Patient Assessment of Family Function, Glycemic Control and Quality of Life in Adult Patients With Type 2 Diabetes and Incipient Complications

Birgitte B. Bennich; Lene Munch; Ingrid Egerod; Hanne Konradsen; Steen Ladelund; Filip K. Knop; Tina Vilsbøll; Michael Røder; Dorthe Overgaard

doi:10.1016/j.jcjd.2018.09.002

Patient Assessment of Family Function, Glycemic Control and Quality of Life in Adult Patients With Type 2 Diabetes and Incipient Complications

Birgitte B. Bennich^*
, Lene Munch
, Ingrid Egerod
, Hanne Konradsen
, Steen Ladelund
, Filip K. Knop
, Tina Vilsbøll
, Michael Røder
, Dorthe Overgaard

^*Corresponding author for this work

KI, OUH, Research unit of SDCO - Steno Diabetes Center Odense

Copenhagen University Hospital
Professionshøjskolen Metropol
Rigshospitalet
University of Copenhagen
Hvidovre Hospital
Karolinska Institute

Research output: Contribution to journal › Journal article › Research › peer-review

447 Downloads (Pure)

Abstract

OBJECTIVES: Family affects the perception of diabetes self-management in patients with diabetes. Family-related questionnaires have been used to assess family function, but the Brief Family Assessment Measure (Brief FAM-III) has not been used previously in a diabetes population. We aimed to determine whether the family function is associated with glycated hemoglobin levels and quality of life as potential predictors of diabetes self-management.

METHODS: An exploratory study of patients with type 2 diabetes and incipient complications and their relatives using the Brief FAM-III, a self-report questionnaire comprising 3 scales assessing family function according to different perspectives: a general score, a dyadic relationship score and a self-rating score.

RESULTS: We included 127 patients: 72.4% males, mean age 65.23 (SD=10.26) years; glycated hemoglobin levels, 6.9% (SD=0.9%); diabetes duration, 9.1 (SD=0.6) years; and body mass index, 30.8 (SD=0.5) kg/m 2. Mean FAM-III scores for the 3 scales were 41.7 (SD=1.0), 41.5 (SD=0.9) and 38.5 (SD=1.1), respectively. Correlation coefficients were -0.06 (p=0.37), -0.09 (p=0.18) and -0.12 (p=0.06), showing no significant correlation between scales and glycated hemoglobin levels levels in the 3 perspectives before and after adjustment for confounders. Family function correlated with burden of diabetes at 0.14 (p=0.02), 0.24 (p=0.0003) and 0.16 (p=0.01), respectively, and mental health at -0.21 (p=0.0007), -0.23 (p=0.0005) and -0.25 (p<0.0001), respectively.

CONCLUSION: The results of our study suggest that in patients with type 2 diabetes, family function does not predict the level of glycemic control. However, we found an association among healthy family function, low burden of diabetes and strong mental health, issues that are important for the patients' quality of life, compliance with lifestyle factors and diabetes self-management.

Original language	English
Journal	Canadian Journal of Diabetes
Volume	43
Issue number	3
Pages (from-to)	193-200
ISSN	1499-2671
DOIs	https://doi.org/10.1016/j.jcjd.2018.09.002
Publication status	Published - 1. Apr 2019

Funding

The authors disclose receipt of the following financial support for the research, authorship and/or publication of this article: financial support for this research was provided by the Research Foundation in the Capital Region of Denmark , the Lilly and Herbert Hansen's Foundation and the Jascha Foundation of Denmark . The funders had no role in the study design, analysis, interpretation, writing of the manuscript or decision to submit the manuscript for publication.

