinical framework for integrating all four groups of factors that affect disease management. Implications of this approach for practice and research are described.
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subjects Adaptation, Psychological
AUTOGESTION
DIABETE
DIABETES
Diabetes Mellitus, Type 2 - prevention & control
Diabetes Mellitus, Type 2 - psychology
ESTRES
FAMILIA
FAMILIES
FAMILLE
Family - psychology
FAMILY ENVIRONMENT
HEALTH
HEALTH CARE
Humans
Models, Psychological
NON-INSULIN DEPENDENT DIABETES MELLITUS
Nursing
PERSONAL SUPPORT NETWORKS
Professional-Family Relations
RELATIONSHIPS
SALUD
SANTE
Self Care - psychology
SELF MANAGEMENT
Social Support
STRESS
title The family and type 2 diabetes: a framework for intervention
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