DOI: https://doi.org/10.14710/nmjn.v14i2.56893

The Effect of Family Caregiver Empowerment Model Intervention on Fear of Hypoglycemia in People with Type-2 Diabetes Mellitus

*Rondhianto Rondhianto orcid scopus publons  -  Faculty of Nursing, Universitas Jember, Indonesia, Indonesia
Kushariyadi Kushariyadi orcid  -  Faculty of Nursing, Universitas Jember, Indonesia, Indonesia
M. Nauval Rahmatullah  -  Faculty of Nursing, Universitas Jember, Indonesia, Indonesia
Open Access Copyright (c) 2024 by the Authors, Published by Department of Nursing, Faculty of Medicine, Universitas Diponegoro
Creative Commons License This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

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Abstract

Background: Fear of hypoglycemia is a common psychological issue in people with type-2 diabetes mellitus (T2DM). Families play a crucial role in diabetes self-management, but many need a better understanding of their responsibilities. This gap can lead to increased disease management burdens, contributing to psychological problems like fear of hypoglycemia, which worsens blood glucose control. The Family Caregiver Empowerment Model (FCEM) is an intervention that can empower families in their caregiving roles for T2DM management.

Purpose: The study aimed to analyze the effect of the FCEM intervention on the fear of hypoglycemia in people with T2DM.

Methods: The study used a randomized control group pretest-posttest design. The sample consisted of family members serving as family caregivers. A total of 85 respondents were randomly assigned to either the intervention group (41 respondents) or the control group (44 respondents). FCEM was conducted once per week for ten weeks. Fear of hypoglycemia was measured using the Indonesian version of the Fear of Hypoglycemia Scale questionnaire. The data were analyzed using the Wilcoxon signed rank test and independent t-test.

Results: The results showed significant differences in fear of hypoglycemia between the pre-test and post-test in the intervention group (p=0.001) and the control group (p=0.001). However, there was a significant difference in the decrease in fear of hypoglycemia between the treatment and control groups (t=-7.087; p=0.001 < α = 0.05). It suggests that FCEM intervention can significantly reduce the fear of hypoglycemia in patients with T2DM.

Conclusion: FCEM intervention can reduce the fear of hypoglycemia in people with T2DM by increasing family support and caregivers' ability to manage T2DM. Nurses can use FCEM intervention in the management of T2DM so that it can improve diabetes self-management outcomes.

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Keywords: empowerment; family caregiver; fear of hypoglycemia; type 2 diabetes mellitus

