Trief Paula M
SUNY Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210.
Transl Behav Med. 2011 Sep 1;1(3):461-467. doi: 10.1007/s13142-011-0057-8.
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.
2型糖尿病（T2DM）研究报告称，婚姻/家庭支持与血糖控制、依从性及生活质量相关。然而，针对夫妻双方的干预措施报告较少。目的：描述在实施一项基于理论的夫妻干预措施过程中所面临的挑战及吸取的经验教训。方法：350对夫妻（其中一方患有T2DM且血糖控制不佳）被随机分为夫妻干预组、个体干预组或强化常规护理组。所有联系均通过电话进行，以扩大覆盖面。结果：包括医学指标（如血糖控制）、心理社会指标（如糖尿病困扰）及行为指标（如治疗方案依从性）。描述了夫妻招募、评估及干预过程中的挑战，并就如何应对这些挑战提出了建议。结果：预计2013年得出关于夫妻干预措施的疗效、成本效益、对伴侣的影响以及所显示变化的可能机制的研究结果。结论：干预人员需要具备特定技能，以便与夫妻合作，促进共同应对，并提高有效夫妻干预措施成功的可能性。
