Diabetes Mellitus, Type 2 Diabetes, Type 2 Type 2 Diabetes Non-insulin-dependent Diabetes Mellitus (older term, less preferred) family management family caregiving chronic disease management older adults type 2 diabetes caregiver training family intervention disease self-management self-care medication management blood glucose monitoring blood pressure control Village Health Volunteers primary care health literacy caregiver burden caregiver confidence family-centered care culturally adapted
Conditions
Interventions
A family management program delivered to family caregiver and care recipient dyads. The program consists of 6 structured group sessions and 2 home visits over an 8 week period. Content includes chroni
Experimental Behavioral,No Intervention Other
Family Management Program (FMP),Usual Care
Sponsors
Suan Dusit University
Eligibility
Sex/Gender
All
Age
20 Years to 70 Years
Inclusion criteria
Inclusion criteria: Participants will be enrolled as family dyads consisting of one caregiver and one care recipient. Both members of each dyad must meet all respective criteria. Caregivers inclusion criteria: Age 20 years or older; self identified as a primary or secondary caregiver for an older adult family member with chronic conditions; living in the same household with the care recipient or visiting at least 3 times per week; able to read, write, and communicate in Thai language; willing to participate in an 8 week program with weekly 90 minute sessions; available to attend sessions together with the care recipient; not currently participating in other chronic disease management research; able to provide written informed consent; residing in Pak Phli District, Nakhon Nayok Province, Thailand. Care recipients inclusion criteria: Age 50 years or older; physician diagnosed type 2 diabetes mellitus or essential hypertension; for diabetes, hemoglobin A1c 7.0 percent or higher or fasting blood glucose more than 130 mg per dL documented on two consecutive laboratory tests within the past 3 months; for hypertension, blood pressure 140 over 90 mmHg or higher documented on two consecutive measurements; currently receiving oral medication treatment for diabetes or hypertension and not insulin dependent; Mini Mental State Examination score 18 or higher; residing in Pak Phli District, Nakhon Nayok Province, Thailand for at least 6 months with intention to remain for the study duration; able to communicate verbally in Thai language; willing to participate in the 8 week program together with a family caregiver; able to provide written informed consent or assent with caregiver consent if mild cognitive limitations are present; not currently participating in other chronic disease management research studies.
Exclusion criteria
Exclusion criteria: Participants will be excluded if either member of the family dyad does not meet eligibility requirements or meets any exclusion criteria. Caregivers exclusion criteria: Age less than 20 years; unable to communicate in Thai language; unable to attend the program sessions with the care recipient; currently participating in other chronic disease management research studies; unable or unwilling to provide written informed consent; not residing in Pak Phli District, Nakhon Nayok Province, Thailand; severe physical or mental condition that prevents participation in the intervention. Care recipients exclusion criteria: Age less than 50 years; diagnosed with type 1 diabetes mellitus; currently using insulin therapy; severe cognitive impairment defined as Mini Mental State Examination score less than 18; severe hearing or vision impairment preventing participation; severe medical complications or unstable condition requiring hospitalization; inability to communicate in Thai language; unable or unwilling to provide informed consent or assent; currently participating in other chronic disease management research studies; planning to relocate outside Pak Phli District during the study period.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| FamilyManagementScore Baseline and post intervention at 8 weeks Family management questionnaire total score | — |
Secondary
| Measure | Time frame |
|---|---|
| HbA1c Baseline and post intervention at 12 weeks Hemoglobin A1c percent from laboratory test | — |
Countries
Thailand
Contacts
Public Contactorranuch c.
Suan Dusit University
Outcome results
None listed