The Effectiveness of Health Management-Assisted Technology on Glycated Hemoglobin Levels in Patients with Type 2 Diabetes Mellitus: Meta-Analysis


  • Fajar Novianto National Institute of Health Research and Development, Indonesian Ministry of Health
  • Atika Mima Amalin Health Polytechnic Jember, East Java
  • Anggun Fitri Handayani School of Health Sciences Karya Husada Semarang, Central Java
  • Anggraini Ambarsari Gadjah Mada University. Yogyakarta
  • Diana Ode Respati University, Yogyakarta
  • Alfi Makrifatul Azizah Ahmad Dahlan University Yogyakarta
  • Ayu Trisni Pamilih Health Polytechnics, Ministry of Health Surakarta, Central Java
  • Annisa Fitriana Damalita School of Health Sciences Aisyiyah, Yogyakarta
  • Fathiyyatu Assa'diy Firda Muhammadiyah University, Surakarta, Central Java
  • Ahmad Syauqi Mubarok School of Health Sciences Kusuma Husada, Surakarta, Central Java


Background: Given the number of patients failing to achieve control of Diabetes Mellitus (DM), it causes an increase in the incidence of DM complications. Along with the rapid deve­lopment of technology in this era, this study aimed to prove the effectiveness of technology-based health management compared to usual treatment for levels glycated hemoglobin (HbA1c) in type 2 diabetes mellitus patients.

Subjects and Method: This was a meta-ana­lysis using a randomized controlled trial. Arti­cles were obtained from PubMed, Google Scholar, and ResearchGate databases. The arti­cles used in this study were those published from 2012-2021. The search article was carried out by considering the eligibility of the criteria determined using the PICO model. Population: type 2 DM patients (HbA1c>7%), Intervention: health management-assisted technology, Com­parison: usual care Outcome: HbA1c levels. There were 10 articles used with a sample size of 1693 people who were divided into two groups (845 people in the health management-assisted technology group and 848 people in the group usual care). Articles were analyzed using Review Manager 5.3 Appli­cation to determine the Standard Mean Diffe­rence (SMD) and heterogeneity of the study sample.

Results: From 10 articles that were processed using RevMan 5.3, significant results were obtained, this is indicated by the overall effect (diamond) which does not touch the vertical line H0 (d= 0) and can also be seen from the 95% CI range of -0.62 to -0.13 which shows significant because it does not pass the number 0 (SMD= -0.37; 95% CI= -0.62 to -0.13; p= 0.003). The heterogeneity of the research data shows I2 = 82% so that the distribution of the data is very heterogeneous (random effects model).

Conclusion: Using technology to help health management of patients with type 2 diabetes mellitus can reduce HbA1c levels compared to usual care.

Keywords: Health management, technology, diabetes mellitus, HbA1c

Correspondence: Fajar Novianto. Center for Research and Deve­lopment of Medicinal Plants and Traditional Medicine, National Institute of Health of Health, Jl. Raya Lawu No. 11 Karanganyar, Central Java. Email: dr.fajarnovianto@gmail.­com.

Journal of Health Policy and Management (2021), 06(02): 81-93



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How to Cite

Novianto, F., Amalin, A. M., Handayani, A. F., Ambarsari, A., Ode, D., Azizah, A. M., Pamilih, A. T., Damalita, A. F., Firda, F. A., & Mubarok, A. S. (2021). The Effectiveness of Health Management-Assisted Technology on Glycated Hemoglobin Levels in Patients with Type 2 Diabetes Mellitus: Meta-Analysis. Journal of Health Policy and Management, 6(2), 81–93. Retrieved from