  {"id":4435,"date":"2024-07-13T16:02:47","date_gmt":"2024-07-13T16:02:47","guid":{"rendered":"https:\/\/thepafp.org\/journal\/?post_type=abstract&#038;p=4435"},"modified":"2024-07-13T16:02:47","modified_gmt":"2024-07-13T16:02:47","slug":"effectiveness-of-family-focused-interventions-in-patients-with-type-2-diabetes-mellitus-in-family-and-community-practice-a-systematic-review-and-meta-analysis","status":"publish","type":"abstract","link":"https:\/\/thepafp.org\/journal\/abstract\/effectiveness-of-family-focused-interventions-in-patients-with-type-2-diabetes-mellitus-in-family-and-community-practice-a-systematic-review-and-meta-analysis\/","title":{"rendered":"Effectiveness of Family-focused Interventions in Patients with Type 2 Diabetes Mellitus in Family and Community Practice: A Systematic Review and Meta-Analysis"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:30px;--awb-padding-right:0px;--awb-padding-bottom:0px;--awb-padding-left:0px;--awb-margin-top:0px;--awb-margin-bottom:0px;--awb-background-color:#ffffff;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-justify-content-space-between fusion-flex-content-wrap\" style=\"max-width:calc( 1200px + 10px );margin-left: calc(-10px \/ 2 );margin-right: calc(-10px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:80%;--awb-margin-top-large:0px;--awb-spacing-right-large:5px;--awb-margin-bottom-large:10px;--awb-spacing-left-large:5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:5px;--awb-spacing-left-medium:5px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:5px;--awb-spacing-left-small:5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-two\" style=\"--awb-text-color:#333333;--awb-margin-top:0px;--awb-margin-bottom:10px;\"><h2 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:31;line-height:1.2;\">Effectiveness of Family-focused Interventions in Patients with Type 2 Diabetes Mellitus in Family and Community Practice: A Systematic Review and Meta-Analysis<\/h2><\/div><div class=\"fusion-text fusion-text-1\" style=\"--awb-font-size:16px;--awb-line-height:1.2;--awb-text-transform:none;--awb-text-color:#666666;--awb-margin-top:0px;--awb-text-font-family:Georgia, serif;--awb-text-font-style:normal;--awb-text-font-weight:700;\"><p>Princess Joanne D. Reyes, MD; Daisy Medina, MD, FÂé¶¹Ö±²¥ and Kathrina Fleur Serrano, MD, FÂé¶¹Ö±²¥<\/p>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion-flex-column\" style=\"--awb-padding-top:30px;--awb-padding-right:30px;--awb-padding-bottom:30px;--awb-padding-left:30px;--awb-bg-size:cover;--awb-border-color:var(--awb-color2);--awb-border-top:1px;--awb-border-right:1px;--awb-border-bottom:1px;--awb-border-left:1px;--awb-border-style:solid;--awb-width-large:20%;--awb-margin-top-large:10px;--awb-spacing-right-large:5px;--awb-margin-bottom-large:10px;--awb-spacing-left-large:5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:5px;--awb-spacing-left-medium:5px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:5px;--awb-spacing-left-small:5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div style=\"text-align:center;\"><a class=\"fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-1 fusion-button-span-yes \" style=\"--button_accent_color:#ffffff;--button_accent_hover_color:#ffffff;--button_border_hover_color:#781010;--button-border-radius-top-left:0;--button-border-radius-top-right:0;--button-border-radius-bottom-right:0;--button-border-radius-bottom-left:0;--button_gradient_top_color:#e6b733;--button_gradient_bottom_color:#e6b733;--button_gradient_top_color_hover:var(--awb-color4);--button_gradient_bottom_color_hover:var(--awb-color4);--button_font_size:12px;--button_typography-font-family:Arial, Helvetica, sans-serif;--button_typography-font-style:normal;--button_typography-font-weight:400;\" target=\"_blank\" rel=\"noopener noreferrer\" href=\"https:\/\/thepafp.org\/journal\/wp-content\/uploads\/2024\/07\/Âé¶¹Ö±²¥-Journal-62-1_139-148.pdf\"><span class=\"fusion-button-text\">View Full