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Review
. 2022 Aug;11(8):4299-4309.
doi: 10.4103/jfmpc.jfmpc_2087_21. Epub 2022 Aug 30.

The comparison of self-management group education and the standard care for patients with type 2 diabetes mellitus: An updated systematic review and meta-analysis

Shatha Saleh Al Harbi  1 , Mubarak Mohammed Alajmi  2 , Sulaiman Mohammed Algabbas  3 , Mohammad Saleh Alharbi  4
Affiliations
Review

The comparison of self-management group education and the standard care for patients with type 2 diabetes mellitus: An updated systematic review and meta-analysis

Shatha Saleh Al Harbi et al. J Family Med Prim Care. 2022 Aug.

Abstract

To investigate the efficacy of self-management group education versus the standard care for patients with type 2 diabetes mellitus (DM). An electronic search was performed in nine databases including PubMed for selecting eligible studies. Meta-analysis was used for pooling of the results. Of 3446 records screened, we included ten studies for this systematic review and meta-analysis. Regarding assessment of effectiveness, there was a significant superiority reported in the intervention group when compared to the usual/standard care (standardized mean difference [95% confidence interval] = 0.24 [0.15; 0.32]). The intervention group had a significant reduction in the levels of hemoglobin A1C (HbA1C), fasting blood glucose, low-density lipoprotein, total cholesterol, and body mass index compared to the usual/standard care (p < 0.05). Moreover, no significant difference was observed in the levels of high-density lipoprotein, systolic blood pressure (SBP), or diastolic blood pressure (DBP) between the two groups (p > 0.05). Self-management group education interventions are recommended in patients with type 2 DM for their effectiveness in different clinical aspects.

Keywords: DM; education; self-management.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
PRISMA flow diagram showing the process of the review
Figure 2
Figure 2
Forest plot of effectiveness comparison in intervention and usual/standard care groups. TE: standardized mean difference; seTE: standard error of the standardized mean difference
Figure 3
Figure 3
Funnel plot with the trim and fill method for the effectiveness outcome (three studies are added on the left side)
Figure 4
Figure 4
(a) Forest plot of HbA1c change comparison in intervention and usual/standard care groups; (b) forest plot of FBG reduction in intervention and usual/standard care groups. TE: standardized mean difference; seTE: standard error of the standardized mean difference
Figure 5
Figure 5
Forest plot of changes in the serum lipid profile in intervention and usual/standard care groups. TE: standardized mean difference; seTE: standard error of the standardized mean difference
Figure 6
Figure 6
Forest plot of changes in the BMI in intervention and usual/standard care groups. TE: standardized mean difference; seTE: standard error of the standardized mean difference
Figure 7
Figure 7
Forest plot of changes in BP in intervention and usual/standard care groups. TE: standardized mean difference; seTE: standard error of the standardized mean difference
See this image and copyright information in PMC

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