Document Detail


Challenges and Lessons Learned in the Development and Implementation of a Couples-Focused Telephone Intervention for Adults with Type 2 Diabetes: The Diabetes Support Project.
MedLine Citation:
PMID:  22003374     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Type 2 diabetes (T2DM) studies report that marital/family support relates to glycemic control, adherence and quality-of-life. Yet, there are few reports of couples-focused interventions. PURPOSE: To describe the challenges faced and lessons learned in the implementation of a theoretically-based, couples intervention. METHODS: 350 couples (one partner has T2DM in poor glycemic control) are randomized to a couples intervention, individual intervention, or enhanced usual care. All contacts are by telephone, to increase reach. OUTCOMES: medical (e.g. glycemic control), psychosocial (e.g. diabetes distress), and behavioral (e.g. regimen adherence). Challenges in recruitment, assessment and intervention with couples are described, with suggestions about how to address them. RESULTS: Findings concerning the efficacy and cost-effectiveness of the couples intervention, its effect on partners, and possible mechanisms of demonstrated changes, are anticipated in 2013. CONCLUSIONS: Interventionists need specific skills to work with couples to promote communal coping and increase the likelihood of an efficacious couples intervention.
Authors:
Paula M Trief
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Translational behavioral medicine     Volume:  1     ISSN:  1613-9860     ISO Abbreviation:  -     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-10-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101554668     Medline TA:  Transl Behav Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  461-467     Citation Subset:  -    
Affiliation:
SUNY Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210.
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MeSH Terms
Descriptor/Qualifier:
Grant Support
ID/Acronym/Agency:
R18 DK080867-01A2//NIDDK NIH HHS

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