Diabetes self-management education typically centers on nutrition knowledge, treating dietary adherence as an individual, knowledge-driven task. This study tested whether social connectedness independently predicts dietary behaviors in 422 adults with Type 2 diabetes, beyond what food literacy alone explains. Results showed that social connectedness, more consistently than nutrition knowledge, predicted both healthier eating behaviors and fewer dietary problems. These findings give Medical Family Therapists and integrated care teams empirical grounding for incorporating relational and psychosocial support, not just nutrition education, into diabetes dietary self-management.
HoltāLunstad, J. (2024). Social connection as a critical factor for mental and physical health: evidence, trends, challenges, and future implications. World Psychiatry, 23(3), 312-332.
Christiansen, J., Lund, R., Qualter, P., Andersen, C. M., Pedersen, S. S., & Lasgaard, M. (2021). Loneliness, social isolation, and chronic disease outcomes. Annals of Behavioral Medicine, 55(3), 203-215. https://doi.org/10.1093/abm/kaaa044
Brewster, A. L., Rodriguez, H. P., Murray, G. F., Lewis, V. A., Schifferdecker, K. E., & Fisher, E. S. (2025). Trends in screening for social risk in US physician practices. JAMA network open, 8(1), e2453117-e2453117.