The Impact Of Family Functioning On The Effectiveness Of Family Based Diabetes Prevention Programs

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Published: 2026-06-10
DOI: https://doi.org/10.70102/qjyjf086

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Faten Mohamed Mohamed Elnozhe
Associate Professor of Physical Therapy for Internal Medicine, Chest and Cardiology, Faculty of Allied Medical Science, Department of Physical Therapy, Al Aqaba Technology University, Jordan
Amira E. M. Abd ElHay
Faculty of Applied Medical Sciences, Rehabilitation Sciences Department, Al al-Bayt University, Mafraq, Jordan
Mai E. Mousa
Lecturer of Physical Therapy, Department of Physical Therapy for Basic Sciences, Faculty of Physical Therapy, Kafrelsheikh University, Egypt.
Abeer M. Yousef
Department of Physical Therapy, College of Applied Medical Sciences, Qassim University, Saudi Arabia; Basic Science Department, Faculty of Physical Therapy, Cairo University, Egypt,
Mohamed Rafat Borham Hussein
Lecturer, Department of Physical Therapy for Internal Medicine and Geriatrics, Faculty of Physical Therapy, Horus University, New Damietta, Egypt
Hanaa Mohamed Elzoghby
Lecturer of Physical Therapy for Women’s Health, Horus University, Egypt,
Noha Mohamed Afifi Hamouda
Professor of Histology and Cell Biology, Department of Physical Therapy, College of Applied Medical Sciences, Qassim University, Saudi Arabia
Mohamed Mohamed Mazen
Department of Basic Sciences, Faculty of Physical Therapy, Delta University for Science and Technology, Egypt; Department of Physical Therapy, College of Applied Medical Sciences, Qassim University, Saudi Arabia,
Samiha M. I. Abdelkader
Department of Rehabilitation Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
Alshimaa Mokhtar Darwesh
Lecturer of Physical Therapy for Cardiovascular Respiratory Disorders and Geriatrics, Faculty of Physical Therapy, Egyptian Chinese University, Cairo, Egypt

Abstract

Background : Family functioning is a family’s ability to communicate, solve problems, carry out tasks and support each other. Unhealthy family functioning may be a risk factor for obesity and non treatment of chronic diseases. Fair Haven Community Health Center, a federally qualified health center in New Haven serving a patient population with high rates of obesity and diabetes, holds screenings for prediabetes and based Diabetes Prevention Program adherence to diabetes to identify patients who are eligible to participate in the family (DPP) for prediabetic adults and the Bright Bodies (BB) program for overweight children . . Hypotheses: Unhealthy family functioning is associated with obesity and a diagnosis of prediabetes or diabetes at diabetes screenings. Unhealthy family functioning is associated with suboptimal enrollment, attendance, participation based DPP/BB program will improve family functioning Methods: . -- and weight loss in the DPP/BB program. The family We enrolled participants at diabetes screenings in an observational cohort study. To assess family functioning, we administered the General Functioning subscale GF). We measured participants’ BMI and performed metabolic testing, including 2 enrollment, participation and outcomes in the DPP/BB program 73 of the McMaster Family Assessment Device (FAD hour oral glucose tolerance testing. We followed participants for subsequent Results: We enrolled 129 participants ages 13 at diabetes screenings. Just over half of participants (53%) had unhealthy family functioning, defined as a baseline FAD-GF score > 2.0. Participants with private insurance had healthier family functioning scores than participants with Medicaid (p = 0.012). Healthy family functioning was significantly correlated with higher BMI 0.257, p = 0.009. There was no association between family functioning and a in adult participants, r (102) = .-- sample (n=14), participants with healthy family diagnosis of prediabetes or diabetes. In a small longitudinal sub functioning lost significantly less weight during the program compared to participants with unhealthy family .functioning (-0.61 + 3.83 lbs vs. -5.02 + 3.21 lbs), p = 0.042. Conclusion: Unexpectedly, healthy family functioning may be a risk factor for adult obesity in this predominantly Further research is necessary to validate our results and determine which factors related to families, food and culture might explain the link between healthy family functioning and obesity

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Vol. 6 No. S2 (2026): Volume 6, Issue S2, 2026

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The Impact Of Family Functioning On The Effectiveness Of Family Based Diabetes Prevention Programs (F. M. Mohamed Elnozhe, A. E. M. Abd ElHay, M. E. Mousa, A. . M. Yousef, M. R. Borham Hussein, H. M. Elzoghby, N. . M. A. Hamouda, M. Mohamed Mazen, S. M. I. Abdelkader, & A. M. Darwesh, Trans.). (2026). International Journal of Aquatic Research and Environmental Studies, 6(S2), 589-604. https://doi.org/10.70102/qjyjf086