TY - JOUR
T1 - Family interventions for adults living with type 2 diabetes mellitus
T2 - A qualitative meta-synthesis
AU - Thirsk, Lorraine M.
AU - Schick-Makaroff, Kara
N1 - Publisher Copyright:
© 2021 The Author(s)
PY - 2021/12
Y1 - 2021/12
N2 - Objective: Review and synthesize qualitative research on family interventions for adults living with type 2 diabetes. Methods: A qualitative metasynthesis was conducted. Analysis used imported concepts from realist evaluation – context, mechanisms, and outcomes. Results: Six studies met inclusion criteria in this qualitative systematic review. Powerful mechanisms were identified that occur outside the family intervention in the context of ethnic, racialized, and geographically defined groups. Many similarities were noted across contexts, such as low income. Mechanisms of interventions focused primarily on family member education. Outcomes were focused more on improving self-care behaviors, rather than family-oriented outcomes. Conclusion: Systemic issues affecting social determinants of health set the context for family interventions for type 2 diabetes. When designing these interventions, intersectionality, scarcity, and family functioning may need to be considered. Practice implications: Emphasis on education of family members may not be effective in improving diabetes outcomes, as many powerful mechanisms exist outside of these interventions.
AB - Objective: Review and synthesize qualitative research on family interventions for adults living with type 2 diabetes. Methods: A qualitative metasynthesis was conducted. Analysis used imported concepts from realist evaluation – context, mechanisms, and outcomes. Results: Six studies met inclusion criteria in this qualitative systematic review. Powerful mechanisms were identified that occur outside the family intervention in the context of ethnic, racialized, and geographically defined groups. Many similarities were noted across contexts, such as low income. Mechanisms of interventions focused primarily on family member education. Outcomes were focused more on improving self-care behaviors, rather than family-oriented outcomes. Conclusion: Systemic issues affecting social determinants of health set the context for family interventions for type 2 diabetes. When designing these interventions, intersectionality, scarcity, and family functioning may need to be considered. Practice implications: Emphasis on education of family members may not be effective in improving diabetes outcomes, as many powerful mechanisms exist outside of these interventions.
KW - Family interventions
KW - Qualitative metasynthesis
KW - Qualitative research
KW - Type 2 diabetes
UR - http://www.scopus.com/inward/record.url?scp=85105774569&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2021.04.037
DO - 10.1016/j.pec.2021.04.037
M3 - Review article
C2 - 33992484
AN - SCOPUS:85105774569
SN - 0738-3991
VL - 104
SP - 2890
EP - 2899
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 12
ER -