Effect of the comprehensive care program on family members accompanying patients with type 2 diabetes

Introduction: Diabetes studies focus predominantly on the role of family members and their influence on the quality of life. The CAIPaDi program is a multidisciplinary model for patients with diabetes that includes family involvement.Objective: To evaluate the effect of CAIPaDi interventions in relatives who attend as companions of patients with type 2 diabetes on changes in health indicators.Methods: Family members of patients attending CAIPaDi are invited. Family members with diabetes or smoking are excluded. They are randomized into 2 groups: control (they will only accompany the patient with diabetes in their CAIPaDi interventions); intervention (family members who will receive individual interventions from CAIPaDi). The change in metabolic variables are evaluated at 3, 12 and 24 months: BMI, HbA1c, blood pressure, triglycerides and non-HDL cholesterol.Results: We included 55 relatives who finished 4 monthly evaluations: age 47u00b1 13, 77% women, BMI 29.5kg/m2, 15% had hypertension, 34% hypercholesterolemia, 49% had hypertriglyceridemia, 39.8% had obesity, and 46.8% had impaired fasting glucose. Significant changes were found from baseline to 3 months (table 1). However, there is no difference in deltas between groups in visit 4, indicating that both groups decrease equally all parameters. PwD who have relatives with intervention perform more exercise than PwD with relatives following (p=0.03). Higher percentage of PwD achieve metabolic control goals when a relative follows them in interventions (table 2).Discussion: In the CAIPaDi-program, relatives achieve metabolic changes. They also enhance adherence and achievement of metabolic goals in PwD, especially if they accompany their PwD in every intervention.