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  1. Abedini, F., Zareiyan, A., & Alhani, F. (2020). The effects of the family-centered empowerment model on self-efficacy and self-esteem among the family caregivers of patients with prosthetic heart valve: A controlled clinical trial. Nursing and Midwifery Studies, 9(2), 61–67. https://doi.org/10.4103/nms.nms_45_18
  2. Al Mahdi, F., Negara, C. K., & Basid, A. (2020). The effect of family empowerment in nursing implementation toward self-efficacy among patients with diabetes mellitus. Indonesian Nursing Journal of Education and Clinic (INJEC), 5(2), 141–146. https://doi.org/10.24990/injec.v5i2.303
  3. ALSharit, B. A., & Alhalal, E. A. (2022). Effects of health literacy on type 2 diabetic patients’ glycemic control, self-management, and quality of life. Saudi Medical Journal, 43(5), 465–472. https://doi.org/10.15537/smj.2022.43.5.20210917
  4. American Diabetes Association. (2022). Standards of Medical Care in Diabetes-2022. Diabetes Care, 45(1). https://doi.org/10.2337/dc22-Sdis
  5. American Diabetes Association. (2023). 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes: Standards of Care in Diabetes—2023. Diabetes Care, 46(January), S68–S96. https://doi.org/10.2337/dc23-S005
  6. Andriyanto, A., Rekawati, E., & Rahmadiyah, D. C. (2019). Increasing Knowledge, Attitudes, Skills, and Glucose Control in Type-2 Diabetic Patients through EMAS Interventions. Nurse Media Journal of Nursing, 9(2), 141–150. https://doi.org/10.14710/nmjn.v9i2.22989
  7. Ciarambino, T., Crispino, P., Leto, G., Mastrolorenzo, E., Para, O., & Giordano, M. (2022). Influence of Gender in Diabetes Mellitus and Its Complication. International Journal of Molecular Sciences, 23(16), 1–13. https://doi.org/10.3390/ijms23168850
  8. Damayanti, M. R., Antari, G. A. A., & Nopriani, N. L. P. (2021). Effect of a ten-week short message service-based intervention on self-management of type-2 diabetes patients in Bali, Indonesia. Nurse Media Journal of Nursing, 11(2), 177–186. https://doi.org/10.14710/NMJN.V11I2.35257
  9. Damayantie, N., Dewi, M., Rusmimpong, R., & Masnah, C. (2021). Diabetes self-management education effect on family knowledge of hypoglycemia episodes detection on type 2 diabetes mellitus. Open Access Macedonian Journal of Medical Sciences, 9, 1398–1402. https://doi.org/10.3889/oamjms.2021.7275
  10. Feng, Y., Zhao, Y., Mao, L., Gu, M., Yuan, H., Lu, J., Zhang, Q., Zhao, Q., & Li, X. (2023). The Effectiveness of an eHealth Family-Based Intervention Program in Patients With Uncontrolled Type 2 Diabetes Mellitus (T2DM) in the Community Via WeChat: Randomized Controlled Trial. JMIR MHealth and UHealth, 11. https://doi.org/10.2196/40420
  11. Fisher, S. J., Huang, X., Pawaskar, M., Witt, E. A., Rajpathak, S., Shankar, R. R., & Inzucchi, S. E. (2018). Hypoglycemia in type 2 diabetes: understanding patients’ and physicians’ knowledge and experience. Endocrine, 60(3), 435–444. https://doi.org/10.1007/s12020-018-1545-0
  12. Grammes, J., Schäfer, M., Benecke, A., Löw, U., Klostermann, A. L., Kubiak, T., & Witthöft, M. (2018). Fear of hypoglycemia in patients with type 2 diabetes: The role of interoceptive accuracy and prior episodes of hypoglycemia. Journal of Psychosomatic Research, 105, 58–63. https://doi.org/10.1016/j.jpsychores.2017.12.010
  13. Grammes, J., Stock, W., Mann, C. G., Flynn, E. M., & Kubiak, T. (2017). Focus group study to identify the central facets of fear of hypoglycaemia in people with Type 2 diabetes mellitus. Diabetic Medicine, 34(12), 1765–1772. https://doi.org/10.1111/dme.13506
  14. Haluzik, M., Kretowski, A., Strojek, K., Czupryniak, L., Janez, A., Kempler, P., Andel, M., Tankova, T., Boyanov, M., Smircic Duvnjak, L., Madacsy, L., Tarnowska, I., Zychma, M., & Lalic, N. (2018). Perspectives of patients with insulin-treated type 1 and type 2 diabetes on hypoglycemia: Results of the HAT observational study in Central and Eastern European Countries. Diabetes Therapy, 9(2), 727–741. https://doi.org/10.1007/s13300-018-0388-2
  15. Hendrieckx, C., Halliday, J., Beeney, L., & Speight, J. (2021). Diabetes and emotional health: A practical guide for health professionals supporting adults with type 1 and type 2 diabetes (3rd ed.). American Diabetes Association. https://professional.diabetes.org/sites/default/files/media/ada_mental_health_workbook_r4.pdf
  16. Huang, J., Peng, W., Ding, S., Xiong, S., & Liu, Z. (2022). Fear of hypoglycemia and associated factors in hospitalized patients with type 2 diabetes: a cross‑sectional study. Scientific Reports, 12(1), 1–12. https://doi.org/10.1038/s41598-022-24822-1
  17. International Diabetes Federation. (2021). IDF Diabetes Atlas 10TH edition. In Diabetes Research and Clinical Practice (Vol. 102, Issue 2). https://doi.org/10.1016/j.diabres.2013.10.013
