Out-of-home informal support important for medication adherence, diabetes distress, hemoglobin A1c among adults with type 2 diabetes.
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Adults with type 2 diabetes mellitus T2DM often receive self management support from adult children siblings or close friends residing outside of their home However the role of out of home support in patients self management and well being is unclear Patients N 313 with HbA1c 7 5 were recruited from community primary care clinics for a mobile health intervention trial and identified an out of home informal support person herein called a CarePartner 38 also had an in home supporter We tested cross sectional adjusted associations between CarePartner relationship characteristics and patients self management diabetes distress and HbA1c and whether having an in home supporter modified these associations Greater CarePartner closeness was associated with a greater odds of perfect medication adherence AOR 1 19 p 029 more fruit vegetable intake 0 14 p 018 and lower diabetes distress 0 14 p 012 More frequent CarePartner contact was associated with better HbA1c among patients with an in home supporter but with worse HbA1c among patients without an in home supporter interaction 0 45 p 005 Emotional closeness with a CarePartner may be important for supporting T2DM self management and reducing diabetes distress CarePartners may appropriately engage more frequently when patients with no in home supporter have poorly controlled diabetes