Interventions for prevention of type 2 diabetes in relatives: A systematic review.

Citation data:

Primary care diabetes, ISSN: 1878-0210, Vol: 11, Issue: 4, Page: 313-326

Publication Year:
2017
Usage 301
Abstract Views 246
Link-outs 45
Clicks 10
Captures 16
Exports-Saves 9
Readers 7
Social Media 31
Shares, Likes & Comments 20
Tweets 11
Citations 3
Citation Indexes 3
PMID:
28511962
DOI:
10.1016/j.pcd.2017.04.003
Author(s):
Dimova, Elena Dimcheva; Mohan, Andrea Rene Mary; Swanson, Vivien; Evans, Josie M M
Publisher(s):
Elsevier BV
Tags:
Medicine; Nursing
Most Recent Tweet View All Tweets
review description
The relatives and partners of people with type 2 diabetes are at increased risk of developing type 2 diabetes. This systematic review examines randomized controlled trials, written in English that tested an intervention, which aimed to modify behaviors known to delay or prevent type 2 diabetes, among the relatives or partners of people with type 2 diabetes. Study quality was assessed using the Cochrane Collaboration's tool for assessing risk of bias. Seven studies met the inclusion criteria. The majority of studies were at low risk of bias. Six studies tested an intervention in first-degree relatives of people with type 2 diabetes and one in partners. Intervention components and intervention intensity across studies varied, with those targeting diet and physical activity reporting the most significant changes in primary outcomes. Only one study did not observe significant changes in primary outcomes. There were three main recruitment approaches: advertising in the community, recruiting people through their relatives with diabetes, or identifying people as high risk by screening of their own health care contacts. Some evidence was found for potentially successful interventions to prevent type 2 diabetes among the relatives and partners of people with type 2 diabetes, although finding simple and effective methods to identify and recruit them remains a challenge. Future studies should explore the effect of patients' perceptions on their family members' behavior and capitalize on family relationships in order to increase intervention effectiveness.