Preventive advice given by patients with type 2 diabetes to their offspring
- 1 January 2009
- journal article
- Published by Royal College of General Practitioners in British Journal of General Practice
- Vol. 59 (558), 37-42
- https://doi.org/10.3399/bjgp09X394842
Abstract
Patients' advice-giving behaviour could be a useful preventive strategy for type 2 diabetes. To investigate the conditions under which patients offer advice to their offspring and to assess the factors that facilitate advice giving. Cross-sectional observational study. A general hospital with a diabetes clinic in a metropolitan suburb in Japan. Parents with type 2 diabetes (n = 221) who had offspring aged 20-49 years inclusive without diabetes completed a self-administered questionnaire containing items relating to advice-giving behaviour, demographic characteristics, risk perception, and their disease status. A total of 184 (83.3%) patients responded that parental advice-giving behaviour is needed for their offspring, while 138 (62.4%) actually advised their offspring. Multiple logistic regression analysis showed that patients who were female (odds ratio [OR] = 1.94, 95% confidence interval [CI] = 1.03 to 3.65, P = 0.041), living with their offspring (OR =1.92, 95% CI = 1.04 to 3.57, P = 0.038), had complications (OR = 2.74, 95% CI = 1.25 to 6.00, P = 0.029), or perceived that their offspring had a high risk of developing diabetes (OR =1.45, 95% CI = 1.09 to 1.93, P = 0.011) were most likely to advise their offspring. Patients with type 2 diabetes recognised the need to give advice about preventive behaviour to their offspring but were not necessarily engaging in advice-giving behaviour. Advice-giving behaviour was affected by the parents' own disease status, their perception of their offspring's risk of developing diabetes, and the relationship between the patients and their offspring.This publication has 29 references indexed in Scilit:
- Can type 2 diabetes be prevented in UK general practice? A lifestyle-change feasibility study (ISAIAH)British Journal of General Practice, 2008
- Motivational interviewing for modifying diabetes risk: a randomised controlled trialBritish Journal of General Practice, 2008
- Exercise, genetics and prevention of type 2 diabetesEssays in Biochemistry, 2006
- Gene–diet interaction in relation to the prevention of obesity and type 2 diabetes: Evidence from the Finnish Diabetes Prevention StudyNutrition, Metabolism and Cardiovascular Diseases, 2005
- Diabetes prevention strategy in offspring of type 2 diabetic patients with a direct involvement of the diseased parentsNutrition, Metabolism and Cardiovascular Diseases, 2005
- Genetic Factors in Type 2 Diabetes: The End of the Beginning?Science, 2005
- Lifestyle changes can be achieved through counseling and follow-up in first-degree relatives of patients with type 2 diabetes☆☆☆★Journal of the American Dietetic Association, 2003
- Non‐diabetic relatives of Type 2 diabetic families: dietary intake contributes to the increased risk of diabetesDiabetic Medicine, 2001
- Screening for diabetic retinopathy is well received by patients and may improve self‐management intentionsDiabetic Medicine, 2001
- No symptoms, no problem? Patients′ understandings of non-insulin dependent diabetesFamily Practice, 1995