Meta-Analysis the Effect of Family-Based Intervention in Increasing Quality of Life in Diabetes Mellitus Patients
Background: An increase in type 2 diabetes and related risk factors, which include increased rates of obesity, an unhealthy diet, and a lack of physical activity. One category of intervention to prevent diabetes in adults that has developed rapidly in recent years is family-based intervention. The family is also the party that helps each member in maintaining health, such as meeting the needs of eating, drinking, bathing, resting, recreation, sports, and others. This study aims to estimate the magnitude of the effect of family-based intervention on improving the quality of life of patients with diabetes mellitus.
Subjects and Method: This was a systematic review and meta-analysis conducted using PRISMA flow diagrams. Search articles through journal databases including: PubMed, Science Direct, Google Schoolar and SpingerLink by selecting articles published in 2010-2020. The PICOs of this study are, Population: diabetes mellitus patients, Intervention: family-based intervention, Comparison: not family-based intervention, Outcome: quality of life. The keywords used are “family-based intervention” OR “family-based program” OR “family-based treatment” OR “family-based” OR “home-based intervention” OR “household-based intervention” AND “quality of life” AND “diabetes mellitus” AND RCT OR “randomized controlled trial” OR “cluster-randomized controlled trial. The inclusion criteria were full paper articles with Randomized Controlled Trial (RCT) research methods, the measure of the relationship used was Mean SD, the intervention given was family-based intervention, the research subjects were patients with diabetes mellitus. Eligible articles were analyzed using the Revman 5.3 application.
Results: A meta-analysis of 10 articles showed the results of Family-Based Intervention (SMD 0.23; 95% CI= -0.08 to 0.53; p=0.140).
Conclusion: Family-Based Intervention has an effect on improving the quality of life of patients with diabetes mellitus.
Keywords: family-based intervention, quality of life, diabetes mellitus, Meta-Analysis
Novita Herlita Dewi. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: firstname.lastname@example.org Mobile: 081311426454
Journal of Health Promotion and Behavior (2021), 06(03): 212-223
Anggraeni AFN, Rondhianto R, Juliningrum PP (2018). Pengaruh diabetes self-management education and support (DSME/S) terhadap kualitas hidup pada pasien diabetes melitus tipe 2 (Effect of diabetes self-management education and support (DSME/S) on quality of life in type 2 diabetes mellitus patients). Pustaka Kesehatan. 6(3): 453. https://doi.org/10.19184/-pk.v6i3.11688.
Anggraini RB, Prasillia A (2021). Hubungan self-care terhadap kualitas hidup pasien diabetes mellitus (The relationship of self care to the quality of life of patients with diabetes mellitus). Study Literature. 2: 63–74. https://doi.org/-https://doi.org/10.53510/nsj.v2i2.88
Aro AK, Karjalainen M, Tiihonen M, Kauti-ainen H, Saltevo J, Haanpaa M, Mantyselka P (2017). Glycemic control and health-related quality of life among older home-dwelling primary care patients with diabetes. Diabetes Prim. Care. 11(6): 577–582. https://doi.org-/¬¬10.¬1016/¬j.pcd.2017.07.001
Baig AA, Benitez A, Quinn M T, Burnet DL (2015). Family interventions to improve diabetes outcomes for adults. Ann. N. Y. Acad. Sci. 1353(1): 89–112. https://doi.org/10.1111/nyas.12844.
Bassuk SS, Manson JAE (2005). Epidemio-logical evidence for the role of phy¬sical activity in reducing risk of type 2 diabetes and cardiovascular disease. J. Appl. Physiol. 99(3): 1193–1204. https://doi.org/10.1152/japplphysiol.00160.2005.
Collins TC, Lunos S, Carlson T, Henderson K, Lightbourne M, Nelson B, Hodges JS (2011). Effects of a home-based walk¬ing intervention on mobility and quality of life in people with diabetes and peripheral arterial disease: a randomized controlled trial. Diabetes Care. 34(10): 2174–2179. https://doi.org/10.2337/dc10-2399.
