Abstract
Background: Diabetes management rarely target family support as a means of promoting diabetes self-care behaviour among adults. The potential influence of family member on individuals with Type 2 diabetes has not been fully explored. The study aims to examine the impact of family support on medication adherence and glycemic control of their Type 2 diabetes out-patients in a tertiary hospital.Methods: The study was a prospective cross-sectional survey conducted on Type 2 diabetes out-patients attending endocrinology clinic at the University of Nigeria Teaching Hospital (UNTH) between October 2013 and April 2014. The Diabetes Family Behavioral Checklist (DFBC-13) was used to assess family support while the MMAS-8 (Morisky medication Adherence Scale) was used to assess medication adherence. Fasting blood glucose readings were obtained from patients’ case files.Data were analysed using SPSS (Statistical package for social sciences) version 16 and level of statistical significance set at p<0.05. Result: A total number of 250 patients were assessed. The mean score for family support was 42 of 65 (range 13 to 65). Family support score (diet, glucose, exercise, diabetic self-care) associated with educational status (socio-demographic characteristics) r = 0.171** p = 0.007. Family support was inversely correlated to adherence and glycemic control (-0.161**, P = 0.011, r = -0.098, p = 0.147) respectively. Medication adherence was low as only 1.6% of the respondents adhered to their medication.Conclusion: Family support had little influence on medication adherence and glycemic control.
Highlights
Diabetes mellitus is a growing worldwide epidemic concern with an estimated number of 300 million by the year 2030 [1].In Africa, it is estimated that the prevalence of diabetes is 1% in rural areas, up to 7% in urban subSahara Africa, and between 8-13% in more developed areas such as South Africa [2]
Most theories of health behaviour change required for diabetes self-care performance include a social support component and family members are considered a significant source of social support for adults with diabetes [4].Studies have demonstrated that strong family and social support appear to have a positive impact on Glycemic control and or self- management behaviour [5] [6]
The aim of the study is to assess the impact of family support on medication adherence and glycemic control of type 2 diabetes out-patient attending endocrinology clinic in a tertiary hospital
Summary
Diabetes mellitus is a growing worldwide epidemic concern with an estimated number of 300 million by the year 2030 [1].In Africa, it is estimated that the prevalence of diabetes is 1% in rural areas, up to 7% in urban subSahara Africa, and between 8-13% in more developed areas such as South Africa [2]. Most theories of health behaviour change required for diabetes self-care performance include a social support component and family members are considered a significant source of social support for adults with diabetes [4].Studies have demonstrated that strong family and social support appear to have a positive impact on Glycemic control and or self- management behaviour [5] [6]. The aim of the study is to assess the impact of family support on medication adherence and glycemic control of type 2 diabetes out-patient attending endocrinology clinic in a tertiary hospital. The study aims to examine the impact of family support on medication adherence and glycemic control of their Type 2 diabetes out-patients in a tertiary hospital. Conclusion: Family support had little influence on medication adherence and glycemic control
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