A randomized clinical trial of diabetes self-management for Mexican Americans: Are there serendipitous health benefits for supporters of study participants?
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ABSTRACT: OBJECTIVES:Studies of social support in diabetes have focused on the effects of support on the person with type 2 diabetes. We explored diabetes prevention effects of a culturally tailored diabetes self-management intervention in individuals without diabetes who were supporters of intervention participants. METHODS:This is a secondary analysis of data from a randomized clinical trial that involved 256 Mexican Americans with diabetes. Each study participant designated a supporter-spouse, relative, friend-who attended intervention sessions and assisted participants in attaining effective diabetes self-management. Supporter's glycosylated hemoglobin (A1C) data were tracked for 1?year to determine diabetes conversion rates in supporters without diabetes at baseline. RESULTS:Fewer individuals in the intervention group (n?=?9) converted to an A1C above the 7% threshold, compared to the 1-year wait-listed control group (n?=?16). We found a statistically significant difference (p?=?.021) at 12?months in the number of individuals whose A1C was ?8%, with fewer supporters above threshold in the intervention group (reduction of 48%). Supporters in the intervention group with prediabetes, based on baseline A1C, experienced a slight reduction in A1C, while control group supporters with prediabetes experienced an increase. DISCUSSION:The results suggest that there are potential benefits for family members and other supporters of persons with diabetes who participated in diabetes self-management programs.
SUBMITTER: Brown SA
PROVIDER: S-EPMC5308430 | biostudies-literature | 2017
REPOSITORIES: biostudies-literature
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