Evid Based Nurs doi:10.1136/eb-2012-100947
  • Adult nursing
  • Qualitative study—other

Adults with diabetes who perceive family members’ behaviour as unsupportive are less adherent to their medication regimen

  1. Julie A Schmittdiel
  1. Division of Research, Kaiser Permanente Northern California, Oakland, California, USA
  1. Correspondence to: Richard W Grant
    Division of Research, Kaiser Permanente Northern California, 2101 Webster, Oakland, CA 93452, USA; richard.w.grant{at}

Commentary on:

Implications for practice and research

  • Understanding the family dynamics is crucial to improve diabetes management.

  • Family members can both support and sabotage the patient's self-management efforts.


Adults with type 2 diabetes see their physician more often than most other patients. National survey data indicate that the typical patient with diabetes will have seven to nine appointments in a year with their primary provider and additional visits with specialists, nurses and educators.1 Added together over the course of a year clinical care interactions represent <1% of an individual's daily life. For the other 99% of the time, people must self-manage their disease within the …

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