Development Family Caregiver Empowerment Model (FCEM) to Improve Family Caregiver Capability on Type 2 Diabetes Self-Management

Abstract

powerment of family caregiver is a preventive promotion effort in integrated management. The study aim was to develop a family caregiver empowerment model as an effort to improve family caregiver capabilities. An analytic observational study with a cross-sectional design with sample size of 250 respondents and multi-stage random sampling. The study collected used a questionnaire and data were analyzed used Structural Equation Modeling-Partial Least Squares (SEM-PLS). Family caregiver factors (t = 4.409; p = 0.000), people with Type 2 Diabetes Mellitus (T2DM) factors (t = 3.018; p = 0.003), nurse factors (t= 4.492; p = 0.000), and situational factors (t = 8.432; p = 0.000) have an indirect, positive, and significant influence on the family caregiver selfmanagement

capabilities through filial values and empowerment. Situational factors (46.6%) were the greatest influence factors on the T2DM self-management, while the smallest effect was people with T2DM factors (1.7%). These factors together affect the filial values (R2 = 0.982). The filial values will affect the empowerment (R2 = 0.934), and the empowerment will affect the family caregiver capabilities on T2DM selfmanagement

of type 2 DM (R2 = 0.619). The family caregiver empowerment model is a fit model with SRMR value = 0.053 <0.80 and NFI = 0.765 <0.90. The optimization of internal and external factors is needed to achieve the goal of family caregiver empowerment.