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J Gen Intern Med. 2008 Dec;23(12):1992-9. doi: 10.1007/s11606-008-0814-7. Epub 2008 Oct 15.

When is social support important? The association of family support and professional support with specific diabetes self-management behaviors.

Author information

1
Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA. arosland@umich.edu

Abstract

BACKGROUND:

Social support is associated with better diabetes self-management behavior (SMB), yet interventions to increase family and friend support (FF support) have had inconsistent effects on SMB.

OBJECTIVE:

To test whether FF support differentially affects specific SMBs and compare the influence of support from health professionals and psychological factors on specific SMBs to that of FF support.

DESIGN:

Cross-sectional survey of people with diabetes recruited for a self-management intervention

PARTICIPANTS AND SETTING:

One hundred sixty-four African-American and Latino adults with diabetes living in inner-city Detroit

MEASUREMENTS AND MAIN RESULTS:

For every unit increase in FF support for glucose monitoring, the adjusted odds ratio (AOR) of completing testing as recommended was 1.77 (95% CI 1.21-2.58). FF support was not associated with four other SMBs (taking medicines, following a meal plan, physical activity, checking feet). Support from non-physician health professionals was associated with checking feet [AOR 1.72 (1.07-2.78)] and meal plan adherence [AOR = 1.61 (1.11-2.34)]. Diabetes self-efficacy was associated with testing sugar, meal plan adherence, and checking feet. Additional analyses suggested that self-efficacy was mediating the effect of FF support on diet and checking feet, but not the FF support effect on glucose monitoring.

CONCLUSIONS:

The association between FF support and SMB performance was stronger for glucose monitoring than for other SMBs. Professional support and diabetes self-efficacy were each independently associated with performance of different SMBs. SMB interventions may need to differentially emphasize FF support, self-efficacy, or professional support depending on the SMB targeted for improvement.

PMID:
18855075
PMCID:
PMC2596525
DOI:
10.1007/s11606-008-0814-7
[Indexed for MEDLINE]
Free PMC Article
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