Family communication as strategy in diabetes prevention: An observational study in families with Dutch and Surinamese South-Asian ancestry

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• 作者：Suzanne C.M. van Esch^a ; ^c ; ^{scm.vanesch@vumc.nl} ; Martina C. Cornel^b ; ^c ; Petronella H.L.M. Geelhoed-Duijvestijn^d ; Frank J. Snoek^a ; ^c
• 关键词：T2D ; type 2 diabetes ; VUmc ; VU University medical center ; HMC ; Haaglanden Medical Center
• 刊名：Patient Education and Counseling
• 出版年：2012
• 期刊代码：217_07383991
• 类别：med
• 出版时间：April, 2012
• 卷：87
• 期：1
• 页码：23-29
• 文件大小：243 K

摘要

Objective

To explore the possibility of utilizing family communication as a diabetes prevention strategy, specifically targeting high-risk families with South-Asian ancestry in the Netherlands.

Methods

In a cross-sectional study, type 2 diabetes patients from Dutch (n = 311) and Surinamese South-Asian (n = 157) origin filled in a questionnaire assessing socio-demographic characteristics, beliefs and concerns about familial diabetes risk, primary prevention, and diabetes-related family communication.

Results

Discussing diabetes is regarded acceptable in most families. Especially Surinamese South-Asian patients (68%) seemed motivated to convey risk messages to their relatives; they reported a higher risk perception and expressed more concern than Dutch patients. While 40%in both groups thought relatives are able to prevent developing diabetes, 46%in Dutch and 33%in Surinamese South-Asian patients were unsure.

Conclusion

Promoting family communication appears a feasible strategy in diabetes prevention in high-risk (Surinamese South-Asian) families. Health care providers should address patients鈥?concern and emphasize opportunities for prevention.

Practice implications

Findings favor training of clinicians in utilizing a family approach as prevention strategy. Patients (particularly Surinamese South-Asians) are in need of professional help in the process of family risk disclosure. (Online) Educational tools should be made available at which patients can refer their relatives.