Daniele TMC, Bruin VMS, Oliveira D SN, Pompeu CMR, Forti AC (2013). Associations among physical activity, commorbidities, depressive symptoms and health-related quality of life in type 2 diabetes. Arq Bras Endocrinol Metabol. 57(1): 44–50. https://doi.-org/10.1590/s000427302013000100006.
Dixit S, Maiy A, Shastry B (2014). Effect of aerobic exercise on quality of life in population with diabetic peripheral neuropathy in type 2 diabetes: a single blind, randomized controlled trial. Qual Life Res. 23(5): 1629–1640. https://doi.org/10.1007/s11136-013-0602-7.
Ebrahimi H, Ashrafi Z, Rudsari DM, Parsa-yekta Z, Haghani H (2018). Effect of family-based education on the quality of life of persons with type 2 diabetes: a randomized clinical trial. Nurs Res. 26(2): 97–103. https://doi.org/10.10-97/jnr.0000000000000212.
Ferrer-Garcia JC, Sanchez Lopez P, Pablos-Abella C, Albalat-Galera R, Elvira-Macagno L, Sanchez-Juan C, Pablos-Monzo A (2011). Benefits of a home-based physical exercise program in elderly subjects with type 2 diabetes mellitus. Endocrinol Nutr. 58(8): 387–394. https://doi.org/10.1016/j.endoen.2011.05.007.
Garcia AA, Brown SA, Horner SD, Zuniga J, Arheart KL (2015). Home-based diabetes symptom self-management education for Mexican Americans with type 2 diabetes. Health Educ Res. 30(3): 484–496. https://doi.org/10.1093/her/cyv018
Gorina M, Limonero JT, Alvarez M (2018). Effectiveness of primary healthcare educational interventions undertaken by nurses to improve chronic disease management in patients with diabetes mellitus, hypertension and ypercholesterolemia: a systematic eview. Int J Nurs Stud. 86(June 2017): 139–150. https://doi.org/10.1016/j.ijnurstu.2018.06.016.
Hardianti H (2011). Pengaruh sense of humor terhadap kualitas hidup pada lansia pensiunan di kota Malang (The effect of sense of humor on quality of life in elderly retirees in Malang city). J Chem Inf Model. 53(9): 287. https://www.academia.edu/6408746
IDF (2019). IDF diabetes atlas ninth edition 2019 (IDF diabetes atlas ninth edition 2019). In Htp://Www. Idf. https://diabetesatlas.org/idfawp/resourcefiles/2019/07/IDF_diabetes_atlas_ninth_edition_en.pdf.
Kang N, Liu X, Liao W, Tu R, Sang S, Zhai Z, Hou J, et al. (2021). Health-related quality of life among rural adults with type 2 diabetes mellitus: a cross-sectional study. Eur J Public Health. 31(3): 547–553. https://doi.org/10.-1093/eurpub/ckaa247.
Kementrian kesehatan republik indonesia. (2020). Tetap produktif, cegah dan atasi diabetes mellitus (Stay productive, prevent and overcome diabetes mellitus). In pusat data dan informasi kementrian kesehatan RI. https://pusdatin.kemkes.go.id/download.php?file=download/pusdatin/infodatin/Infodatin-2020-Diabetes-Melitus.pdf.
Kien TN, Phuong Hoa N, Minh Duc D, Wens J (2021). Health-related quality of life and associated factors among patients with type II diabetes mellitus: a study in the family medicine center (FMC) of agricultural general hospital in Hanoi, Vietnam. Health Psychol. Open. 8(1): https://doi.org/10.1177/2055102921996172.
Liu S, Manson JE, Stamfer MJ, Hu FB, Giovannucci E, Colditz GA, Henne¬kens CH, Willett WC (2000). A prospective study of wholegrain intake and risk of type 2 diabetes mellitus in US women. Am J Public Health. 90(9): 1409–1415. https://doi.org/10.2105/AJPH.90.9.1409.
Markle RM, Ploeg J, Fraser KD, Fisher KA, Bartholomew A, Griffith LE, Miklavcic J, Gafni A, Thabane L, Upshur R (2017). Community program improves quality of life and self-management in older adults with diabetes mellitus and comorbidity. J Am Geriatr Soc. 66(2): 263–273. https://doi.org/10.1111/jgs.15173.
