TY - JOUR
T1 - Exploring typologies of appraisals, involvement, and distress in type 2 diabetes family members
AU - Novak, Josh R.
AU - August, Kristin J.
AU - Kavookjian, Jan
AU - Whitley, Heather
AU - Burnett, Donna
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This publication was supported by a Hatch Planning grant from the Alabama Agricultural Experiment Station and the Hatch program of the National Institute of Food and Agriculture, U.S. Department of Agriculture.
Publisher Copyright:
© The Author(s) 2022.
PY - 2023/2
Y1 - 2023/2
N2 - The present study conducted a latent profile analysis from a US national sample of 446 family members to identify and predict unique clusters of family members’ PWD illness appraisals, involvement, and psychological distress. Time since diagnosis, diabetes adherence, the relationship with the PWD, age, gender, race/ethnicity, income, and economic pressure were included as predictors. Class membership was used to predict the family members’ own health behaviors (sleep quality, days of physical activity, and diet quality). Results revealed four distinct classes: Moderately Concerned, Involved, and Distressed (32.51%), Least Concerned, Distressed, and Involved (27.13%), Less Concerned and Distressed, Moderately Involved (23.77%), and Most Concerned, Involved, and Distressed (16.82%). The significant predictors and outcomes of class membership revealed interesting patterns in associations with class membership. Consequently, in addition to involving family members, health promotion and intervention efforts must consider the psychological health and illness appraisals of family members rather than a one-size-fits-all approach.
AB - The present study conducted a latent profile analysis from a US national sample of 446 family members to identify and predict unique clusters of family members’ PWD illness appraisals, involvement, and psychological distress. Time since diagnosis, diabetes adherence, the relationship with the PWD, age, gender, race/ethnicity, income, and economic pressure were included as predictors. Class membership was used to predict the family members’ own health behaviors (sleep quality, days of physical activity, and diet quality). Results revealed four distinct classes: Moderately Concerned, Involved, and Distressed (32.51%), Least Concerned, Distressed, and Involved (27.13%), Less Concerned and Distressed, Moderately Involved (23.77%), and Most Concerned, Involved, and Distressed (16.82%). The significant predictors and outcomes of class membership revealed interesting patterns in associations with class membership. Consequently, in addition to involving family members, health promotion and intervention efforts must consider the psychological health and illness appraisals of family members rather than a one-size-fits-all approach.
KW - family members
KW - involvement in chronic disease management
KW - latent profile analysis
KW - psychological health
KW - type 2 diabetes
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U2 - 10.1177/13591053221115326
DO - 10.1177/13591053221115326
M3 - Article
AN - SCOPUS:85135459112
SN - 1359-1053
VL - 28
SP - 133
EP - 148
JO - Journal of Health Psychology
JF - Journal of Health Psychology
IS - 2
ER -