PMID- 20817790
OWN - NLM
STAT- MEDLINE
DCOM- 20110609
LR  - 20221207
IS  - 1460-2229 (Electronic)
IS  - 0263-2136 (Linking)
VI  - 28
IP  - 1
DP  - 2011 Feb
TI  - Family intervention to control type 2 diabetes: a controlled clinical trial.
PG  - 4-11
LID - 10.1093/fampra/cmq069 [doi]
AB  - PURPOSE: Chilean patients with type 2 diabetes mellitus (T2DM) have a low rate of 
      blood sugar control. We studied the effectiveness of a culturally sensitive 
      family oriented intervention designed to improve metabolic control in primary 
      care patients with uncontrolled T2DM. METHODS: Patients with T2DM from three 
      primary care clinics in Santiago, Chile were randomly selected for inclusion if 
      they had a recent HbA1c >/=7%, were between 18 and 70 years old and lived with a 
      family member. Patients from one clinic received the family oriented 
      intervention; patients from the other two (control) clinics received standard 
      care. The intervention involved family members in care and included family 
      counselling during clinic visits, family meetings and home visits. The primary 
      outcome was HbA1c, measured at 6 and 12 months. RESULTS: A total of 243 patients 
      were enrolled and 209 (86%) completed the study. The intervention was fully 
      administered to only 34% of patients in the intervention clinic. The reduction in 
      the HbA1c from baseline to 12 months was not significantly different between 
      clinics. During the second 6-month period, when the intervention was more 
      intensive, the patients in the intervention clinic significantly improved their 
      HbA1c (P < 0.001) compared to the control patients. CONCLUSIONS: A family 
      intervention for the control of T2DM was associated with a significant reduction 
      in HbA1c when the intervention was provided. Incomplete implementation, low 
      statistical power and potential confounding variables between groups could be 
      some of the main factors that explain the lack of difference between clinics in 
      the 12-month period.
FAU - Garcia-Huidobro, Diego
AU  - Garcia-Huidobro D
AD  - Family Medicine Department, Pontificia Universidad Catolica de Chile, Santiago, 
      Chile. dgarciah@med.puc.cl
FAU - Bittner, Marcela
AU  - Bittner M
FAU - Brahm, Paulina
AU  - Brahm P
FAU - Puschel, Klaus
AU  - Puschel K
LA  - eng
PT  - Controlled Clinical Trial
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
DEP - 20100903
PL  - England
TA  - Fam Pract
JT  - Family practice
JID - 8500875
RN  - 0 (Blood Glucose)
RN  - 0 (Glycated Hemoglobin A)
RN  - 0 (hemoglobin A1c protein, human)
SB  - IM
MH  - Blood Glucose/metabolism
MH  - Chile
MH  - Counseling/*methods
MH  - Diabetes Mellitus, Type 2/blood/*parasitology/*therapy
MH  - Family/*psychology
MH  - Female
MH  - Glycated Hemoglobin/analysis
MH  - Health Behavior
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Patient Education as Topic/*methods
MH  - Primary Health Care
MH  - Young Adult
EDAT- 2010/09/08 06:00
MHDA- 2011/06/10 06:00
CRDT- 2010/09/07 06:00
PHST- 2010/09/07 06:00 [entrez]
PHST- 2010/09/08 06:00 [pubmed]
PHST- 2011/06/10 06:00 [medline]
AID - cmq069 [pii]
AID - 10.1093/fampra/cmq069 [doi]
PST - ppublish
SO  - Fam Pract. 2011 Feb;28(1):4-11. doi: 10.1093/fampra/cmq069. Epub 2010 Sep 3.