Although there is a significant correlation between the degree of family support and
clinical outcome, little research has focused on the effectiveness of family partnership
intervention care (FPIC) for patients with poorly controlled type 2 diabetes.
This study aimed to compare FPIC with conventional care (CC) across a number of outcome
measures in patients with poorly controlled type 2 diabetes.
The study was performed using a randomized controlled trial design.
Patients with poorly controlled type 2 diabetes who were solely treated with oral
antidiabetic agents and had at least two out of three hemoglobin A1C readings equal
to or above 7% in the previous 12 months, were randomly assigned to the FPIC group
(n=28) and to the CC group (n=28).
Baseline and 6-month follow-up scores were compared using the following outcome measures:
(1) hemoglobin A1C, (2) BMI, (3) lipid profile, (4) family supportive behaviours,
(5), knowledge of and attitudes toward diabetes, and (6) diabetes self-care behaviours.
Descriptive and non-parametric statistics were employed to compare differences in
outcome measures between the groups.
There were no significant differences in the reduction of hemoglobin A1C levels (p=0.46),
lipid profile values (p>0.05), and improvement of diabetes self-care behaviours (p=0.61)
between the groups at 6 months post-intervention. However, there were significant
differences in the scores of family supportive behaviours (p=0.031) and patients'
knowledge of and attitudes toward diabetes between the groups (p<0.05).
These findings support the use of FPIC to enhance family supportive behaviours, and
to improve patients' knowledge of and attitudes toward diabetes. Thus, the study is
of value in helping policy decision-makers to develop more effective diabetes control
Copyright © 2010 Elsevier Ltd. All rights reserved.