Matrook KA, Cowman S, Dovey SM, Smith SM, Mcgilloway S, Whitford DL (2018). Family-based interventions for adults with type 2 diabetes mellitus. Cochrane Database Syst. Rev. 2018(7): https://doi.org/10.1002/-14651858.CD013064.
McEwen MM, Pasvogel A, Murdaugh C, Hep¬worth J (2017). Effects of a Family-based diabetes intervention on behavioral and biological outcomes for mexican American adults. Diabetes Educ. 43(3): 272–285. https://doi.org/10.1177/0145721717706031.
Morey MC, Pieper CF, Edelman DE, Yancy WS, Green JB, Lum H, Peterson MJ, Sloane R, Cowper PA, Bosworth HB, Huffman K M, Cavanaugh JT, Hall KS, Pearson, MP, Taylor GA (2012). Enhanced fitness: a randomized controlled trial of the effects of home-based physical activity counseling on glycemic control in older adults with prediabetes mellitus. J Am Geriatr Soc. 60(9): 1655–1662. https://doi.org/10.1111/j.1532-5415.2012.04119.x.
Murti B (2018). Prinsip dan metode Riset Epidemiologi (IV) (Epidemiological Research Principles and Methods (IV)). Program studi ilmu kesehatan masyarakat, program Pascasarjana, Universitas Sebelas Maret.
Rahayu E, Kamaluddin R, Sumarwati M (2014). Pengaruh program diabetes self-management education berbasis keluarga terhadap kualitas hidup penderita diabetes melitus tipe II di wilayah puskesmas II baturraden (Effect of family-based diabetes self-management education program on the quality of life of patients with type II diabetes mellitus in the area of Puskesmas II Baturraden). Jurnal Keperawatan Soedirman. 9(3): 163–172. https://doi.org/10.20884/1.jks.2014.9.3.611.
Tapeshari BS, Mohammad MA, Khamseh E, Seifouri S, Nojomi M (2017). Alloimmunization in thalassemia patients: New insight for healthcare. Int J Prev Med. 8: 1–6. https://doi.org/10.-4103/ijpvm.IJPVM.
Thirsk LM, Schick-Makaroff K (2021). Family interventions for adults living with type 2 diabetes mellitus: a qualitative meta-synthesis. Patient Educ Couns. 104(12): 2890–2899. https://doi.org/10.1016/j.pec.2021.04.037.
Urifah R (2012). Hubungan antara strategi koping dengan kualitas hidup pada penderita skizofrenia remisi simptom (The relationship between coping strategies and quality of life in symptomatic remission schizophrenia patients).1(02): 59–66.http://journal.unair.ac.id/filerPDF/110511133_2v.pdf
WHO (2020). Physical Activity. https://-www.who.int/newsroom/factsheets/-detail/physical-activity.
Wichit N, Mnatzaganian G, Courtney M, Schulz P, Johnson M (2017). Randomized controlled trial of a family-oriented self-management program to improve self-efficacy, glycemic control and quality of life among Thai individuals with Type 2 diabetes. Diabetes Research and Clinical Practice. 123: 37–48. https://doi.org/10.1016/j.diabres.2016.11.013
Wu L, Parhofer KG (2014). Diabetic dyslipidemia. Metab. Clin. Exp. 63(12): 1469–1479. https://doi.org/10.-1016/j.metabol.2014.08.010.
Yakub A (2020). Pengaruh program diabetes self-management education berbasis keluarga terhadap kualitas hidup penderita diabetes mellitus tipe II di wilayah kerja puskesmas mangasa kota Makassar (The effect of the family-based diabetes self-management education program on the quality of life of people with type II diabetes mellitus in the work area of the Mangasa Public Health Center, Makassar City). 42(Idi): 511–516. https://doi.org/https://doi.org/10.32382/jmk.v11i1.521.
Yuliana S (2021). Efektifitas family based diabetes self-management education terhadap self-care dan kualitas hidup pasien diabetes melitus (The effectiveness of family based diabetes self-management education on self-care and quality of life of patients with diabetes mellitus). 9(4): 879–886. https://doi.org/10.26714/jkj.9.4.2021.879-886.