A qualitative analysis of family experiences across diabetes-specific family functioning types during a family-focused intervention for adults with type 2 diabetes.

Numerous dimensions of family involvement are important for chronic illness management. A recently developed and validated typology of diabetes-specific family functioning organizes these dimensions into four meaningful types (Collaborative & Helpful, Critically Involved, Satisfied with Low Involvem...

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Publicado en:Journal of Behavioral Medicine Vol. 48; no. 5; pp. 823 - 834
Autores principales: Roddy, McKenzie K., Bergner, Erin M., Berg, Cynthia A., Mayberry, Lindsay S.
Formato: research tables/charts Journal Article
Publicado: Springer Nature Oct2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2025
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      pub: Springer Nature
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        10.1007/s10865-025-00594-7
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        atl: A qualitative analysis of family experiences across diabetes-specific family functioning types during a family-focused intervention for adults with type 2 diabetes.
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          Roddy, McKenzie K.
          Bergner, Erin M.
          Berg, Cynthia A.
          Mayberry, Lindsay S.
        affil: https://ror.org/05dq2gs74 Department of Medicine, Vanderbilt University Medical Center, 37203, Nashville, TN, USA
      sug:
        subj:
          Diabetes Mellitus, Type 2 Therapy
          Family Attitudes
          Family Functioning
          Family Centered Care
          Human
          Male
          Female
          Qualitative Studies
          Semi-Structured Interview
          Adult
          Middle Age
          Aged
          Logistic Regression
          Thematic Analysis
          Funding Source
          Family Support
          Self-Management
          Individualized Medicine
          Interviews
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Numerous dimensions of family involvement are important for chronic illness management. A recently developed and validated typology of diabetes-specific family functioning organizes these dimensions into four meaningful types (Collaborative & Helpful, Critically Involved, Satisfied with Low Involvement, and Want More Involvement). These types represent patterns of associations across dimensions of family involvement and synthesize these multiple dimensions of functioning into usable categories. The current study had two primary aims: first, to use qualitative data to enhance the quantitative understanding of types; and second, to describe qualitatively participants' own experiences with their family during a 9 month family-focused intervention (and 6 month follow-up) based on their diabetes-specific family functioning type at enrollment. Adults with type 2 diabetes (T2D) who participated in Family/Friend Activation to Motivate Self-care (FAMS), a family-focused self-care support intervention, were eligible. We recruited 77 participants across types to participate in semi-structured interviews at the completion of the follow-up. We found consistencies across types and differences between types. Regardless of type, harmful family involvement was described, but adults with T2D were hesitant to label it as such. Communication about diabetes and health increased during FAMS, but topics varied across types. Adults with T2D received more support from their families across time, though preference for emotional or instrumental support varied across types. This study qualitatively validated the typology tool paving the way for future use in intervention tailoring.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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