PMID- 30552530
OWN - NLM
STAT- MEDLINE
DCOM- 20221219
LR  - 20221219
IS  - 1573-3521 (Electronic)
IS  - 0160-7715 (Print)
IS  - 0160-7715 (Linking)
VI  - 42
IP  - 3
DP  - 2019 Jun
TI  - Out-of-home informal support important for medication adherence, diabetes 
      distress, hemoglobin A1c among adults with type 2 diabetes.
PG  - 493-501
LID - 10.1007/s10865-018-0002-0 [doi]
AB  - Adults with type 2 diabetes mellitus (T2DM) often receive self-management support 
      from adult children, siblings or close friends residing outside of their home. 
      However, the role of out-of-home support in patients' self-management and 
      well-being is unclear. Patients (N = 313) with HbA1c > 7.5% were recruited from 
      community primary care clinics for a mobile health intervention trial and 
      identified an out-of-home informal support person, herein called a CarePartner; 
      38% also had an in-home supporter. We tested cross-sectional adjusted 
      associations between CarePartner relationship characteristics and patients' 
      self-management, diabetes distress, and HbA1c and whether having an in-home 
      supporter modified these associations. Greater CarePartner closeness was 
      associated with a greater odds of perfect medication adherence (AOR = 1.19, 
      p = .029), more fruit/vegetable intake (beta = 0.14, p = .018), and lower diabetes 
      distress (beta = - 0.14, p = .012). More frequent CarePartner contact was associated 
      with better HbA1c among patients with an in-home supporter but with worse HbA1c 
      among patients without an in-home supporter (interaction beta = - 0.45, p = .005). 
      Emotional closeness with a CarePartner may be important for supporting T2DM 
      self-management and reducing diabetes distress. CarePartners may appropriately 
      engage more frequently when patients with no in-home supporter have poorly 
      controlled diabetes.
FAU - Mayberry, Lindsay S
AU  - Mayberry LS
AUID- ORCID: 0000-0002-0654-4151
AD  - Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA. 
      lindsay.mayberry@vumc.org.
AD  - Center for Health Behavior and Health Education, Vanderbilt University Medical 
      Center, Nashville, TNA, USA. lindsay.mayberry@vumc.org.
FAU - Piette, John D
AU  - Piette JD
AD  - Department of Health Behavior and Health Education, University of Michigan, Ann 
      Arbor, MI, USA.
AD  - VA Center for Clinical Management Research, Ann Arbor, MI, USA.
FAU - Lee, Aaron A
AU  - Lee AA
AD  - VA Center for Clinical Management Research, Ann Arbor, MI, USA.
FAU - Aikens, James E
AU  - Aikens JE
AD  - Department of Family Medicine, University of Michigan, Ann Arbor, MI, USA.
LA  - eng
GR  - K01 DK106306/DK/NIDDK NIH HHS/United States
GR  - P30 DK020572/DK/NIDDK NIH HHS/United States
GR  - P30 DK092926/DK/NIDDK NIH HHS/United States
GR  - R18 DK088294/DK/NIDDK NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
DEP - 20181214
PL  - United States
TA  - J Behav Med
JT  - Journal of behavioral medicine
JID - 7807105
RN  - 0 (Glycated Hemoglobin)
SB  - IM
MH  - Adult
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Cross-Sectional Studies
MH  - *Diabetes Mellitus, Type 2/drug therapy/metabolism/psychology
MH  - Family Relations
MH  - *Glycated Hemoglobin
MH  - *Internal-External Control
MH  - *Medication Adherence/psychology
MH  - *Self Care/psychology
MH  - Self-Management
MH  - Social Support
MH  - *Telemedicine/methods
MH  - Adult Children
PMC - PMC7036265
MID - NIHMS1558385
OTO - NOTNLM
OT  - Disease self-management
OT  - Family
OT  - Glycemic control
OT  - Informal caregivers
OT  - Social support
OT  - Type 2 diabetes
COIS- Conflict of Interest: The authors declare that they have no conflict of interest.
EDAT- 2018/12/16 06:00
MHDA- 2020/05/29 06:00
PMCR- 2020/06/01
CRDT- 2018/12/16 06:00
PHST- 2018/07/20 00:00 [received]
PHST- 2018/12/04 00:00 [accepted]
PHST- 2018/12/16 06:00 [pubmed]
PHST- 2020/05/29 06:00 [medline]
PHST- 2018/12/16 06:00 [entrez]
PHST- 2020/06/01 00:00 [pmc-release]
AID - 10.1007/s10865-018-0002-0 [pii]
AID - 10.1007/s10865-018-0002-0 [doi]
PST - ppublish
SO  - J Behav Med. 2019 Jun;42(3):493-501. doi: 10.1007/s10865-018-0002-0. Epub 2018 
      Dec 14.