Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Sep 7;16(3):23-35.
doi: 10.51866/oa1123. eCollection 2021 Nov 30.

Unmet basic needs and family functions gaps in diabetes management practice among Indonesian communities with uncontrolled type 2 diabetes: A qualitative study

Rian Adi Pamungkas  1 , Kanittha Chamroonsawasdi  2 , Andi Mayasari Usman  3
Affiliations

Unmet basic needs and family functions gaps in diabetes management practice among Indonesian communities with uncontrolled type 2 diabetes: A qualitative study

Rian Adi Pamungkas et al. Malays Fam Physician. .

Abstract

Family members play a vital role in both helping and undermining diabetes mellitus selfmanagement practices. This qualitative study aimed to explore the potentially unmet needs of family function to support diabetes self-management (DSM) practices. In-depth interviews and focus group discussions (FGDs) were conducted among different key informants, including uncontrolled T2DM patients, caretakers and healthcare providers (HCPs) at community health centres. An open-ended approach was applied to elicit responses from the key informants. A total of 22 participants were involved in this study. All interview and FGD processes were audiorecorded and transcribed verbatim. The results found that all key informants addressed six core themes, with sub-themes to describe the unmet needs of family function to support DSM practice. The critical unmet needs of family function include: 1) Lack of problem-solving skills to deal with poor diabetes management; 2) Ineffective communication and refusal to share the burden of diabetes management; 3) Lack of affective responsiveness to encourage patients' compliance; 4) Lack of affective involvement in DSM; 5) Insufficient family roles in supporting patients; 6) Poor behaviour control of T2DM. Our findings provide insights into how family function may influence the adoption and maintenance of healthy behaviours among diabetic patients. Since health providers seek new approaches to improve DSM practices, this valuable finding was essential to understand how family function can improve and empower patients in DSM practice.

Keywords: Indonesian communities; Unmet need of family function; diabetes mellitus; self-management.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

References

    1. International Diabetes Federation [Internet] International Diabetes Federation—What is diabetes. https://www.idf.org/about-diabetes/what-is-diabetes.html Available from:
    1. Pamungkas RA, Chamroonsawasdi K. HbA1c reduction and weight-loss outcomes: A systematic review and meta-analysis of community-based intervention trials among patients with type 2 diabetes mellitus. Int J Diabetes Dev Ctries. 2019;39:394–407. doi: 10.1007/s13410-018-0708-0. - DOI
    1. Haas L, Maryniuk M, Beck J, et al. National standards for diabetes self-management education and support. Diabetes Care. 2012;35(11):2393–401. doi: 10.2337/dc12-1707. - DOI - PMC - PubMed
    1. Pamungkas RA, Chamroonsawasdi K. Selfmanagement based coaching program to improve diabetes mellitus self-management practice and metabolic markers among uncontrolled type 2 diabetes mellitus in Indonesia: A quasi-experimental study. Diabetes Metab Syndr: Clin Res & Rev. 2020;14(1):53–61. doi: 10.1016/j.dsx.2019.12.002. - DOI - PubMed
    1. Beanlands HM, Fox S, Howe A, et al. Caregiving by family and friends of adults receiving dialysis. Nephrol Nurs J. 2005;32(6):621–31. - PubMed

LinkOut - more resources

  NODES
COMMUNITY 4
INTERN 3
twitter 2