#9485. Development of a Typology of Diabetes-Specific Family Functioning among Adults with Type 2

September 2026publication date
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Journal’s subject area:
Psychology (all);
Psychiatry and Mental Health;
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Abstract:
Background: Family members responses to adults diabetes and efforts to manage it vary widely. Multiple aspects of diabetes-specific family functioning have been identified as important for self-management and psychosocial well-being in theoretical (i.e., theories of social support and collaborative coping) and observational literature. Purpose: Develop a typological framework of diabetes-specific family functioning and examine cross-sectional associations between type and diabetes outcomes. Methods: We used electronic health record (EHR) data to identify a cohort of 5,545 adults receiving outpatient care for type 2 diabetes and invited them to complete a survey assessing 10 dimensions of diabetes-specific family functioning. We used k-means cluster analysis to identify types. After type assignment, we used EHR data for the full cohort to generate sampling weights to correct for imbalance between participants and non-participants. We used weighted data to examine unadjusted associations between participant characteristics and type, and in regression models to examine associations between type and diabetes outcomes. Regression models were adjusted for sociodemographics, diabetes duration, and insulin status.
Keywords:
Diabetes distress; Family; Hemoglobin A1c; Social support; Type 2 diabetes

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