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Family-Centered Decision-Making About Type 2 Diabetes Mellitus Among Koreans

Eun-Jeong Lee ^a

Sang Qin ^b

Arshiya A. Baig ^c

Jeniffer Dongha Lee ^c

Patrick W. Corrigan ^a

^{^a}Illinois Institute of Technology, USA

^{^b}University of Wisconsin-Madison, USA

^{^c}University of Chicago, USA

Disability and the Changing Contexts of Family and Personal Relationships

ISBN: 978-1-83753-221-6, eISBN: 978-1-83753-220-9

Publication date: 10 June 2024

Abstract

The purpose of this study is to investigate Koreans' preferences for FCDM versus SDM and explored the influence of Asian cultural values on decision-making in the context of managing chronic illnesses, such as type 2 diabetes mellitus (T2DM). Shared decision-making (SDM) emphasizes collaboration between providers and service recipients to decide on the best treatment options. However, it may not fully account for the role of families in managing chronic illness, particularly for people from Eastern cultural backgrounds who value active participation from their families in decisions. In response, family-centered decision-making (FCDM) has been proposed as an alternative approach. Using a vignette experiment design, data (n = 316) were collected from Koreans in the US and in Korea who were randomly presented with either SDM or FCDM processes for reaching T2DM treatment decisions. In addition to demographic information, participants reported on three dimensions of their decision-making experience: satisfaction, perceived effectiveness, and perspective-taking. They also rated their Asian cultural values and familiarity with T2DM. Results show better satisfaction, perceived effectiveness, and perspective taking for FCDM compared to SDM when examined in context of treatment types and perceived illness severity. Moderation effects were found for familiarity of illness, with familiarity effects varying by perceived severity. Study findings provided some evidence in favor of FCDM in Asian communities addressing the disabilities and chronic illness of a family member. Although the current study investigated treatment decisions for T2DM during doctor's visits, FCDM has shown potential to be applied in other service settings.

Keywords

Acknowledgements

Acknowledgments

Funding Announcement: The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article. This work was supported by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) 5P30DK092949-10. NIDDK had no other role in this article other than financial support. The author is also thankful to Chung Ja Han, Jenna Jang, Bona Kang, Mi Hyun Kang, Eun Soon Lee, Hyongki Lee, Sungwoo Lee, Boknam Yong, and Esther Yoo for their assistance with this study.

Citation

Lee, E.-J., Qin, S., Baig, A.A., Lee, J.D. and Corrigan, P.W. (2024), "Family-Centered Decision-Making About Type 2 Diabetes Mellitus Among Koreans", Ciciurkaite, G. and Brown, R.L. (Ed.) Disability and the Changing Contexts of Family and Personal Relationships (Research in Social Science and Disability, Vol. 15), Emerald Publishing Limited, Leeds, pp. 161-183. https://doi.org/10.1108/S1479-354720240000015011

Publisher

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Emerald Publishing Limited