Myers Melanie F, Fernandes Sara L, Arduser Lora, Hopper Jennifer L, Koehly Laura M
Cincinnati Children's Hospital Medical Center, Department of Pediatrics, Cincinnati, OH, USA (Dr Myers, Ms Fernandes, Ms Hopper)
University of Cincinnati, College of Medicine, Cincinnati, OH, USA (Dr Myers, Ms Fernandes, Ms Hopper)
Diabetes Educ. 2015 Dec;41(6):716-28. doi: 10.1177/0145721715604367. Epub 2015 Aug 31.
The purpose of this study was to describe type 2 diabetes (T2DM) communication and risk reduction recommendations from the perspective of family members at risk for T2DM based on family history.
Semistructured qualitative interviews were conducted with 33 individuals with a first-degree relative with T2DM. Participants were recruited from the community and a previous pharmacogenetics study. Deductive and inductive codes were applied to the transcripts.
Conversations with family members with and without T2DM focused on symptoms and disease management of the family member with T2DM. With at-risk relatives, conversations also focused on prevention. Lack of perceived relevance to family members without T2DM was a barrier to communication. Recommendations to facilitate communication included education of an at-risk family member to increase awareness of risk, followed by sharing of learned information with others.
Efforts are needed to increase awareness and improve communication about T2DM risk factors, familial risk, and risk reduction behaviors within families with a family history of T2DM. Family members with and without T2DM should be encouraged to communicate with their relatives about T2DM and the risk to family members. Identification of family members who can facilitate communication, education, and modeling of healthy behaviors may increase awareness and motivate at-risk individuals to engage in risk-reducing behaviors.
本研究旨在从有2型糖尿病（T2DM）家族病史的高危家庭成员的角度，描述T2DM的沟通情况及风险降低建议。
对33名有T2DM一级亲属的个体进行了半结构化定性访谈。参与者从社区和之前的药物遗传学研究中招募。对访谈记录应用了演绎和归纳编码。
与患有和未患有T2DM的家庭成员的对话主要集中在患有T2DM的家庭成员的症状和疾病管理上。对于高危亲属，对话也集中在预防方面。未患有T2DM的家庭成员认为缺乏相关性是沟通的障碍。促进沟通的建议包括对高危家庭成员进行教育以提高风险意识，然后与他人分享所学信息。
需要努力提高对T2DM风险因素、家族风险以及有T2DM家族病史家庭中风险降低行为的认识并改善沟通。应鼓励患有和未患有T2DM的家庭成员与亲属就T2DM及其对家庭成员的风险进行沟通。识别能够促进沟通、教育和健康行为示范的家庭成员，可能会提高认识并激励高危个体采取降低风险的行为。