Keywords

A1C (glycated hemoglobin level)
Brief FAM-III (Brief Family Assessment Measure)
family function
glycemic control
quality of life
type 2 diabetes
Body Mass Index
Life Style
Humans
Middle Aged
Self Report
Social Support
Cost of Illness
Blood Glucose
Male
Diabetes Mellitus, Type 2/complications
Quality of Life
Female
Aged
Glycated Hemoglobin A/metabolism

Documents & Links

10.1016/j.jcjd.2018.09.002

Open Acccess VersionAccepted manuscript, 892 KBLicence: CC BY-NC-ND

SDU Link

Check access to the material in SDU Library's search engine

Cite this

@article{cd5b3eae27bb4a6db94483b158cdcea6,

title = "Patient Assessment of Family Function, Glycemic Control and Quality of Life in Adult Patients With Type 2 Diabetes and Incipient Complications",

abstract = "OBJECTIVES: Family affects the perception of diabetes self-management in patients with diabetes. Family-related questionnaires have been used to assess family function, but the Brief Family Assessment Measure (Brief FAM-III) has not been used previously in a diabetes population. We aimed to determine whether the family function is associated with glycated hemoglobin levels and quality of life as potential predictors of diabetes self-management.METHODS: An exploratory study of patients with type 2 diabetes and incipient complications and their relatives using the Brief FAM-III, a self-report questionnaire comprising 3 scales assessing family function according to different perspectives: a general score, a dyadic relationship score and a self-rating score.RESULTS: We included 127 patients: 72.4\% males, mean age 65.23 (SD=10.26) years; glycated hemoglobin levels, 6.9\% (SD=0.9\%); diabetes duration, 9.1 (SD=0.6) years; and body mass index, 30.8 (SD=0.5) kg/m 2. Mean FAM-III scores for the 3 scales were 41.7 (SD=1.0), 41.5 (SD=0.9) and 38.5 (SD=1.1), respectively. Correlation coefficients were -0.06 (p=0.37), -0.09 (p=0.18) and -0.12 (p=0.06), showing no significant correlation between scales and glycated hemoglobin levels levels in the 3 perspectives before and after adjustment for confounders. Family function correlated with burden of diabetes at 0.14 (p=0.02), 0.24 (p=0.0003) and 0.16 (p=0.01), respectively, and mental health at -0.21 (p=0.0007), -0.23 (p=0.0005) and -0.25 (p<0.0001), respectively. CONCLUSION: The results of our study suggest that in patients with type 2 diabetes, family function does not predict the level of glycemic control. However, we found an association among healthy family function, low burden of diabetes and strong mental health, issues that are important for the patients' quality of life, compliance with lifestyle factors and diabetes self-management.",

keywords = "A1C (glycated hemoglobin level), Brief FAM-III (Brief Family Assessment Measure), family function, glycemic control, quality of life, type 2 diabetes, Body Mass Index, Life Style, Humans, Middle Aged, Self Report, Social Support, Cost of Illness, Blood Glucose, Male, Diabetes Mellitus, Type 2/complications, Quality of Life, Female, Aged, Glycated Hemoglobin A/metabolism",

author = "Bennich, \{Birgitte B.\} and Lene Munch and Ingrid Egerod and Hanne Konradsen and Steen Ladelund and Knop, \{Filip K.\} and Tina Vilsb{\o}ll and Michael R{\o}der and Dorthe Overgaard",

year = "2019",

month = apr,

day = "1",

doi = "10.1016/j.jcjd.2018.09.002",

language = "English",

volume = "43",

pages = "193--200",

journal = "Canadian Journal of Diabetes",

issn = "1499-2671",

publisher = "Elsevier",

number = "3",

}

TY - JOUR

T1 - Patient Assessment of Family Function, Glycemic Control and Quality of Life in Adult Patients With Type 2 Diabetes and Incipient Complications

AU - Bennich, Birgitte B.

AU - Munch, Lene

AU - Egerod, Ingrid

AU - Konradsen, Hanne

AU - Ladelund, Steen

AU - Knop, Filip K.

