Family Integrated Self-Management Education on Lipid Profile in Type 2 Diabetes Mellitus Patients: Meta-Analysis

Akhmad Azmiardi1), Bhisma Murti2), Ratih Puspita Febrinasari3)Didik Gunawan Tamtomo4)


1)Doctoral Program of Public Health, Universitas Sebelas Maret

2)Masters Program in Public Health, Universitas Sebelas Maret

3)Department of Pharmacology, Faculty of Medicine, Universitas Sebelas Maret

4)Faculty of Medicine, Universitas Sebelas Maret



Background: Self-management education is an essential part of diabetes care and family support is known to be a critical component of in self-care to achieve better health outcome such as lipid profile. This study aimed to review systematically the effect of family integrated with self-management education on lipid profiles in patient with type 2 diabetes.

Subjects and Method: Systematically searching was carried out on electronic databases, including PubMed, Cochrane Library, ProQuest, Springer link, Science direct, Scopus, and Google scholar for English language articles published from 2000 until 2020. Randomized controlled trials that evaluated the family integrated self-manage­ment education in patients with type 2 diabetes were included. The effect size was estimated as standard mean difference (SMD), with a confidence interval (CI) of 95% utilizing a fix-effects model.

Results: Eight randomized controlled trials were encompassed in the meta-analysis. Family integrated self-management education compared with usual care show that total cholesterol (SMD= -0.08; 95% CI -0.20 to 0.05; p=0.25), triglyceride (SMD= 0.03; 95% CI -0.11 to 0.17; p=0.71), HDL (SMD= -0.01; 95% CI -0.32 to 0.29; p=0.95), and LDL (SMD= 0.05; 95% CI= -0.22 to 0.32; p=0.73) were statistically did not significant. This finding show that family integrated in self-management education had no effect on lowering lipid profile

Conclusion: Family integrated in self-management education has no effect on lowering lipid profile among people with type 2 diabetes.

Keywords: meta-analysis, family, self-management, lipid profiles, type 2 diabetes

Correspondence: Akhmad Azmiardi. Doctoral Program of Public Health, Universitas Sebelas Maret.  Jl. Ir. Sutami 36A, Surakarta, Central Java. Email:


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