The family and type 2 diabetes: a framework for intervention.

Journal Article (Review;Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Fisher, L; Chesla, CA; Bartz, RJ; Gilliss, C; Skaff, MA; Sabogal, F; Kanter, RA; Lutz, CP

Published Date

  • September 1998

Published In

Volume / Issue

  • 24 / 5

Start / End Page

  • 599 - 607

PubMed ID

  • 9830956

Electronic International Standard Serial Number (EISSN)

  • 1554-6063

International Standard Serial Number (ISSN)

  • 0145-7217

Digital Object Identifier (DOI)

  • 10.1177/014572179802400504


  • eng