Text<\/span><\/a><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-right:0px;--awb-padding-left:0px;--awb-margin-top:0px;--awb-margin-bottom:50px;--awb-background-color:#ffffff;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:10px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:10px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-2\" style=\"--awb-text-transform:none;\"><p><strong>Background<\/strong>: Type 2 DM is a chronic disease and is increasing in prevalence and incidence worldwide. In developing nations like the Philippines, it affects patients and their families. Family-oriented interventions, like family counseling, meetings, interviews, and home visits, can support commitment to change and enhance medication adherence, health behavior, and knowledge ensuring adherence to the multifaceted diabetes type 2 management. Patients and families should be permitted to make decisions about lifestyle modifications and medication interventions and finding the appropriate family-focused intervention that works for managing type 2 diabetes is essential. With this information, family physicians can provide more effective care to patients hence, improving their quality of life.<br \/>\nObjective: This review\u2019s objective was to determine the effectiveness of family-focused intervention among patients with type 2 diabetes in terms of glycemic control (HbA1c and FBS) and in terms of improving the quality of life.<\/p>\n<p><strong>Methods<\/strong>: This is a meta-analysis that included clinical trials randomized involving adult participants that were diagnosed to have type 2 DM. The interventions tested was family-based interventions and the primary outcomes included are HbA1c and FBS. A systematic review was conducted for secondary outcome, patients\u2019 quality of life. Reviewers used the RevMan5 software in the analysis of data.<\/p>\n<p><strong>Results<\/strong>: Seven studies met the inclusion criterion. The overall mean difference in post-treatment HbA1c was \u22120.54%(95%CI [-0.82,-0.25];p=0.0003) for the 1,265 participants included, showing an overall significant benefit of reducing HbA1c favoring intervention, especially on the 3-month follow-up. On subgroup analysis, the results were as follows: 3-months, -0.45%(95%CI [-0.73,-0.16];p=0.002); 6-month, -0.15%(95%CI[-0.51,0.22];p=0.44), and 12-month, -0.77%(95%CI[-1.75,0.21], p=0.12). The overall difference in mean change in FBS showed a result of -7.8(95%CI[-17.52,1.92],p=0.12) showing benefit, though not statistically significant, favoring intervention in decreasing FBS.<\/p>\n<p><strong>Conclusion<\/strong>: Family-focused interventions among Type 2 DM patients shows significant benefit on improving glycemic control and QOL.<\/p>\n<p><strong>Key words<\/strong>: type 2 diabetes mellitus, family-oriented, family, family-based, family-focused<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"featured_media":0,"template":"","meta":{"_acf_changed":false,"footnotes":""},"categories":[14,172],"tags":[16,209,210,211,208,127],"class_list":["post-4435","abstract","type-abstract","status-publish","hentry","category-abstract","category-abstract-2024-volume-62-issue-1","tag-abstract","tag-family","tag-family-based","tag-family-focused","tag-family-oriented","tag-type-2-diabetes-mellitus"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/thepafp.org\/journal\/wp-json\/wp\/v2\/abstract\/4435","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/thepafp.org\/journal\/wp-json\/wp\/v2\/abstract"}],"about":[{"href":"https:\/\/thepafp.org\/journal\/wp-json\/wp\/v2\/types\/abstract"}],"version-history":[{"count":1,"href":"https:\/\/thepafp.org\/journal\/wp-json\/wp\/v2\/abstract\/4435\/revisions"}],"predecessor-version":[{"id":4436,"href":"https:\/\/thepafp.org\/journal\/wp-json\/wp\/v2\/abstract\/4435\/revisions\/4436"}],"wp:attachment":[{"href":"https:\/\/thepafp.org\/journal\/wp-json\/wp\/v2\/media?parent=4435"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/thepafp.org\/journal\/wp-json\/wp\/v2\/categories?post=4435"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/thepafp.org\/journal\/wp-json\/wp\/v2\/tags?post=4435"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}