  18. Jafari, Y., Tehrani, H., Esmaily, H., Shariati, M., & Vahedian-shahroodi, M. (2020). Family-centered empowerment program for health literacy and self-efficacy in family caregivers of patients with multiple sclerosis. Scandinavian Journal of Caring Sciences, 34(4), 956–963. https://doi.org/10.1111/scs.12803
  19. Li, S., Fang, L., Lee, A., Hayter, M., Zhang, L., Bi, Y., Wu, X., Liu, L., Zhang, H., Yuan, Y., Gong, W., & Zhang, Y. (2021). The association between diabetes-related distress and fear of hypoglycaemia in patients with type 2 diabetes mellitus: A cross-sectional descriptive study. Nursing Open, 8(4), 1668–1677. https://doi.org/10.1002/nop2.800
  20. Luthfa, I., & Ardian, I. (2019). Effects of family empowerment on increasing family support in patients with type 2 diabetes mellitus. Nurse Media Journal of Nursing, 9(1), 58–68. https://doi.org/10.14710/nmjn.v9i1.22501
  21. Martyn-Nemeth, P., Schwarz Farabi, S., Mihailescu, D., Nemeth, J., & Quinn, L. (2016). Fear of hypoglycemia in adults with type 1 diabetes: Impact of therapeutic advances and strategies for prevention - A review. Journal of Diabetes and Its Complications, 30(1), 167–177. https://doi.org/10.1016/j.jdiacomp.2015.09.003
  22. Onyango, J. T., Namatovu, J. F., Besigye, I. K., Kaddumukasa, M., & Mbalinda, S. N. (2022). The relationship between perceived social support from family and diabetes self-management among patients in Uganda. Pan African Medical Journal, 41(279). https://doi.org/10.11604/pamj.2022.41.279.33723
  23. Ortiz, M. T. A., Caballero, F. F., de Adana, M. S. R., & Haya, C. (2011). Development of a New Fear of Hypoglycemia Scale: FH-15. Psychological Assessment, 23(2), 398–405. https://doi.org/10.1037/a0O21927
  24. Pesantes, M. A., Del Valle, A., Diez-Canseco, F., Bernabé-Ortiz, A., Portocarrero, J., Trujillo, A., Cornejo, P., Manrique, K., & Miranda, J. J. (2018). Family support and diabetes: Patient’s experiences from a Public Hospital in Peru. Qualitative Health Research, 28(12), 1871–1882. https://doi.org/10.1177/1049732318784906
  25. Roessanti, N. D., Sutawardana, J. H., & Kushariyadi. (2022). Relationship between fear of hypoglycemia and self-management of type 2 diabetes mellitus patients at dr. Soebandi Hospital, Jember. E-Jurnal Pustaka Kesehatan, 10(1), 59–66. https://doi.org/10.19184/pk.v10i1.11326
  26. Rondhianto, Nursalam, Kusnanto, & Melaniani, S. (2022). The effect of family caregiver empowerment interventions on family caregiver capabilities in self-management of type 2 diabetes mellitus in Indonesia. Enfermeria Clinica, 32(6), 385–395. https://doi.org/10.1016/j.enfcle.2022.01.005
  27. Rondhianto, Nursalam, Kusnanto, Melaniani, S., & Ahsan. (2019). Analysis of the sociodemographic and psychological factors of the family caregivers’ self-management capabilities for type 2 diabetes mellitus. Jurnal Ners, 14(2), 215–223. https://doi.org/10.20473/jn.v14i2.16592
  28. Rondhianto, R., Nursalam, N., Kusnanto, K., & Melaniani, S. (2020). Development of family caregiver empowerment model (FCEM) to improve family caregiver capability on type 2 diabetes self-management. Systematic Reviews in Pharmacy, 11(6), 1042–1051. https://doi.org/10.31838/srp.2020.6.149
  29. Rondhianto, R., Ridla, A. Z., & Budi, F. A. K. S. (2023). Analysis of psychosocial factors affecting dietary behavior among people with type 2 diabetes mellitus in Indonesia. Jurnal Keperawatan Soedirman, 18(3), 122–128. https://doi.org/10.20884/1.jks.2023.18.3.6488
  30. Silbert, R., Salcido-Montenegro, A., Rodriguez-Gutierrez, R., Katabi, A., & McCoy, R. G. (2018). Hypoglycemia among Patients with Type 2 Diabetes: Epidemiology, Risk Factors, and Prevention Strategies Richard. Current Diabetes Report, 18(53), 1–27. https://doi.org/10.1007/s11892-018-1018-0.Hypoglycemia
  31. Tharek, Z., Ramli, A. S., Whitford, D. L., Ismail, Z., Mohd Zulkifli, M., Ahmad Sharoni, S. K., Shafie, A. A., & Jayaraman, T. (2018). Relationship between self-efficacy, self-care behaviour and glycaemic control among patients with type 2 diabetes mellitus in the Malaysian primary care setting. BMC Family Practice, 19(1), 1–10. https://doi.org/10.1186/s12875-018-0725-6
  32. Wang, X., Luo, J. F., Qi, L., Long, Q., Guo, J., & Wang, H. H. (2019). Adherence to self-monitoring of blood glucose in chinese patients with type 2 diabetes: Current status and influential factors based on electronic questionnaires. Patient Preference and Adherence, 13, 1269–1282. https://doi.org/10.2147/PPA.S211668
  33. Wang, Y., Zeng, Z., Ding, J., Yuan, R., Wang, R., Zhang, Y., Bai, L., Yu, H., & Tang, J. (2021). Fear of hypoglycaemia among patients with type 2 diabetes mellitus: A cross-sectional study. Scientific Reports, 11(1), 1–8. https://doi.org/10.1038/s41598-021-86954-0
  34. Yuksel, M., & Bektas, H. (2021). Compliance with treatment and fear of hypoglycaemia in patients with type 2 diabetes. Journal of Clinical Nursing, 30(11–12), 1773–1786. https://doi.org/10.1111/jocn.15736

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