AU - Vilsbøll, Tina

AU - Røder, Michael

AU - Overgaard, Dorthe

PY - 2019/4/1

Y1 - 2019/4/1

N2 - OBJECTIVES: Family affects the perception of diabetes self-management in patients with diabetes. Family-related questionnaires have been used to assess family function, but the Brief Family Assessment Measure (Brief FAM-III) has not been used previously in a diabetes population. We aimed to determine whether the family function is associated with glycated hemoglobin levels and quality of life as potential predictors of diabetes self-management.METHODS: An exploratory study of patients with type 2 diabetes and incipient complications and their relatives using the Brief FAM-III, a self-report questionnaire comprising 3 scales assessing family function according to different perspectives: a general score, a dyadic relationship score and a self-rating score.RESULTS: We included 127 patients: 72.4% males, mean age 65.23 (SD=10.26) years; glycated hemoglobin levels, 6.9% (SD=0.9%); diabetes duration, 9.1 (SD=0.6) years; and body mass index, 30.8 (SD=0.5) kg/m 2. Mean FAM-III scores for the 3 scales were 41.7 (SD=1.0), 41.5 (SD=0.9) and 38.5 (SD=1.1), respectively. Correlation coefficients were -0.06 (p=0.37), -0.09 (p=0.18) and -0.12 (p=0.06), showing no significant correlation between scales and glycated hemoglobin levels levels in the 3 perspectives before and after adjustment for confounders. Family function correlated with burden of diabetes at 0.14 (p=0.02), 0.24 (p=0.0003) and 0.16 (p=0.01), respectively, and mental health at -0.21 (p=0.0007), -0.23 (p=0.0005) and -0.25 (p<0.0001), respectively. CONCLUSION: The results of our study suggest that in patients with type 2 diabetes, family function does not predict the level of glycemic control. However, we found an association among healthy family function, low burden of diabetes and strong mental health, issues that are important for the patients' quality of life, compliance with lifestyle factors and diabetes self-management.

AB - OBJECTIVES: Family affects the perception of diabetes self-management in patients with diabetes. Family-related questionnaires have been used to assess family function, but the Brief Family Assessment Measure (Brief FAM-III) has not been used previously in a diabetes population. We aimed to determine whether the family function is associated with glycated hemoglobin levels and quality of life as potential predictors of diabetes self-management.METHODS: An exploratory study of patients with type 2 diabetes and incipient complications and their relatives using the Brief FAM-III, a self-report questionnaire comprising 3 scales assessing family function according to different perspectives: a general score, a dyadic relationship score and a self-rating score.RESULTS: We included 127 patients: 72.4% males, mean age 65.23 (SD=10.26) years; glycated hemoglobin levels, 6.9% (SD=0.9%); diabetes duration, 9.1 (SD=0.6) years; and body mass index, 30.8 (SD=0.5) kg/m 2. Mean FAM-III scores for the 3 scales were 41.7 (SD=1.0), 41.5 (SD=0.9) and 38.5 (SD=1.1), respectively. Correlation coefficients were -0.06 (p=0.37), -0.09 (p=0.18) and -0.12 (p=0.06), showing no significant correlation between scales and glycated hemoglobin levels levels in the 3 perspectives before and after adjustment for confounders. Family function correlated with burden of diabetes at 0.14 (p=0.02), 0.24 (p=0.0003) and 0.16 (p=0.01), respectively, and mental health at -0.21 (p=0.0007), -0.23 (p=0.0005) and -0.25 (p<0.0001), respectively. CONCLUSION: The results of our study suggest that in patients with type 2 diabetes, family function does not predict the level of glycemic control. However, we found an association among healthy family function, low burden of diabetes and strong mental health, issues that are important for the patients' quality of life, compliance with lifestyle factors and diabetes self-management.

KW - A1C (glycated hemoglobin level)

KW - Brief FAM-III (Brief Family Assessment Measure)

KW - family function

KW - glycemic control

KW - quality of life

KW - type 2 diabetes

KW - Body Mass Index

KW - Life Style

KW - Humans

KW - Middle Aged

KW - Self Report

KW - Social Support

KW - Cost of Illness

KW - Blood Glucose

KW - Male

KW - Diabetes Mellitus, Type 2/complications

KW - Quality of Life

KW - Female

KW - Aged

KW - Glycated Hemoglobin A/metabolism

U2 - 10.1016/j.jcjd.2018.09.002

DO - 10.1016/j.jcjd.2018.09.002

M3 - Journal article

C2 - 30473271

AN - SCOPUS:85056854776

SN - 1499-2671

VL - 43

SP - 193

EP - 200

JO - Canadian Journal of Diabetes

JF - Canadian Journal of Diabetes

IS - 3

ER -

Patient Assessment of Family Function, Glycemic Control and Quality of Life in Adult Patients With Type 2 Diabetes and Incipient Complications

Abstract

Funding

Keywords

Documents & Links

SDU Link

Fingerprint

Cite this