ArticleContemporary clinical trials2022
Rationale, design, and recruitment outcomes for the Family/Friend Activation to Motivate Self-care (FAMS) 2.0 randomized controlled trial among adults with type 2 diabetes and their support persons.
Article in Contemporary clinical trials, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04347291 (Mobile Phone Support for Adults and Support Persons to Live Well With Diabetes), which is not on this map. Cited by 11 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Mobile Phone Support for Adults and Support Persons to Live Well With Diabetes
Who cites it
11 citing papers in PubMed.
- Diabetes-specific family functioning typology associated with intervention engagement and effects: secondary analyses from a randomized controlled trial.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025Trial
- The Goldilocks Dilemma on Balancing User Response and Reflection in mHealth Interventions: Observational Study.JMIR mHealth and uHealth · 2024Trial
- Glycemic outcomes of a family-focused intervention for adults with type 2 diabetes: Main, mediated, and subgroup effects from the FAMS 2.0 RCT.Diabetes research and clinical practice · 2023Trial
- Well-being outcomes of a family-focused intervention for persons with type 2 diabetes and support persons: Main, mediated, and subgroup effects from the FAMS 2.0 RCT.Diabetes research and clinical practice · 2023Trial
- Conceptual validation of a family-centered intervention for adults with type 1 and type 2 diabetes mellitus: insights from focus groups with healthcare professionals, patients, and families.BMC primary care · 2026Article
- A qualitative analysis of family experiences across diabetes-specific family functioning types during a family-focused intervention for adults with type 2 diabetes.Journal of behavioral medicine · 2025Article
- Demographic, Clinical, Psychosocial, and Behavioral Predictors of Continuous Glucose Monitor Use in Adults with Type 2 Diabetes.Journal of general internal medicine · 2025Observational
- Family Typology for Adults With Type 2 Diabetes: Longitudinal Stability and Validity for Diabetes Management and Well-being.Diabetes care · 2023Article
- Well-being outcomes of a family-focused intervention for persons with type 2 diabetes and support persons: Main, mediated, and subgroup effects from the FAMS 2.0 RCT.medRxiv : the preprint server for health sciences · 2023Article
- Family involvement and diabetes distress across dyads for adults with type 2 diabetes.Patient education and counseling · 2023Article
- Disparities in mobile phone use among adults with type 2 diabetes participating in clinical trials 2017-2021.JAMIA open · 2022Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
backgroundSelf-care behaviors help reduce hemoglobin A1c (HbA1c) and prevent or delay type 2 diabetes (T2D) complications. Individualized interventions that support goal setting and self-monitoring improve self-care and HbA1c in the short-term; engaging family and friends may enhance and/or sustain effects. Family/Friend Activation to Motivate Self-care (FAMS) is a mobile phone-delivered intervention (i.e., phone coaching and text message support) based on Family Systems Theory which was successfully piloted among diverse adults with T2D.
methodsWe made improvements to FAMS and conducted iterative usability testing to finalize FAMS 2.0 before evaluation in a randomized controlled trial (RCT). Adult persons with diabetes (PWDs) who enrolled were asked to invite a support person (friend or family member) to participate alongside them. For the RCT, dyads were randomly assigned to FAMS 2.0 or enhanced treatment as usual (control) for the first 9 months of the 15-month trial. Outcomes include PWDs' HbA1c and psychosocial well-being (including diabetes distress) and support persons' own diabetes distress and support burden.
resultsWe recruited RCT participants from April 2020 through October 2021 (N = 338 PWDs with T2D; 89% [n = 300] with a support person). PWDs were 52% male, 62% non-Hispanic White, aged 56.9 ± 11.0 years with HbA1c 8.7% ± 1.7% at enrollment; 73% cohabitated with their enrolled support person. Data collection is ongoing through January 2023.
conclusionFindings will inform the utility of engaging family/friends in self-care behaviors for both PWD and support person outcomes. Using widely available mobile phone technology, FAMS 2.0, if successful, has potential for scalability.
trial registrationClinicalTrials.gov identifier: NCT04347291 posted April 15, 2020.
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